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Home My WebLink About164775 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 164115 Page 1 of 1 ONE CIVIC SQUARE INTL SOCIETY OF ARBORICULTURE CHECK AMOUNT: $145.00 CARMEL, INDIANA 46032 PO BOX 3129 CHAMPAIGN IL 61826 -3127 CHECK NUMBER: 164775 CHECK DATE: 10/16/2008 DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMB AMOUNT DESCRIPTION 2201 4355300 145.00 ORGANIZATION MEMBER ISA MEMBERSHIP INVOICE P.O. Box 3129 Champaign, IL 61826 -3129 USA Phone: (217) 355 -9411 Dues are for one calendar year (January 1 through December 31) and are not pro -rated for any portion Toll -free: (888) ISA -TREE thereof. Memberships are not transferable and non refundable. (Prices subject to change without notice) ISAO Fax: (217) 239 -5721 International SoxietydArbodakme www.isa- arbor.eom [EZ RENEWAL Please update any contact information on this form. 25361 Phone: (317) 571 -2623 01 -09 Kristi J. Snyder Fax: (317) 733 -2005 3400 W 131 ST ST Email: ksnyder @cannel.in.gov Business: City of Cannel Street Department WESTFIELD, IN 46074 -8267 o o W a D WP 0 I would like to renew the following membership package for 2009: (If you want to change your membership package, skip the EZ Renewal Section and complete the Custom Renewal Sections on the back of this form.) 105 ISA: Professional Membership 40 Chapter: Indiana 0 PA: No PA selected 94 15 Total Due J .00 Urban Forestry Paper Copy. Complete the Payment Section below. If paying by credit card, fax pg 2 and 3 to: (2 1 7) 239 -5 72 1 or, mail to: ISA Membership PD. Box 3129, Champaign, IL 61826 -3129 USA. For check payments, mail entire invoice along with check to ISA address. PAYMENT INFORMATION PAYMENT TYPE (CHECK ONE): J Check J Visa J MC JAmex Dues payments are not deductible as charitable contributions for CC income tax purposes, although may be deductible as an ordinary business expense. 0% of your dues payment is CHECK NUMBER used for lobbying purposes. Donations to the TREE Fund are considered char- itable contributions. SIGNATURE: (Only if paying by credit card) CC BILLING ADDRESS NAME ON CREDIT CARD STREET ADDRESS: CITY: STATE /PROVINCE: ZIP /POSTAL: NOTES: If paying by credit card, fax pg 2 and 3 to: (217) 239 -5721. If paying by check, send this Office Use Only: ENTIRE invoice along with your check via mail to: ISA Membership PO. Box 3129; Champaign, IL 61826 -3129 USA. Make checks payable to ISA Recd J M J I A J Payment N A J Thank you for your continued support of ISA and the arboricultural community! 3- CUSTOM RENEWAL (Use Section 1, 2, and 3 only if you are changing your membership package) SECTION 1 ISA INTERNATIONAL MEMBERSHIP (Choose just one category and enter the amount in the box) J Professional (Individual) $105 J Sustaining (Organizations, Companies, and Individuals) $500 J Senior (Retired and 10+ years of ISA membership) $25 J Student (Print advisors name AND send a copy of student ID) $25 STUDENT MEMBERSHIPS ARE LIMITED TO 10 YEARS Advisor Name (Please Print): Advisor Email: School: Student memberships will not be processed without a copy of your student ID and class schedule. SECTION 1 SECTION 2 ISA CHAPTER MEMBERSHIPS (Choose as many as you would like and fill in the subtotal in the box) J Austria $45 J Indiana $40 J New Zealand ........$110 J Spain $85 J Atlantic........ $45 J Italy $97 J Norway............. $69 J Sweden $78 J Australia $95 J Kentucky $35 J Ohio $40 J Texas $40 J Brazil $32 J Michigan $75 J Ontario .............$110 J UK/I $139 J Czech Rep $33 J Mid Atlantic $50 J Pacific NW $50 J Utah $40 J Denmark $81 J Mid Western...... $30 J Penn Del............ $45 J Western........ $40 J Dutch $50 J Minnesota........ $40 J Prairie $75 J Wisconsin $40 J Florida $30 J New England $35 J Quebec $120 J Germany $180 J New Jersey....... $35 J Rocky Mts $52 J Illinois......... $45 J New York S65 J Southern $30 Non -U. S. Chapter memberships are listed in approximate U.S. dollars. All Chapter dues collected at the ISA headquarters will be forwarded to the appropriate Chapters. All Chapter membership prices subject to change without notice. ('Add $10 if Chapter membership is not combined with ISA membership.) SECTION 2 SECTION 3 PROFESSIONAL AFFILIATION MEMBERSHIP (Choose as many as you like and fill in the subtotal in the box) J Utility Arborist Association (UAA) $25 J Arboricultural Research and Education Academy (AREA) $25 J Society of Commercial Arboriculture (SCA) $35 J Society of Municipal Arborists (SMA) (choose from below) J Professional $75 J Corporate $140 J Library $60 J Senior $40 J Student $40 SECTION 3 SECTION 4 1 would like to make a voluntary contribution to the TREE Fund -Yes —No SECTION 4 IS SECTIONS 1 THROUGH 4 All fees paid in U.S. Dollars. TOTAL -4- 25361 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/01/08 $145.00 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. WARRAN NO. ALLOWED 20 ISA Membership IN SUM OF P. O. Box 3129 Champaign, IL 61826 -3129 $145.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 43- 553.00 $145.00 1 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 Friday, October 10, 2008 Street mmissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund