166541 12/10/2008 "9 CITY OF CARMEL, INDIANA VENDOR: 354593 Page 1 of 1
ONE CIVIC SQUARE ASFPM
CARMEL, INDIANA 46032 2809 FISH HATCHERY ROAD CHECK AMOUNT: $100.00
MADISON WI 53713 CHECK NUMBER: 166541
CHECK DATE: 1211012008
DEPARTME AC COUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1192 4.355300 10.0.00 ORGANIZATION MEMBER
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Invoice for 2009 Membership Renewal: Please Verify Your Information
ASFPM, 2809 Fish Hatchery Rd., Ste. 204, Madison, WI 53713 Phone: 608 274 -0123 Fax: 608- 274 -0696 Tax ID: 39- 1414382
PLEASE FI LIN ANY BLANKS
MAKE CFr NGES DIRECTLY ON FORM PLEASE SUBMIT PAYMENT TO THE ADDRESS SHOWN WITH A COPY O THIS INV
Member ID No. o
Primary mailing address Below:
Trudy Weddington
Office City of Carmel
1 Civic Sq.
Carmel, IN 46032
Title: Administrative Assistant Would you like to get recognized in your
Mr. /Ms. Ms. Nickname: Trudy field? Become a CFM.
Work: 317 571 -2433 Ext.: For more information go to
Fax: 317 -571 -2499 www.floods.org
Email: teddington@carmel.in.gov
Mobile:
Home:
Committees: Expiration Type (Last 3 Years) Newsletters
=Arid Regions 12/31/2008 Individual Member Via Email
F x
Coastal Issues 12/31/2007 Individual Member Via Email
Flood Insurance
12/31/2006 Individual Member Via Email
X Flood Mitigation
X Flood Regulations
Floodproofing and Retrofitting
International Liaison
F Mapping and Engineering Standards
x Natural and Beneficial' Functions
No Adverse Impact
Professional Development
rQ Training and Outreach
Urban Stormwater Management
Member categories dues apply to calendar ear Method of Payment:
_Individual Member $1000 Check enclosed
_Student must be full
o also receive hard copy newsletters in the mail add $25) $Z5 Purchase orderllnvoice No.
Credit card
Partner Categories (fill out one form for each contact) Expiration date
_Agency (2 contacts) ...........................$250 CCV (last 3 digits on back of card
Corporate includes web link! (fee based on Company size) m
_CP 10 with up to 10 employees (receive 1 contact) $150
CP 100 11 -100 employees (receive 2 contacts) $300 Signature
_CP 100 100 employees (receive 4 contacts) ................$700
(to also receive hard copy newsletters in the mail add $25)
My Organization is a(n): This card becomes valid when your payment is
Local Government received by the ASFPM Executive Once.
Local Govt Academic
State Govt, Nonprofit
Regional Govt, Other
Federal Govt. PrivatelServices
Nonprofit Private /Products
Other Private /Services Products
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My contact information may be used for:
V ASFPM and academic mailings
ASFPM purposes only
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Invoice for 2009 Membership Renewal: Please Verify Your Information
ASFPM, 2809 Fish Hatchery Rd., Ste. 204, Madison, WI 53713 Phone: 608 274 -0123 Fax: 608- 274 -0696 Tax ID: 39- 1414382
Please visit our website at www-f to ®d S F ®rg for information on:
Awards for Floodplain Management Excellence
Committee Information
Upcoming Conferences and Workshops
GREENWORKS TO
CFM® Program
REDUCE FLOOD LOSSES The role of a Floodplain Manager is ever expanding
due to the vast increases in disaster losses. The
CFM5 Program recognizes and promotes floodplain
ASFPM 33rd Annual National knowledge and expertise while building the public's
Conference confidence: The CFM@ Program enhances credibility
June 7 12, 2009 and visibility of the floodplain management profession
Orlando, Florida in the nation.
We challenge you to consider becoming a Certified
Rosen Centre hotel Floodplain Manager.
Orlando, Florida Already certified? Remember to renew your individual
membership and receive substantial savings when it's
Dope to See YOU There!!!! time to renew your CFM status.
ASFPM Foundation /Nick Winter Scholarship Fund
ASFPM Foundation invites you to help support a new floodplain
manager through the Nick Winter Scholarship Fund. Please
consider making an online donation today at
w www.floods.org /Foundation
5
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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.
n Payee
�f r m Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i jo ywz/x)
Total /0 LL
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
IN SUM OF
L/
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
11 °I 5 3 8 /00 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
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Cost distribution ledger classification if Title
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claim paid motor vehicle highway fund