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Home My WebLink About203361 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 010558 Page 1 of 1 ONE CIVIC SQUARE AMERICAN SOC OF CIVIL ENG MEMBRg�� CHECK AMOUNT: $225.00 CARMEL, INDIANA 46032 PO BOX 79084 oM BALTIMORE MD 21279 -0084 CHECK NUMBER: 203361 CHECK DATE: 11/9/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 1041568236 225.00 ORGANIZATION MEMBER ASCE AMERICAN SOCIETY OF CIVIL ENGINEERS P.O. BOX 79084, BALTIMORE, MD 21279 -0084 II II l 11 1111 I I 11 Si11UfF Mi September 6, 2011 RENEW EARLY TO Nicholas Joseph Redden, P.E., WASCE WIN CASH Carmel City of 7219 W 75 S FOR THE HOLIDAYS Lafayette, IN 47909 -9263 Renew your membership online at www.asce.org /renewal Address Update Please note any changes in Step 3 on reverse side of form. To maintain your cwrem level oT mem ano' services please "submit the "Grand TOtai "emoant -To aiF yourcu��enl' ieaals, crcle'any .tems'you choose to pay in Step 1. Add additional items in the Step 2 "write -in" column and include them in the "Grand Total." o o s o o. o Description Renewal Amount Code National Membership Dues $210.00 ND Indiana Section Central Branch Dues $15.00 SD Transportation and Development Inst Dues (TDI $0.00 TDMP Annual Sub total: $225.00 r F h Description Write -in Amount Code Engineers Without Borders National Membership $60.00 EO Engineers Without Borders Supporting Membership ($40.0 E813 Architectural En gineering 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 Structural Engineering Institute Dues SEI $30.00 SEMS Int'I Soc of Soil Mech Geotechnical En ISSMGE $15.00 ISS Indiana Section Central Branch Voluntary $25.00 SV National Funds Description See enclosed insert for descriptions Write -in Amount Write -in Code U) write in descrfot;on w Z r ite in cl esc r ip io 0 j ,write -in description _m Institute Funds Description See enclosed insert for descriptions Write -in Amount Write -in Code Z 0 0 write -in description write-in cescription Yvrste -in c4er;r'Epbc=st Annual Sub total: Turn Over for Payment Information 369968 1 1 1041568236 3 TYPE A MB USA 12 In order to ensure t accuracy of your record, please review all the information below and make changes where needed Currently your pn*harn*d mailing address is: Residence. Change your preferred mailing address by circling your new preference: RESIDENCE orBUS|NESS/SCHOOL COMPANY NAME: Carmel City of Currently your actual business title is: if this is not correct please mark through this and write inyour changes here RE SIDENCE ADDRESS BUSINESS/SCHOOL ADDRESS Line 1: West 75 South Line 1: Line 2: Line 2: Line 3: Line 3: City: Lafayette city: State: IN State: Zip Code: 47909 Zip Code: Counta: United States Countrx. Home Phone: (765) 572-2293 E-mail Address #1: redden78@hotmaii.com Business Phonei E-mail Address #2- Fax Phone: (317) 571-2439 unime Accouni E-mail: nreciden Rcarmei.in.gov Please place a check (x) in the box that best describes your business title and industry classification. This helps ASCEto better filter the most appropriate business information myou. X Standardized Business Title X Industry Classification Engineer in Training, Engineering Intern, Assistant Engineer, Junior 1 Consulting Firm (a) Engineer, Staff Engineer, Engineering Instructor 2 Architectural Firm Civil Engineer, Associate Engineer, Project Engineer, Resident (d) Engineer, Assistant Professor 3 Federal (e) Senior Engineer, Project Manager, Associate Professor 4 State, County, Township and District GOVERNMENT (f) Principal Engineer, District Engineer, Engineering Manager, Professor 5 Municipal Director, Program Manager, City Engineer, County Engineer, Division (g) Engineer, Department Head, Vice President 6 Military Bureau Engineer, Director of Public Works, Dean, President, Owner, 7 Engineering Schools (i) Other non-engineer, non-technical, non-scienGes 8 Specializing in Highway and Heavy Construction Retired 9 Specializing in Building Construction CONTRACTOR 7 io Engaged in Both 8 and 9 P|eaae sign vviih orwithoui changes 11 Construction Equipment and Supplies Professional and Trade Associations, Libraries, Clubs and Others Allied to the Signature Date 12 Field Payment ur Check: Check must oe made payable mAoosm equivalent uu.dollars. GRAND TOTAL: $225.00 Federal /owv� 13'1635293 Aoo5 service charge applies m all International checks not pa through ,u.0 bank. Payments not muo. dollars drawn ""auo.bank must be Payment by Credit Card: El AMEX D Discover L MasterCard El Visa L1 Diners Club a minimum ormrs.uo Please remit payment to: MEMBERSHIP DUES ARE DUE Credit Card Expiration Date ASCE MEMBERSHIP, P.O. BOX oY DECEMBER n1.co11. 79084, BALTIMORE, MD 21279-0084 MsMasRM xsyyao X (NO CORRESPONDENCE TO Signature ABOVE ADDRESS) /mvo/osM 10*15*823* or call: (800) 548-ASCE (2723) Thank you for renewing your membershi Your 2012 Membership Year begins on January 1. 2012 uas (or a pro-ration thereof) m y our dues payment represents the non-deductible amount associated with the Civil Engineering ma The balance m y our dues and all voluntar contributions ma oe deductible o,u charitable mwrium/voaccording m the /.nowe recommend y ou consult y our tax advisor. 369968 1 1 104156823L 3 TYPE A MB U%4 12 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)) 9/6/11 1041568236 ASCE Annual Membership Nick Redden $225.00 For year 2012 Total $225.00 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. 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 1041568236 E G 4355300 $225.00 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 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund