HomeMy WebLinkAbout178222 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 360776 Page 1 of 1
Q� ONE CIVIC SQUARE INSTITUTE OF TRANSPORTATION ENG NECK AMOUNT: $239.50
CARMEL, INDIANA 46032 1099 14TH NW ST 300 WEST
y WASHINGTON DC 20005 -3438 CHECK NUMBER: 178222
CHECK DATE: 10114/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
2200 4355300 1020163 239.50 ORGANIZATION MEMBER
ITE 2010 Dues Payment. Return this portion of the $239.50
Add Council Memberships:
invoice in the enclosed envelope to: (first membership is free)
Institute of Transportation Engineers (Oo not check if council is listed above)
do SUNTRUST BANK, P.O. Box 79501
Baltimore, MD 21279 -0501 0 Traffic Engineering Council ($20)
Complete for Credit card payment: 0 Transp. Expert Witness Council ($20)
171 VISA O MasterCard O American Express 0 Transit Council ($20)
0 Transportation Planning Council ($20)
R Card number: Q Management Operations /ITS Council ($20)
E Q Transportation Education Council ($20)
U Expiration date: O Transportation Safety Council ($20)
R Signature of card holder: O Freight Mobility Council ($20)
fd 0 Parking Council ($20)
T City Michael McBride, P.E. 1020163 0 Pedestrian/ Bicycle Council ($20)
H City of Carmel Indiana O Public Agency Council ($20)
I One Civic Square
S Carmel, IN 46032
USA p
P Total Paid
o See Payment Information on Reverse.
R
T Information Update (please complete and return with your dues payment) Make additions /corrections below.
I Business Address Alternate Address (complete only if ITE mail
0
cit ofCarmel Indiana should go to other than business address)
W Compan
Chy' Engine' er
H Title
P One Civic °quare 0 Address information OK as printed
A Address 1 Employer Type: Please check
Y
0 Federal Govt. Q Public Transit 0 Consultant
E Address 2 171 State /Prov. Govt. 0 Educatnl. Inst. 171 Railroad
N
T 0 County Govt. 0 Mftr. /Supplier Q Military
Address 3 0 Local Govt. 0 Contrctr. /Const. Co. O Airline
0 Parking Agency Q Developer 0 Student
City, State/Province, Postal Code, Country 171 Port Auth. 0 Association 0 Other
Carmel, iN 46032," USA Q Toll Road Q Rgnl. Planning LJ Retired
Phone: (317) 571 -2441 Fax: E -mail: mmcbride @carmel.in.gov
Please give us your e-mail address
Explanation of Amount Owed
International Dues: 2010 Membership Dues for the period January 1 to December 31, 2010. Dues are based on membership
grade and are due and payable on January 1, 2010.
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. Your first council
membership is free Additional council memberships are $20 /each.
Prof. Development Fund Contrib. Optional: This fund was established to meet our profession's need for timely, effective and
affordable professional development courses. 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. $1.11 Canadian (e.g. dues of $220 U.S. $244.44 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
incluing 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 Transportation Engineers
1099 14th Street, N.W., Suite 300 West
Washington, D.C. 20005 -3438 USA
Federal Employer I.D. 53- 0232732
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
Institute of Transportation Engineers
Purchase Order No.
1099 14th Street, N.W.
Terms
Suite 300 West
Date Due
on. DG 2UUU -3438
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/08/09 n/a Annual Dues $329.50
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
$329.50
VOUCHER NO. WARRANT NO.
t ALLOWED 20
1099 14th Street, N.W. U IN SUM OF
Suite 300 West
Washington, DC 20005 -3438
$239.50
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 $239.50 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
Signature
011 r'gy'sCV
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund