HomeMy WebLinkAbout203361 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