179265 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 164115 Page 1 of 1
ONE CIVIC SQUARE INTL SOCIETY OF ARBORICULTURE
CARMEL, INDIANA 46032 PO BOX 3129 CHECK AMOUNT: $165.00
CHAMPAIGN IL 61826 -3127 CHECK NUMBER: 179265
«ON 00
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUM IN VOICE NU AMOUNT DESCRIPTION
2201 4355300 165.00 ORGANIZATION MEMBER
I SA M EINVOICE P.O. Box 3129
Champaign, IL 61826 -3129 USA
Phone: (217) 355 -9411
Dues are for one calendar year (January 1 through December 31) and are not pro -rated for any portion Toll -free: (888) ISA -TREE
thereof. Memberships are not transferable and non refundable. (Prices subject to change without notice). isil Fax: (217) 239 -5721
1w=atior,a15odetyofkbcdaftn www.isa arbor.com
C EO RENEWAL Please update any contact information on this form.
25361 Phone: (317) 571 -2623 01 -10
Kristi J. Snyder Fax: (317) 733 -2005
3400 W 131 ST ST Email: ksnyder @carmel.in.gov
Business: City of Carmel Street Department
WESTFIELD, IN 46074 -8267 UNITED STATES `x'315. a ��T•_1`.'il1C! �,!4'!!
y
V dd other chapters or professional affiliates, skip this EZ Renewal Section and complete the back of this form.
ould like to renew the following member package. Unless I choose a different subscription package below, I will receive a print
subscription to Arborist News and an online subscription to Arboriculture Urban Forestry as part of my ISA membership. Online
versions of both magazines are available on the ISf, members -only website.
Choose which PRINT subscription you want: WArborist News OR ❑Arboriculture Urban Forestry
$125 ISA: Professional Membership
$40 Chapter: Indiana
$0 PA: No PA selected
$165 Sub total due
Add $25 Option #1: To receive PRINT subscriptions to both Arboriculture Urban Forestry AND Arborist News.
Add $115 Option #2: SAVE $10 by renewing your ISA membership for 2010 AND 2011.
Save more; renew online at www.isa- arbor.com /members /members.aspx.
TOTAL Complete the payment section below. If paying by credit card, fax page 2 and 3 to: (217) 239 -5721
Or mail entire form to: ISA Membership; PO Box 3129, Champaign, IL 61826 -3129 USA
All fees must be paid in U.S. Dollars
Periodically, ISA members receive news updates and association highlights via e -mail. You may choose NOT to participate in additional
e -mail surveys or receive e -mail promotions for ISA products, services, and events by checking the appropriate box(es).
Do NOT send me ISA e -mail surveys ISA e -mail promotions
The ISA membership list is not available to companies for product promotions for any reason. Other green educational institutions
may request access to this list for promoting educational programs. E -mail addresses and telephone and fax numbers are not available to
companies. Do NOT inform me about local educational programs.
Check this box to receive a PRINT membership directory. A searchable online directory is available on the ISA members -only website.
[PAYMENT INFORMATION
Dues payments are not deductible as charitable contributions for income tax purposes, although may be deductible as an ordinary business expense.
0% of your dues payment is used for lobbying purposes.
PAYMENTTYPE (CHECK ONE): ❑Check ❑Visa ❑MC ❑Amex
ITT 1 TT1 TTY T T
CC CHECK NUMBER
SIGNATURE: (Only if paying by credit card)
CC BILLING ADDRESS NAME ON CREDIT CARD:
STREET ADDRESS:
CITY: STATE /PROVINCE: ZIP /POSTAL:
Thank you for your continued support of ISA and the arboricultural community!
-3-
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))
11/03/09 $165.00
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. WARR NO.
ALLOWED 20
ISA Membership
IN SUM OF
P. O. Box 3129
Champaign, IL 61826 -3129
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 43- 553.00 $165.00 1 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
Thursday, November Q5, 2009
k
Street Commissioners
r v
Stree 'ernmissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund