HomeMy WebLinkAbout307647 01/27/17 ? � CITY OF CARMEL, INDIANA VENDOR: 00350077
ONE CIVIC SQUARE INDIANA STREET COMMISSIONERS ASWECK AMOUNT: $**"***"*35.00'
s =Q CARMEL, INDIANA 46032 ATTN:JEREMY GILBERT-MEMS.DIRECTOR CHECK NUMBER: 307647
225 W MONROE ST CHECK DATE: 01/27/17
DECATUR IN 46733
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4355300 35.00 ORGANIZATION & MEMBER
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INDIANA STREET COMMISSIONER'S ASSOCIATION
www.indianastreets.org
2017 I.S.C.A. MEMBERSHIPS ARE NOW DUE
MAKE CHECKS PAYABLE TO: I.S.C.A. (Indiana Street Commissioners Assoc.)
SEND DUES($35.00) TO: Jeremy Gilbert-Membership Director
225 W.Monroe Street, IN 46733
Ph. 260-724-3356
*PLEASE NOTE NEW ADDRESS*
2017 I.S.C.A. DUES - $35.00
MEMBERSHIP APPLICATION
Only one $35.00 fee required for membership per community.
If your assistant or foreman needs a membership card,please note on your application form*.
CITY/TOWN: Ccz rF...e l
NAME: Gacl�e_
E-MAIL: e
BUSINESS ADDRESS:
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BUSINESS PHONE: 3 F7 _ 7 d f FAX# 3 17 /33'L ),o0s
DUES ENCLOSED: X CLAIM FORM:
RENEWAL: NEW MEMBER:
*ADDITIONAL MEMBERSHIP CARD (NAME)
**Call or send with this registration your suggestions for topics at this year's convention.