HomeMy WebLinkAbout204270 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00351180 Page 1 of 1
ONE CIVIC SQUARE INSTITUTE FOR TRANS ENGINEERS
CARMEL, INDIANA 46032 C/O SUNTRUST BANK CHECK AMOUNT: $250.50
roN .o PO BOX 79501 CHECK NUMBER: 204270
BALTIMORE MD 21279
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 1020163 250.50 ORGANIZATION MEMBER
Qq D Institute of Transportation Engineers Mr. Michael T. McBride, P.E. October 26, 2011
K 2012 Membership D ues Invoice 1020163 M
E International Dues $235.00
E
P Dues are payable January 1 2012 Great Lakes District Dues $15.50
80Lh_Anniversary (5ptional) _$5.00_
F
R institute of Transportation Engineers
Y 2012 This is to certify that
0
U Mr. Michael T. McBride, P.E.
R Member No. 1020163
R www.ite.org Password: McBrid
E
c is a member of the Institute for the y ear 2012 and is Total Due by January 1 2012 $255.50
0 fully certified to all privileges granted in the Constitution.
R (All fees are shown in U.S. Dollars)
D 0 To arrange an installment plan, please email
s Rock E. Miller
V International President membership@ite.oro or call +1 202 785 -0060
Total Billed (U.S. Dollars): $255.50
ITE 2012 Dues Payment. Return this portion of the Add /Change Council Memberships:
Invoice in the enclosed envelope to: (First membership in each category is free.
Institute of Transportation Engineers Additional memberships are $20 U.S. each)
c/o SUNTRUST BANK, P.O. Box 79501 Technical Councils
Baltimore MD 21279 -0501 Q Traffic Engineering Council ($20)
Complete for Credit card payment:
Q Transp. Expert Witness Council ($20)
Q Transit Council ($20)
Q VISA Q MasterCard Q American Express Q Transportation Planning Council ($20
R Card number: Q Management Operations /ITS Council ($20)
E Q Transportation Safety Council ($20)
T Expiration date: Q Freight Mobility Council ($20)
U
R Signature of card holder: Q Parking Council ($20)
N Q Pedestrian/ Bicycle Council ($20)
T Mr. Michael T. McBride, P.E. 1020163 Employer -type Councils:
H City of Carmel Indiana Q Consultant's Council ($20)
1 One Civic Square Q Transportation Education Council ($20)
s USA Carm IN 46032 Q Public Agency Council ($20)
P Total Paid ��(D
0
R See Payment Information on Reverse.
T Information Update (please complete and return with your dues payment) Make additions /corrections below.
1
0 Business Address Alternate Address only if mail
N Cit o f C arme l I n di ana should go to other than business address)
W Compan y
i
T City Engineer
H Title
P One Civic Square Q Address information OK as printed
A Address 1 Employer Type: Please check
M Q Federal Govt. Q Public Transit Q Consultant
NA
E Address 2 Q State /Prov. Govt. Q Educatnl. Inst. Q Railroad
T Q County Govt. Q Mftr. /Supplier Q Military
T
Address 3 Q Local Govt. Q Contrctr. /Const. Co. Q Airline
Q Parking Agency Q Developer Q Student
City, State /Province, Postal Code, Country Q Port Auth. Q Association Q Other
Carmel, IN, 46032, USA Q Toll Road Q Rgnl. Planning Q Retired
Phone: (317) 571 -2441 Fax: E -mail: mmcbride @carmel.in.gov
R17 Institute of 11 Engineers
Pay your dues online —go to www.ite.org and log 1627 Eye St., NW, Suite 600
in to the Members Only area. Pay with your Washington, D.C. 20006 USA
Visa, MasterCard or American Express credit
card. Telephone: +1 202 785 -0060
FAX: +1 202 785 -0609
World Wide Web: http: /www.ite.org
Explanation of Amount Owed
International Dues: 2012 Membership Dues for the period January 1 to December 31, 2012. Dues are based on membership
grade and are due and payable on January 1, 2012.
District Dues: Dues as a member of the District in which your preferred mailing address is located at the time of first dues billing
for the year. District dues are collected by ITE headquarters and remitted in full to your District.
Section Dues: Dues as a member of the local section in which your preferred mailing address is located at the time of first dues
billing for the year. Section dues are collected by ITE headquarters and remitted in full to your Section. Note: headquarters does
not collect dues for all sections; if no amount is shown for Section Dues, you may receive a separate billing from any section of
which you are a member.
Council Memberships: Membership in individual speciality councils is available to all ITE members. You may select one free
council per council type (Technical and Employer based) Additional council memberships are $20 /each.
80th Anniversary Fund Contrib. Optional: This fund was established to provide technological updates to ITE headquarters in order
to increase connectivity with ITE members globally. The ITE Board of Direction requests that each member contribute a minimum of
$5 to the fund. The contribution is optional. Contributions in excess of $5 will be appreciated.
PAYMENT INFORMATION
Payment Terms: Membership dues are billed in U.S. dollars. Dues may be paid by check or bank draft or by credit card (VISA,
MasterCard, American Express). All checks and drafts should be negotiable in U.S. Funds. U.S. members must pay in U.S. funds;
members in other countries are encouraged to pay in U.S. Funds. Canadian members may remit in Canadian Funds at the rate of
$1.00 U.S. $1.00 Canadian. Members in other countries may remit by draft in the U.S. dollar equivalent of other currencies (must
be acceptable and exchangeable at U.S. banks) at prevailing exchange rates including all exchange and bank fees. On all checks
and drafts, please clearly indicate your name and /or your membership number.
Suspension of Members for Non Payment: the ITE Constitution Article III, Sec. 2 provides that "Any member who has not paid
entrance fees and initial dues or whose dues are more than three months in arrears shall not have the right to vote and shall not
receive publications."
Institute of ZYansportation Engineers
1627 Eye St., NW, Suite 600
Washington, D.C. 20006 USA
Federal Employer I.D. 53- 0232732
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
Institute of Transportation Engineers
Purchase Order No.
C/O Suntrust Bank
Terms
PO Box 79501
Date Due
baitimore, MD 21279- bul
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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 $250.50
VOUCHER NO. WARRANT NO.
Institute of Transportation Engineers ALLOWED 20
.10 Stintrtjrt Bank IN SUM OF
PO Box 79501
Baltimore, MD 21279-0501
$250.50
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
n/a 1020163 2200- 4355300 $250.50 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
ignature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund