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181793 02/03/2010 ,,\M, CITY OF CARMEL, INDIANA VENDOR: 356912 Page 1 of 1 ONE CIVIC SQUARE AMERICAN SOCIETY OF CIVIL ENGINEEECK AMOUNT: $220.00 l;; CARMEL, INDIANA 46032 P.0. BOX 79084 o BALTIMORE MD 21279 -0084 CHECK NUMBER: 181793 O NE CHECK DATE: 2/3 /2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 1040847909 220.00 ORGANIZATION MEMBER AMERICAN SOCIETY Or CIVIL ENGINEERS INDIANA SECTION TDI September 9, 2009 ��p REEW EARLY Nicholas Joseph Redden, RE., M.ASCE Carmel City of TO ELP 7219 W 75 S YOUR SECTION Lafayette, IN 47909 -9263 1111111 1111ltl�tllr��Ll�rlrlrrr�Irltll1SS I11111(1111111�rlll Address Update Please note any changes in Step 4 on reverse side of form. Renew online at www.asce.org /renewal To maintain,your current level of membership and services, please submit the "Grand Total" amount. To amend your current_ levels, please circle any items you choose to pay in Step 1. Add additional items in the Step 2 "write -in" column and include them in the "Grand Total." Instructions: To continue with your previous level of membership and services, submit the "Grand Total" amount. To amend your previous levels, please circle any items you choose to pay in Step 1 and submit the amended "Grand Total" payment. Add additional items in the Step 2 "write -in" column and include them in the "write -in" "Grand Total" section. STEP 1 d 20,E MEMB�RSHIP ANVOI Ba s eal on Your Pr ior ear, Parf afion Description Renewal Amount Code National Membership Dues $205.00 ND Indiana Sec Central Br Dues $15.00 SD Transportation Development Institute Membership (T &DI) $0.00 TDMP [Annual Sub total: I> $220.00 STEP 2 2010AyDD1TIONA1 sue,. ;a'ta Description Write -in Amount Code Engineers Without Borders Professional Membership ($60 00) EWBP Engineers Without Borders Supporting Membership ($40.00) EWBS Architectural Engineering Institute Membership (AEI) ($30.00) AEMS Coasts, Oceans, Ports Rivers Institute Membership (COPRI) ($30.00) COMS Construction Institute Membership (CI) ($30.00) j CIMS Engineering Mechanics Institute Membership (EMI) ($30.00) EMMS Environmental Water Resource Institute Membership (EWRI) ($30.00) EWMS Geo- Institute Membership (G -I) ($30.00) GIMS Structural Engineering Institute Membership (SEI) ($20.00) SEMS Internat Soc of Soil Mechanics Geotechnical_Eng_(ISSMGE) __($1,5.0 0) ISS Indiana Section Central Branch Voluntary ($0.00) 11 SV National Voluntary Description See enclosed insert for descriptions Write in Amount j Write -in Code write -iii description co Z write -in dcst:riptian co write description I- CO FE Institute Voluntary Description See enclosed insert for descriptions Write -in Amount Write -in Code z v 0 wrFte -i ;r description write -`:1 description tic scr,p;inn mmmm Annual Sub total: b GRAND TOTAL: P $220.00 S .:Pa:a PAI MEN TINFORMATIUN r �a.. Payment by Check Check must be made payable to ASCE in equivalent U.S. dollars. Federal ID Payment by Credit Card: Cl AMEX Discover MasterCard Visa Diners Club No 13-1635293.A $25 service charge applies to all International checks not payable through a U.S. bank. Payments nol in U.S. dollars drawn on a U.S. bank must be a minimum of $75 00. Please remit payment to MEMBERSHIP DUES ARE DUE ASCE MEMBERSHIP, P.O. BOX 79084, BY DECEMBER 31, 2009. BALTIMORE, MD 21279 -0084 MEMBER 369968 ;Credit Card Expiration Date (NO CORRESPONDENCE TO ABOVE ADDRESS) or call: (800) 548 -ASCE (2723) INVOICE 1040847909 X Signature Your 2010 Membership Year began on January 1, 2010. Thank you for renewing your membership. $36 (or a pro-ration therof) of your dues payment represents the non deductible amount assoaated with ASCE News and Civil Engineering magazine. The balance of your dues and all voluntary contributions may be deductible as a chariitable contribution according to the I.R.S. We recommend you consult your tax advisor 369968 1 1 1040847909 8 TYPE 3 MB 54/F USA 10 SAT P 4 e: ON +TA_ CST INFOR, AS:CE ORG /MBYPROFILE, Y In order to ensure the accuracy of your record, please review all the information below and make changes where needed. Currently your preferred mailing address is: Residence Change your preferred mailing address by circling your new preference: RESIDENCE or BUSINESS /SCHOOL COMPANY NAME: Carmel City of RESIDENCE ADDRESS BUSINESS /SCHOOL ADDRESS Line 1: 7219 West 75 South i Line 1: Line 2 Line 2: Line 3: Line 3: City: Lafayette City: State: IN State: Zip Code: 47909 Zip Code: Country: United States Country: Home Phone: (765) 572 -2293 E -mail Address #1 redden78 ©hotmail.com Business Phone: E -mail Address #2 Fax Phone: (317) 571 -2439 Online Account E -mail Address: nredden ©carmel.in.gov ST EP PERSONAL`( INVENTORY WWW.