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317829 10/26/2017 0.11;. CITY OF CARMEL, INDIANA VENDOR: 00352425 ONE CIVIC SQUARE AMERICAN SOCIETY OF LANDSCAPE AAd�CK AMOUNT: S*******462.50* CARMEL, INDIANA 46032 636 EYE STREET,NW CHECK NUMBER: 317829 WASHINGTON DC 20001-3736 CHECK DATE: 10/26/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 HOLLIBAUGH 462.50 ORGANIZATION & MEMBER o Q S z $/ q « -< o A § ƒ n z m � X / 0 q / / q q ( - k m 0 k O 0 £ R % 0 m M 2 a / e J > 2 % 0 , ] -01 r- r / ® r n k / . a $ C. n 2 moo ® ƒ m 0 & d _ 2 3 g / > ® § > -n 0 O # 0 O r z | E B a M M / § k E 0 w $ i 2 CL =r k§ § 2 2 « / ■ _ E { ■ # / f f 3 & J CD w wm k m \ 0. I E % 3 § & o E � ; s ■ 0 m g 7 g E • E o k @& CL 0) # . § J k R a - E § cr` ( ; kI § ° 7 J . k i § § 2 \ CL U);$ w am k 2 # E D / ) & 0 0k -nK � m 0 w 8g e zg « ] Q § �� o , Qm k I=D C \ 80 .'r° - 0 Z > 3 § Cl) 5/ % O T ®8 > � CA9� § ) Q gm / j / / n_ § / k CD \ mto _ ± ) / \« CD C % \ § ■ / o : § I f 2 $ g m « C q ƒ / } A © 7 s z ' \ k � } 2 k F C . § w " American Society of Landscape Architects FIRST 636 Eye Street,NW, Washington, DC 20001-3736 AS 1.A 202-898-2444 FAX 202-898-1185 www.asla.org RENEWAL li F.E.LN. 53-025-9019 NOTICE RENEW ONLINE at WWW.ASLA.ORG October 10, 2017 535699 Please provide any additional information or corrections. Michael P.Hollibaugh,ASLA Full Member Work Phone: (317)571-2417 Department of Community Services Home Phone: (317)844-5502 1 Civic Square Carmel IN 46032 Fax: (317)571-2426 Email: mhollibaugh@carmel.in.gov Website: ASLA Membership Billing Period From 1/1/2018 Through 12/31/2018 National Dues $370.00 Indiana Chapter $92.50 P `,Urban Design $0.00 T' SUB-TOTAL $462.50 7 AS�A FUND Contribution*: ()$25 O$50 ()$100 O Other / 1U •5 D TOTAL `7 �Lj *100%Tax Deductible Contribution NEW! Landscape Architecture Magazin✓eplivery(Check One) I prefer to receive my subscription to Landscape Architecture magazine in: Print Format Digital Format Professional Practice Networks(PPN) If you already have a PPN listed above this will be considered 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. _Digital Technology _Parks&Recreation _Water Conservation _Sustainable Design/Development Design/Build _Ecology&Restoration _Women in LA _Children's Outdoor Environments 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 _Transportation _Environmental Justice Please Choose Payment Option L] 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 11 Renew monthly payment using account information on file. Authorized Signature ElNew monthly payment-I/12th annual dues deducted monthly;complete monthly payment form and return to ASLA. Chapter Membership is required for all US Members Please Wore root 7.11%of alio..I dues u nor rax ded—ible per Fedeml OBR Act of 1993 and 10%of—ional dues u designared for your s bw olion ASU membersbip is based on rhe indi�iduol;it is non-rran ruble and non refundoble 535699 PLEASE DISREGARD THIS NOTICE IF ALREADY PAID