165642 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00352425 Page 1 of 1
ONE CIVIC SQUARE AMERICAN SOCIETY OF LANDSCAPE ARCH
ss CARMEL, INDIANA 46032 636 EYE STREET, NW CHECK AMOUNT: $375.00
WASHINGTON DC 20001 -3736 CHECK NUMBER: 165642
CHECK DATE: 11112/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT DESCRIPTION
1192 4355300 375.00 DUES— HOLLIBAUGH
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American Society of Landscape Architects FIRS'
IM 636 Eye Street, NW, Washington, DC 20001 -3736
A s L A 202 -898 -2444 FAX 202 -898 -1185 Amw.asla.org jr-dl'q �j WAL
F.E.I.N. 53- 025 -9019 IT U
-I'm R ENEW ONLINE at WWW.ASLA.ORG -I'm
�s
October 24, 2008 $3$6 �1! Please provide any additional information or
corrections.
Michael P. Hollibaugh, ASLA Full 11G1 tuber Work Phone: (317) 571 -2444
1 Civic Square
Cannel IN 46032 Home Home Phone:
FF '�y 1 -ax: (3 17) 571 -2426
Email: nthollibaugh a ci.canncl.in.us
t Website:
ASLA Membership Billing Period From01 /01l2009Through 12/31/2009
National Dues' $300.00
Indiana Chapter $75.00
SUB-TOTAL $375.00
ASLA FUND Contribution O $25 O $50 O $100 O Other
TOTAL OO
*I 00% Tax Deductible Contribution
Professional Practice Networks (ONE COMPLIMENTARY)
If you already have a ITN listed above this will be considered as the complimentary PPN. If there is not a PPN listed above, please indicate the one
year complimentary PPN membership of your choice by placing a "C" on the line to left of your selection below. Please check additional professional
practice networks you would like to join for S 15 per network (525 per network for members residing overseas) with your membership renewal payment.
(01) Computing _(07) Parks Recreation _(12) International Practice _(17) Context Sensitive Solutions
(02) Design/Build _(08) Reclamation Restoration (13) Water Conservation in Transportation
_(03) Historic Preservation _(09) Residential Landscape Architecture (1 4) Women in LA (26) Sustainable Design Development
_(04) dousing &Communitw Dcsign _(10) Rural Landscape (I5) Campus Planning Design
(06) Landscape /Land Use Planning—(l l) Urban Planning &Dcsign _(16) Healthcare Therapeutic Garden Design
Please Choose Payment Option
Using a Creuii 1'ay oiiiiac at �-��w.asla.or tc rci ei� i�mucdia,e update and c��,�tirmation.
(If submitting payment online, please do not send this form to ASLA)
Check One Mastercard Visa American Express Discover AMOUNT PAID:
Account
Name Listed on Card [Expiration Date
Authorized Signature
Pull Payment Check Enclosed (Please make check payable to ASLA)
Renew Direct Debit using account infonmation on file. Authorized Signature
New Direct Debit 1 /12th Annual Dues deducted Monthly. Complete Option 13 form return with renewal notice. Your monthly payment could vary il'reccive
535699
Chapter Membership is required for all US Members
Please note that 7?2N of national dues is not tax deductible per Federal OBR Act of 1993
and ION of national clues is designated for your subscription
PLEASE DISREGARD THIS NOTICE IF ALREADY PAID
Prescribed by State Board of Accounts City Farm No. 201 (Rev. 1995)
;r
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
A S Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 37S.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
TA-1,gSL IN SUM OF
J
3 76. 00
ON ACCOUNT OF APPROPRIATION FOR
Lloc—s
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
a 5jr3 3 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
'Docs
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund