HomeMy WebLinkAbout202904 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 010560 Page 1 of 1
ONE CIVIC SQUARE AMERICAN SOC OF LANDSCAPE ARCH g
CARMEL, INDIANA 46032 6361 STREET NW HECK AMOUNT: $402.50
WASHINGTON DC 20001 -3736
o CHECK NUMBER: 202904
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1192 4355300 402.50 ORGANIZATION MEMBER
American Society of Landscape Architects FIRST
636 Eye Street, NW, Washington, DC 20001 -3736
A s L A 202 -898 -2444 FAX 202 -898 -1185 www.asia.org RENEWAL
F.E.I.N.53- 025 -9019 NOTICE
RENEW ONLINE at WWW.ASLA.ORG i �I
I
October 12 2011 535699 Please prov any additional information or
111111 V III IIIIIIIIII V III V III II IIIIIIII 111111111111111 fill I corrcc:tions.
Michael P. Hollibaugh, ASLA Full Member Work Phone: (3 17) 571 -2444
1 Civic Sq
Cannel IN 46032 -2584 llome Phone:
Fax: (317)571 -2426
Email: iiihollibaugll@ci.cai
ci.carnel.in.us
Website:
ASLA Membership Billing Period From01 /01 /2012Through 12/31/2012
Indiana Chapter 80.5
National Dues 322
SUB =TOTAL $402.50
ASLA FUND Contribution O $25 O $50 O $100 O Other
"TOTAL
*100% Tax Deductible Contribution
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Historic Preservation (03) Residential LA (09) Campus Planning /Design (15)
Housing &Community Design (04) Urban Design (11) Healthcare /Therapeutic Gardens (16)
Landscape /Land Use Planning (06) International Practice (12) Landscape Architecture and Transportation (17)
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Check One: M asterCa r d Vi sa American Express Discover
Account AMOUNT PAID
Name Listed on Card Expiration Date
Authorized Signature
Full Payment Check Enclosed (Please make check payable to ASLA in USD
EI Renew Direct Debit using account information on file. Authorized Signature
New Direct Debit 1 /12th Annual dues deducted monthly. Complete Option B form return with renewal notice.
Chapter Membership is required for all US Members
Plea,..: naia A i. 'f iunnl d,, in nur run derlucoh4• 0BR.lei f 1491 rind 10"..O ho I dues A d,.'ler d /nr h...ipriun ASIA, h.r:rhl, i. hum -1,-M, in li,•rd 1: it 1.. nun -rrnn. f•rnble and nun -ref ndnbla
535699 PLEASE DISREGARD THIS NOTICE IF ALREADY PAID
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))
10/12/11 Dues Mike Hollibaugh $402.50
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. WARRA NO.
ALLOWED 20
American Society of Landscape Architects
IN SUM OF
636 Eye Street, NW
Washington, DC 20001 -3736
$402.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #!TITLE AMOUNT Board Members
1192 43- 553.00 $402.50 I 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
Monday, October 24, 2011
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund