206306 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 362106 Page 1 of 1
ONE CIVIC SQUARE IRRIGATION ASSOCIATION
+�4a CARMEL, INDIANA 46032 6540 ARLINGTON BLVD CHECK AMOUNT: $140.00
FALLS CHURCH VA 22042 -6638 CHECK NUMBER: 206306
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 77284 -012 140.00 OTHER EXPENSES
'��6 Irr i gation 6540 Arlington Blvd DUES INVOICE 77284 -2012
Falls Church, VA 22042 -6638
v ASSOCIATION T: 703.536.7060 F: 703.536.7019 DATE: September 20, 2011
Smart practices. membership @irrigation.org
Sustainable solutions. DUE: December 31, 2011
INVOICE: Membership Renewal 2012
Renew by 12/31/2011 to maintain your member status through 2012. n O�
Suzanne Maki
Manager of Customer Relations and Education
City of Carmel Utilities
760 3rd Ave SW
Carmel, IN 46032 -2072
QTY DESCRIPTION LINE TOTAL
1 Technical (T) Regular Membership 140.00
Optional Irrigation Foundation donation (tax deductible)
$50 $100 $250 $500 Other
Please TOTAL D
Your continued support allows us to promote efficient irrigation technologies,
products and services.
CneCK: riease payabi'e tc irrigation AssZ)ciation iVlembership
Charge: Amount Visa MasterCard American Express Discover
Account Number Cardholder Name
Expiration (month /year) Signature
1 do not wish to maintain my IA membership
Dues are non refundable.
U.S. Tax Information: Membership dues payments are not deductible as charitable contributions for federal income tax purposes. However,
they may be deductible under other provisions of the Internal Revenue Code. Irrigation Association federal tax ID number: 95- 2139601.
U.S. Tax Information for Irrigation Foundation: Contributions to the Foundation are deductible to the full amount allowed by law. Irrigation
Foundation federal tax ID number: 52- 1193927.
International Members: Remit payment in U.S. dollars. Checks must be drawn on a U.S. bank or wire payment to our bank.
Wire Transfer to: Branch Banking Trust Co. (BB &T) of Virginia, Plaza Office Falls Church.
Swift Number: BRBTUS33, Routing Code: 051404260, Account Number: 5139099216. Add $25 to cover wire transfer.
MEM0911 RENEW
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Warrant No.
CCOLINTS PAYABLE DETAILED ACCOUNTS
CIPAL WATER DEPT. ACCT.
CARMEL, INDIANA
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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
19
Signature Title
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.
WA-
Officer Title