193141 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 360776 Page 1 of 1
ONE CIVIC SQUARE INSTITUTE OF TRANSPORTATION ENG %ECK AMOUNT: $160.75
CARMEL, INDIANA 46032 C/O SUNTRUST BANK
PO BO X79501 CHECK NUMBER: 193141
BALTIMORE MD 21279 -0501
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 1020163 160.75 ORGANIZATION MEMBER
ITE 2011 Dues Payment. Return this ortion of the Add Council Memberships: $165.75
Y P (first membership Is free)
invoice in the enclosed envelope to: (Do not check if council is Posted above)
Institute of Transportation Engineers
do SUNTRUST BANK, P.O. Box 79501 Technical Councils:
Baltimore, MD 21279 0501 0 Traffic Engineering Council ($20)
0 Transp. Expert Witness Council ($20)
Complete for Credit card payment: 0 Transit Council ($20)
0 VISA 0 MasterCard 0 American Express 0 Transportation Planning Council ($20)
R Card number: 0 Management Operations /ITS Council ($20)
E 0 Transportation Safety Council ($20)
T Expiration date: 0 Freight Mobility Council ($20)
U 0 Parkin Council 20
R Signature of card holder: 9
N 0 Pedestrian Bicycle Council ($20)
T Mr. Michael T. McBride, P.E. 1020163 Employer type Councils:
H City of Carmel Indiana 0 Consultant's Council —new for 2011 ($20)
1 One Civic Square 0 Transportation Education Council ($20)
S Car el, IN 46032 0 Public Agency Council ($20)
P T Paid O.
0
R See Payment Information on Reverse.
T
I Business Address Alternate Address only if ITE iinall
should go to other than business address)
W Compan y
T yCi .E 1660`_
H Title
P tone Cv�c'Square a 171 Address information OK as printed
A Address 1 Employer Type: Please check
Y a;, 0 Federal Govt. O Public Transit O Consultant
E Address 2 O State /Prov. Govt. 0 Educatnl. Inst. 0 Railroad
N 0 County Govt. 0 Mftr. /Supplier 0 Military
T
Address 3 0 Local Govt. 0 Contrctr. /Const_ Co. 0 Airline
17 Parking Agency 0 Developer 0 Student
City, State /Province, Postal Code Count d Port Auth. Association Other
a Carmel; IN,.46032 USA 0 Toll Road 0 Rgnl. Planning 0 Retired
Phone: (317) 571 -2441 Fax: E -mail: mmcbride @carmel.in.gov
Please give us your a mail address
MERV
Institute of Transportation Engineers
Mr, Michael T. McBride, P.E.
K 2011 Membership Dues Invoice 1020163 M December 1, 2010
E
E International Dues $145.25
P
Dues are payable 30 days from invoice date Great Lakes District Dues $15.50
F Prof Dev Pgm Fund Contrib. (optional) $5.00
O
R
0 R
0
u
R This invoice reflects online payments through
R November 23. Please send in your payment
E to keep your membership current. Total Billed (U.S. Dollars)
C (Dues are payable 30 days from invoice d J 75
0
R
D For information about paying in installments, please call
5 +1 202- 785 -0060
ITE 2011 Dues Payment. Return this p ortion of the Add Council Memberships: $165.75
Y P (first membership is free)
invoice in the enclosed envelope to: (Do not check it council is listed above)
Institute of Transportation Engineers
do SUNTRUST BANK, P.O. Box 79501 Technical Councils:
Baltimore, MD 21279 -0501 IJ Traffic Engineering Council ($20)
Complete for Credit card payment:
Transp. Expert Witness Council ($20)
11 Transit Council ($24)
VISA MasterCard 0 American Express Transportation Planning Council ($24
R Card number: 0 Management Operations /ITS Council ($20)
E 77 Transportation Safety Council ($20)
T Expiration date: 17 Freight Mobility Council ($20)
u
R Signature of card holder: 0 Parking Council ($20)
N 0 Pedestrian/ Bicycle Council ($20)
T Mr. Michael T. McBride, P.E. 1020163 Employer type Councils:
H City of Carmel Indiana 0 Consultant's Council —new for 2011 ($20)
I One Civic Square I Transportation Education Council ($20)
s USA Carm IN 46032 0 Public Agency Council ($20)
P ToW Paid o
R See Payment Information on Reverse.