�ASCEI"ORG /VNITERE�StTtS r Thank you for completing the initial portion(s) of the personal interest survey. Based on your responses, you have an interest in Construction. We need to better understand your specific areas of interest and/or expertise within the Construction arena. Please select your top two Interest Areas or "General Construction (All) Place an "X" next to the specific line item(s) that interest you the most. If you do not have an interest in any line item, leave the response column empty. Construction Response Code Design Issues (value engineering, design /build) C1 ii Equipment Issues (types, techniques, safety) C2 Owner's Issues (contract administration, inspections) C3 Service Issues (insurance, bonding, legal) C4 I Site Issues (management, practices, safety and project management) 05 Other: Print Additional Technical Areas Not Listed Above STEP BPA C. PUBLICATION AUDITORS ifNF4RMArT1C1N Current New BUSINESS TITLE Current New EMPLOYER ACTIVITIES YOUR CURRENT BPA A. Owner, President, Vice 1. Architectural, Architectural- Engineering Firm, INFORMATION IS PROVIDED. President, General Architect, Architect Engineer in Private Practice IF CORRECTIONS ARE Manager, Military Officer, 2. Consulting Engineering Firm, engineer in NEEDED, PLEASE MAKE Consultant Private Practice THEM IN THE "NEW COLUMN. a Project Manager and 6 Commercial and /or Industrial Organization Coordinator, Chief and/or Staff Engineer (including transportation and privately owned utility companies) Your Business Title C. Staff Architect 7 Producer of Building Construction Materials PLAN REVIEW COR D Construction (including cement, cement products, sand, Superintendent ands gravel, and other aggregates, clay products. or Supervisory Staff and other raw materials) If your Business Title Personnel 8 Manufacturer of Construction Equipment has changed, please print E. Department Manager and Supplies corrections below: and/or Department Head 14. Engineering School student F. Other titled Engineer, Non Titled Engineer 15. Educator- Professor, Instructor and /or Fully Retired 16 Library, Club Professional, or Trade Association Engineer 31. Contractor specializing in building construction 33. Contractor specializing in construction other 0 Other Personnel, Library than buildings and/or Company Copies 34. Contractor engaged in both Please sign with or without changes 51. Federal 52. State 53. State X 54. Municipal, County, Township, and /or District Signature Date 55. Foreign 18. OTHER: If no other category applies, please advise type of organization with which you are affiliated. 369968 1 1 1040847909 8 TYPE B MB 54/F USA 10 Prescribed by State Board of Accounts City Form No. 201 (Rev. 199S ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An 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 ASCE /Membership Purchase Order No. P.O. Box 79084 Terms Baltimore, MD 21279 0084 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/09/09 n/a ASCE Annual Membership Nick Redden $220.00 For 2010 year Total $220 00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 ASCE /Membership IN SUM OF P.O. Box 79084 Baltimore, MD 21279 -0084 $220.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members DEPT. or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1040847909 E '!G 4355300 $220.00 bill(s) is (are) true and correct and that the member 369968 materials or services itemized thereon for which charge is made were ordered and received except M 0 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund