HomeMy WebLinkAbout195819 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 010558 Page 1 of 1
ONE CIVIC SQUARE AMERICAN SOC OF CIVIL ENG MEMBR�I
CARMEL, INDIANA 46032 PO BOX 79084 CHECK AMOUNT: $225.00
BALTIMORE MD 21279 -0084 CHECK NUMBER: 195819
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 1041093650 225.00 ORGANIZATION MEMBER
ASCE AMERICAN SOCIETY
OF CIVIL ENGINEERS
P.O. BOX 79084, BALTIMORE, MD 21279 -0084
5 IHSIINIE
January 25 2011 2ND EFFORT NOTICE
EXPIRED MEMBERSHIP
Nicholas Joseph Redden, P.E., WASCE
Carmel City of
7219 W 75 S
Lafayette, IN 47909 -9263
`Renew your membership online at www.asce.ora /renewal
Address Update Please note any changes in Step 4 on reverse side of form.
We're concerned oecause we fiaveri't received your 2011 cues; and your rnemhership has expired. To rriaintain your current "ievei 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. To choose or change your EWB Chapter, please call ASCE's
Customer Service at (800) 548 -ASCE (2723) or (703) 295 -6300.
Description Renewal Amount Code
National Membership Dues $210.00 NO
Indiana Section Central Branch Dues $15.00 SD
Transportation and Development Inst Dues (TDI) a $0.00 I TDMP
Annual Sub total: $225.00
Description Write -in Amount Code
En gineers Without Borders National Membership $60.00 EO
Engineers Without Borders S upportinq Membershi $40.00 E813
Architectural Engineering Institute Dues AEI $30.00 AEMS
Coasts, Oceans, Ports and Rivers Inst Dues COPRI $30.00 COMS
Construction Institute Dues CI $30.00 CIMS
Engineering Mechanics Institute Dues EMI $30.00 EMMS
Environmental and Water Resources Inst Dues EWRI $30.00 EWMS
Geo- institute Dues G "I $30.00 GIMS
Slrll l.Wi di CIl rneeYin' u ?auliJtc uuCp .p3u.a. .,1rmo
Int'I Soc of Soil Mech Geotechnical En ISSMGE $15.00 ISS
Indiana Section Central Branch Voluntary $25.00 SV
National Voluntary Description See enclosed insert for descriptions Write -in Amount Write -in Code
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Institute Voluntary Description See enclosed insert for descriptions Write -in Amount Write -in Code
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Annual Sub- total:
Turn Over for Payment Information
369968 1 2 1041093650 8 TYPE A M8 USA 11
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Payment by Check: Check must be made payable to ASCE in equivalent U.S. dollars.
GRAND TOTAL $225.00 Federal ID No. 13- 1635293 A$25 service charge applies to all International checks not
payable through a U.S. bank. Payments not in U S dollars drawn on a U.S bank must be
Payment by Credit Card AMEX Discover MasterCard Visa Diners Club a minimum of $75.00.
Please remit payment to: MEMBERSHIP DUES WERE DUE
Credit Card Expiration Date ASCE MEMBERSHIP, BOX BY DECEMBER 31, 2011
79084 O 008
X
O C MEMBER #:369968
Signature INVOICEM 1041093650
or call: :00
Thank you for renewing your membership. Your 2011 Membership Year began on January 1, 2011.
$25 (or a pro ration thereof) of your dues payment represents the non deductible amount associated with the Civil Engineering magazine. The balance of your dues and all voluntary contribu-
tions may be deductible as a charitable contribution according to the I.R.S. We recommend you consult your tax advisor.
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
Chance vour 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 Line 1:
Line 2: Line 2:
Line 3: Line 3:
City: Lafayette Cit
State: IN State:
Zi p Code 47909 Zip Code:
Coun try: United States Countr
Home Phone: (765)572-2293 E -mail Address #1: redden78 hotmail.com
Business Phone: E -mail Address #2:
Fax Phone: 317 571 -2439 1 Online Account E -mail: nredden carmel,in. ov
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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 2. Consulting Engineering Firm, engineer in Private
Officer, Consultant Practice
NEEDED, PLEASE MAKE R Prniact Manager and 6. Cnmmercial andlor Industrial Organization
THEM IN THE "NEW' COLUMN. Coordinator, Chief and/ (including transportation and privately owned
or Staff Engineer utility companies)
C. Staff Architect 7 Producer of Building Construction Materials
Your Business Title (including cement, cement products, sand,
D. Construction gravel, and other aggregates, clay products, and
PLAN REVIEW COR Superintendent and/ other raw materials)
or Supervisory Staff 8. Manufacturer of Construction Equipment
Personnel and Supplies
If your Business Title 14. Engineering School student
E. Department Manager 9 9
has changed, please print and /or Department 15. Educator Professor, Instructor
corrections below: Head 16. Library, Club Professional, or Trade Association
F Other titled Engineer, 31. Contractor specializing in building construction
Non -Titled Engineer
X and /or Fully Retired 33. Contractor specializing in construction other
Engineer than buildings
34- Contractor engaged in bath
G. Student
51. Federal
O. Other Personnel, 52. State
Library andlor 53. State
Company Copies
X 54. Municipal, County, Township, and/or District
Please sign with or without changes 55. Foreign
18 OTHER: If no other category applies, please
advise type of organization with which you are
Signature Date affiliated
369968 1 2 1041093650 8 TYPE A MB USA 11
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form 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.
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))
1/25/11 1041093650 ASCE Annual Membership Nick Redden $225.00
For 2011 year
Total 225 .Q
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
$225.00
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
1041093650 E G 4355300 $225.00 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
20
1 W X S!&Z
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund