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Home My WebLink About195084 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 00350824 Page 1 of 1 ONE CIVIC SQUARE INDIANA SECTION /ITE CARMEL, INDIANA 46032 C/O HARDIK SHAH -AMER STRUCT CHECK AMOUNT: $20.00 s' 7260 SHADELAND STATION CHECK NUMBER: 195084 INDIANAPOLIS IN 46256 CHECK DATE: 3/2/2011 DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 20.00 ORGANIZATION MEMBER ITE INDIANA SECTION MEMBERSHIP INFORMATION 2011 /f NQT paying online, please update and submit with your dues payment to: American Structurepoint, Inc. Attn: Hardik Shah, P.E. Indiana Section ITE Treasurer 7260 Shadeland Station Indianapolis, IN 46256 Make check payable to: Indiana Section ITE Name: 1�io.V( ca CG-X,Ac�,�_ Company: �i hti 'n F O,\rVt'& Preferred Mailing Address: om Cn,vym t 4ij27L) Work Mailing Address: Home Mailing Address: Telephone �1 S� t 24 1 E -Mail: YYIYViCk)��dSL CCtYJ� ✓1 Rio_ DUES Paid: o0 Scholarship Fund Donation (tax deductible): Total: A membership roster containing the following information is slated to be published on the Indiana Section ITE website (indianaite.org Please indicate if you want this information published: Member Name: Yes No Company Name: Yes No Preferred Mail Address: Yes No Phone Yes No Institute of Transportation Engineers Indiana Section www.indianaite.org SANDRA L. JONES PRESIDENT F,RICKA W.H. MILLER SECRETARY WILL D. TOL.BERT —VICE PRESIDENT JOHN A. HABERMANN DIRECTOR HARDIK R. SHAH TREASURER ERICA L. JOHNSON PAST PRESIDENT 2011 SECTION DUES NOTICE If you are an International ITE Member (any grade): Indiana Section ITE Dues are $20.00 If you are NOT an International ITE Member: Indiana Section ITE Dues are $55.00 I. Please visit www.indianaite.orj� under Payment Center to pay your Indiana Section dues online AND to update your contact information, or 2. If not paying online, fill out the attached sheet below and return with your check. This information is important, as it will be used to maintain section membership records. 3. Dues are delinquent after March 15, 2011. 4. Any member that has not paid section dues in the last two years will be dropped from the section membership roster and mailing list if dues are not received by March 1.5, 2011. Re- Admittance will require a submission of application to the Section Board. 5. Your International ITE dues and Great Lakes District (District ILI) dues are billed separately from your Indiana Section dues. If you are interested in joining International ITE please contact Mr. John Habermann, Director for 2011, at 765- 496 -6584 or visit ITE International's website at www.ite.0m 6. If your employer pays your dues, please include your name somewhere on the check. 7. Make checks payable to "Indiana Section ITE" mail or deliver to: American Structurepoint, Inc. Attn: Hardik Shah, P.E. Indiana Section ITE Treasurer 7260 Shadeland Station Indianapolis, IN 46256 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995) 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. Institute of Transportation Reers (Indiana Section) Attn: Hardik Shah, P.E. Purchase Order No. Indiana Section ITE Treasurer 7 269 Shadeland Stat +on Terms I ndianapolis, IN 46256 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) n/a bar-ship Dues 2011 (M MG13ride) $20.00 Total 1 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. Institute of Transportation Engineers (Indiana Se ctic ALLOWED 20 Attn: Hardik Shah, P.E. IN SUM OF 7260 Shadeland Station Indianapolis, IN 46256 $20.00 Department of Engineering ON ACCOUNT OF APPROPRIATION FOR Ma n/a 2200 4355300 $20.00 Board Members PO# or oPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 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 -Al 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund