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HomeMy WebLinkAbout258100 04/29/16 %��,qyf� CITY OF CARMEL, INDIANA VENDOR: 356912 ® \; ONE CIVIC SQUARE AMERICAN SOCIETY OF CIVIL ENGINEER91ECK AMOUNT: $....***240.00* ?� CARMEL, INDIANA 46032 P.O.BOX 79162 CHECK NUMBER: 258100 �,�*oN.�. BALTIMORE MD 21279-0162 CHECK DATE: 04/29/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 1043230738 240.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. AMERICAN SOCIETY OF CIVIL ENGINEERS ALLOWED 20 P.O. BOX 79162 IN SUM OF$ BALTIMORE, MD 21279-0162 $240.00 ON ACCOUNT OF APPROPRIATION FOR Engineering PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 1043230738 I 43-553.00 I $240.00 1 hereby certify that the attached invoice(s), or 2200 201 bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,April 26, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund 'rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due nvoice Date invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 04/19/16 1043230738 Membership for Jeremy Kashman $240.00 2200 201 I I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer 1 Page: 1 of 1. PROFORMA INVOICE AMERICAN SOCIETY® OF CIVIL ENGINEERS Date: 19-Apr-2016 Order Number: 1043230738 Order Date: 01-Aug-2015 Invoice Number: Invoice Date: Purchase Order: Reference Number: Bill-To: 000000376711 Ship-To: 000000376711 Jeremy Michael Kashman,P.E.,M.ASCE Jeremy Michael Kashman,P.E.,M.ASCE 18567 Pilot Mills Ct 18567 Pilot Mills Ct Noblesville,IN 46062-6468 Noblesville,IN 46062-6468 United States United States 22oO - 4355 300 Invoice No Unit Product Fulfil Status Status Qty Unit Price Discount Coupon Adjustment Total ASCE/MB-ASCE-National Membership Dues Active Proforma 1 $225.00 $0.00 $0.00 $0.00 $225.00 01-Jan-2016 to 31-Dec-2016 TDI/TDIMBP-TDI-Transportation and Active Proforma 1 $0.00 $0.00 $0.00 $0.00 $0.00 Development Inst Dues(TDI)01-Jan-2016 to 31-Dec-2016 ASCE/01702M-ASCE-Indiana Section-Metro Active Proforma 1 $15.00 $0.00 $0.00 $0.00 $15.00 Indianapolis Branch Dues 01-Jan-2016 to 31-Dec-2016 Shipping: $0.00 Total: $240.00 Paid To Date: $0.00 Z 200 — 4 33 30 O Current Amount Due: $240.00 Please detach the lower portion and return it with your payment.Thank you. Customer: 000000376711-0 Jeremy Michael Kashman,P.E.,M.ASCE Order No.: 1043230738 Balance Due(USD): $240.00 Credit Card# Exp.Date: _ /_ Amount: Send payments to: American Society of Civil Engineers Payments by phone: (703)295-6300 or (800)548-2723 P.O.Box 79162 Baltimore,MD 21279-0162 Payments by fax: (703)295-6333 USA