T
o Buslness Au"Ure"— Alternate Address r9�plete only WITS i-tail
N C itv o f Carmel I ndiana should go to other tha business address)
w Compan
T City En ineer
H Title
P One Civic Square O Address information OK as printed
A Address 1 Employer Type: Please check
Y 0 Federal Govt. 0 Public Transit O Consultant
E Address 2 171 State /Prov. Govt. 0 Educatnl. Inst. 13 Railroad
N 0 County Govt. 0 Mftr. /Su leer 0 Military
T tY PP Y
A ddress 3 0 Local Govt. 0 Contrctr. /Const. Co. 0 Airline
O Parking Agency 0 Developer 171 Student
City, State /Province, Postal Code, Country 0 Port Auth. 3 Association 0 Other
Carmel, IN, 46032, USA 173 Toll Road 3 Rgnl. Planning 0 Retired
Phone: (317) 571 -2441 Fax: E -mail: mmcbride @carmel.in.gov
Please give us your e-mail address
Explanation of Amount Owed
International Dues: 2011 Membership Dues for the period January 1 to December 31, 2011. Dues are based on membership
grade and are due and payable on January 1, 2011. New memberships after January 1 are prorated and payment is due 30 days
from invoice date.
District Dues: Dues as a member of the District in which your preferred mailing address is located at the time of first dues billing
for the year. District dues are collected by ITE headquarters and remitted in full to your District.
Section Dues: Dues as a member of the local section in which your preferred mailing address is located at the time of first dues
billing for the year. Section dues are collected by ITE headquarters and remitted in full to your Section. Note: headquarters does
not collect dues for all sections; if no amount is shown for Section Dues, you may receive a separate billing from any section of
which you are a member.
Council Memberships: Membership in individual speciality councils is available to all ITE members. You may select one free
council per council type (Technical and Employer- based) Additional council memberships are $20 /each.
Prof. Development Fund Contrib. Optional; This fund was established to meet our profession's need for timely, effective and
affordable professional development courses. The ITE Board of Direction requests that each member contribute a minimum of $5
to the fund. The contribution is optional. Contributions in excess of $5 will be appreciated.
PAYMENT INFORMATION
Payment Terms: Membership dues are billed in U.S. dollars. Dues may be paid by check or bank draft or by credit card (VISA,
MasterCard, American Express). All checks and drafts should be negotiable in U.S. Funds. U.S. members must pay in U.S. funds;
members in other countries are encouraged to pay in U.S. Funds. Canadian members may remit in Canadian Funds at the rate of
$1.00 U.S. $1.04 Canadian (e.g. dues of $225 U.S. $229.17 Canadian). Members in other countries may remit by draft in the
U.S. dollar equivalent of other currencies (must be acceptable and exchangeable at U.S. banks) at prevailing exchange rates
incluing all exchange and bank fees. On all checks and drafts, please clearly indicate your name and /or your membership number.
Suspension of Members for Non Payment: the ITE Constitution Article III, Sec. 2 provides that "Any member who has not paid
entrance fees and initial dues or whose dues are more than three months in arrears shall not have the right to vote and shall not
receive publications:'
Institute of transportation Engineers
1627 Eye St., NW, Suite 600
Washington, D.C. 20006 USA
Federal. Employer I.D. 53- 0232732
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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
Institute of Transportation Engineers
Purchase Order No.
CIO Suntrust Bank
Terms
PO Box 79501
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total f-
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
$160.75
VOUCHER NO. WARRANT NO.
IncfitiifiP of Trancnnrfiafiinn FnA1n
ALLOWED 20
O10 Sintriogt -Bank IN SUM OF
PO Box 79501
Baltimore, MD 21279 -0501
$160.75
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO #or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
nla 1020163 2200 4355300 $160.75 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
l2� zC�l a r 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund