206294 02/14/2012 4� CITY OF CARMEL, INDIANA VENDOR: 00350824 Page 1 of 1
ONE CIVIC SQUARE INDIANA SECTIONlITE
4;', INDIANA 46032 cro ERICKa. MILLER, PE CHECK AMOUNT: $20.00
CARMEL
y, i�►.f o?c 300 N MERIDIAN STREET, SUITE 1010 CHECK NUMBER: 206294
INDIANAPOLIS IN 45204
CHECK DATE: 2!1412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 20.00 ORGANIZATION MEMBER
ITE INDIANA SECTION
MEMBERSHIP INFORMATION
2012
If NOT paying online, please update and submit with your dues payment to:
Parsons Brinckerhoff
Attn: Ericka Miller, PE
Indiana Section ITE Treasurer
300 N. Meridian Street, Suite 1010
Indianapolis, Indiana 46204
Make check payable to: Indiana Section ITE
Name: K't A'Nae
Company: cLi C2-q
Preferred Mailing Address
Work Mailing Address:
Home Mailing Address:
Telephone ylei,
E- Mail: �rv\�nrin;��l�F,ro ('nv_Q ,ice coJ
DUES
Paid: ZO ors
Scholarship Fund Donation (tax deductible):
Total:
A membership roster containing the following information is slated to be published on the
Indiana Section ITE website indianaite.orA) Please indicate if you want this information
published:
Member Name: ye No
Company Name: (n) No
Preferred Mail Address: es No
Phone es No
Institute of Transportation Engineers
Indiana Section
www.in(lianaite.org
1VILL D. TOLBERT PRESIDENT JOHN A. HABERMANN SECRETARY
HARDI K R. SHAH —VICE-PRESIDENT DOUGLAS A. VALMORE DIRECTOR
ERICKA W.H.MILLER-TREASURER SANDRA L.JO,NES PAST PRESIDENT
2012 SECTION DUES NOTICE
If you are an International ITE Member (any grade):
Indiana Section ITE- Dues are $20.00
If you are NOT an International ITE Member:
Indiana Section ITE Dues are $55.00
I, Please visit www.indianaite.on4 under Payment Center to pay your Indiana Section dues
online AND to update your contact information, or
2, if not paying online, f 11 out the attached sheet below and return with your check. This
information is important, as it will be used to maintain section membership records.
3. Dues are delinquent after March 1, 2012.
4. Any member who has not paid section dues in the last two years will be dropped from the
section membership roster and mailing list if dues are not received by March 1, 2012. Re-
Admittance will require submission of application to the Section Board.
5. Your International ITE dues and Great Lakes District (District Ill) dues are billed separately
from your Indiana Section dues. If you are interested in joining International ITE please
contact Mr. Doug Valmore, Director for 2012, at 317.808.3136 or visit ITE .International's
website at www.it"
6. If your employer pays your dues, please include your name somewhere on the check.
7. Make checks payable to "Indiana Section ITE" mail or deliver to:
Parsons Brinckerhoff
Attn: Ericka Miller, PE
Indiana Section ITE Treasurer
300 N. Meridian Street, Suite 1010
Indianapolis, Indiana 46204
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.
Institute of Transportation Nv&ers (Indiana Section)
A ttn: Erick Mill P.E. Purchase Order No.
Indiana Section ITE Treasurer
3 00 N Mer-idian S#eet, Suite 1010 Terms
I ndianapolis, IN 46204 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Na 11TEIR.filembersh Dues 2012 (Mike MGBride) $20.00
F
e`
Total
+t
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
VOUCHER NO. WARRANT NO.
Inuit jt of Transpnrtation EnginPPrs (Indiana Se ctic ALLOWED 20
Attn: Ericka Miller, P.E.
Indiana Section I I E I reasurer. IN SUM OF
300 N Meridian Street, Suite 1010
lndianapolis. IN 46204
$20.00
Department of Engineering
ON ACCOUNT OF APPROPRIATION FOR
n/a n/a 2200-4355300 $20.00 Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I 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
20
Signature
C it,
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund