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Home My WebLink About195819 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 �q.;fa ?t is b! �Lii)r wO m Institute Voluntary Description See enclosed insert for descriptions Write -in Amount Write -in Code Z 00 y rte ..Ira rt =sr;rirri r. U Annual Sub- total: Turn Over for Payment Information 369968 1 2 1041093650 8 TYPE A M8 USA 11 X x rod, 'a }s €.*'gf�. •P,. SAS to, 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 r w t Q D tg k7 Q� k �4' 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