HomeMy WebLinkAbout305067 11/14/16 0�i,�'""f� CITY OF CARMEL, INDIANA VENDOR: 00352425
J.® ONE CIVIC SQUARE AMERICAN SOCIETY OF LANDSCAPE AAtJRCK AMOUNT: $*******462.50*
r.. CARMEL, INDIANA 46032 636 EYE STREET,NW CHECK NUMBER: 305067
9.,;t�sN WASHINGTON DC 20001-3736 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 110816 462.50 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
AMERICAN SOCIETY OF LANDSCAPE ARCH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
636 EYE STREET, NW IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
WASHINGTON, DC 20001-3736 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$462.50 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 43-553.00 1 hereby certify that the attached invoice(s),or 10/28/16 0
1192 101 1192 101
Renewal 43-553.00 $462.50 bill(s)is(are)true and correct and that the 10/28/16 Renewal Mike's dues $462.50
1192 101 materials or services itemized thereon for 1192 1 101
which charge is made were ordered and
received except
Thursday, November 03,2016
Mike Hollibaugh
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
American Society of Landscape Architects P� 1 2 3 FIRST
636 Eye Street,NW,Washington, DC 20001-37Q
A S 1.A 202498-2444 FAX 202-898-1185 www.asl g RFO NEWAL
t�fl�Efl
F,E.LN. 53-025-9019 ® � 8 X16 OTICE
RENEW ONLINE.at WWW.ASLA.ORGCP
DCS;
October 13, 2016 - 535699 ���'
r s S �' � corrections ide any additional information or
i it ii I it ih illnni Iii li Illi I I ilil i
Michael P.Hollibaugh,ASLA M Work Phone: (317)571-2417
Department of Community Services
1 Civic Square Home Phone: (317)844-5502
Carmel IN 46032 Fax: (317)571-2426
Email: mhollibaugh@carmel.in.gov
Website:
ASLA Membership Billing Period From 1/1/2017 Through 12/31/2017
National Dues $370.00
Indiana Chapter $92.50-
Urban
92.50Urban Design $0.00
SUB-TOTAL $462.50
ASLA FUND Contribution*: ()$25 ()$50 ()$100 ()Other
TOTAL
*100%Tax Deductible Contribution
NEW! Landscape Architecture Magazine Delivery(Check One)
I prefer to receive my subscription to Landscape Architecture magazine in:" Print Format Digital Format
O Professional Practice Networks(PPN)
If you already have a PPN listed above this will beconsidered as the complimentary PPN. If there is not a PPN listed above,please select your one
complimentary PPN below.Additional PPNs are$15 per network;payment must be included with your membership renewal payment.
Design Technology _Parks&Recreation _Water Conservation _ Sustainable Design
Design/Build —Reclamation&Restoration Women in LA ` Children's Outdoor Envirn.
_Historic Preservation _Residential LA). _Campus Planning/Design _Planting Design
Housing&Community Design _Urban Design _Healthcare/Therapeutic Gardens _Education Practice
Landscape/Land Use Planning _International Practice _Landscape Architecture Transportation _Environmenal Justice
Please Choose Payment Option
Using a Credit Card? Pay online at www.asla.org to receive immediate update&confirmation.Do not mail if paying online.
Check One: MasterCard Visa American Express - Discover
Account# AMOUNT PAID $
Name Listed on Card Expiration Date
Authorized Signature
❑Full Payment Check Enclosed (Please make check payable to ASLA in USD
❑Renew monthly payment using account information on file. Authorized Signature
❑New monthly payment-1/12th annual dues deducted monthly;complete monthly payment form and return to ASLA.
Chapter Membership is required for all US Members
please note that 7.2295 ofnational dues is nut ms,deductible per Federal OBR Act of 1993 and 1045 ofnational dues is de igi ed for your subscription ASLA membership is based on the individual,,it is non-trammble and non-refundable
535699 PLEASE DISREGARD THIS NOTICE IF ALREADY PAID