210045 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00351616 Page 1 of 1
ONE CIVIC SQUARE INT SOCIETY OF ARBORCULTURE CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 PO BOX 3129
CHAMPAIGN IL 61826 -3129 CHECK NUMBER: 210045
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 60.00 ORGANIZATION MEMBER
RBI
International Society of Arboriculture
Re certification Invoice PO Box 3129 •Champaign, IL 61826-3129 •USA
p. 217- 355 -9411 f. 217 -355 -9516 cert @isa- arbor.com www.isa- arboccom
I
Please review your contact information below. If anything has changed, please write the changes on this form.
172575 City of Carmel
NICHOLE PASSINEAU npassineau @yahoo.com
3060 E 276 ST
ATLANTA IN 46031
UNITED STATES
Select Option I or Option 2 for your recertification renewal package. Option I Option 2
The two ,p belotiv d
emonstrate the.discounts'available on your recertification fees if you j6in Certification Ceriifcacioo'=
ISA and vur lv u1ISA Chu' "lei: T1e�i':nerrlbersht s areFo rivnut`but do come with'bene�its4 ond viii enapte *4t ,chapter
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discounts available for recertification. Seethepag" the leftfor more information. Membership Membership,
ISA Membership Dues ISA Professional Membership with Arborist News magazine $125 $0
Local Chapter Dues', Your local chapter is Indiana. $40 $0
ISA Certified Tree Worker Climber Specialist® You are eligible to renew. $45 $60
Total $210 $60
Please consider making a donation to the TREE Fund to support arboriculture and urban forestry research.
Learn more at www.TreeFund.org
Communication and Sharing Preferences r Code of Ethics
ISA communicates with the local chapter that ISA makes contact information for creden- We have a currecnt signed Code of Ethics on file for you.
administered your exam. We want you to tial holders available to the public through Thank you.
know that we share your contact information the Find a Tree Care Service. If you do not
and certification exam scores, expiration respond, we will assume that your in for-
dates, and other relevant details with your maiton can be included in this public
local chapter so that they-may monitor-your information listings on- our- website.- May
certification status and adminster certifica- we include your information?
tion related programs and services. IX Yes No
Applicant Signature: lilt'
By signing this form, I agree that I have read all disclosures and requests for information and agree to abide by all details provided on this form.
PAYMENT INFORMATION p a ying y P p
If b credit card or check, lease com the fields below.
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Payment Type (Check one): Check Visa MasterCard American Express Check Number:
Credit Card Number: Expiration Date:
I
CC BILLING ADDRESS Name on Credit Card:
Street Address: City: State /Province: Zip /Postal:
Signature: (Required if paying by credit card)
I
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Your certification
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information along A•
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with you CEU
About I SA Firld a Tree Care Service Newer -om Job Bank LOGIN
reports are available
on the ISA website. In Society of Arhoftuftum JOIN US ON M[t
Visit our website at
www isa- arbor.com`? o`. ads
and proceed to the t 0.
login page.
>?1 Abdul rSA FilW
Please Log In
ISA International Society of Arboviculture
O Enter your username and password to gain access to your O If you cart remember your login information, click
certification records. "Recover Password” and enter your username, which is
usually the email address used when you first applied for
membership or certification through ISA. An email with
your password will be sent to that address.
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p My Profile My Certification
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Welcome, Douglas! s WELCOME TO ISA CERTIFICATION! ._D ISA is committed to helping you succeed in
The 111y Profile section of the ISA website allows o certification program m tggz, more than 2
preferences, change your username or passicord program offers six (6) credentials that take yvu
It -o aQ subscriptions to publications. You gill be able to o t1., The tools in your My{ertification account will It
stay up to date on what is happening kith vour I current with all appropriate requirements. If ye
Department by e-mail at certPisa- arboccom or
Please reNiew your contact information for accur
Once you are logged into your ISA account, click O Your CEU report and CEU history report can be found
"My Credentials" to locate your certification information. by clicking on the `CEU and Certification Status' tab
This will help you manage your credentials and ensure that located in the left hand column.
you stay current with all appropriate requirements.
This status page provides all the needed 4•
information to help maintain your certification.
Your CEU report will show your current
CEU total, CEU event information, and any CEU and Certification Status
remaining CEUs needed in order to recertify. Your
CEU history report organizes all of the CEUs Certified Arbori Certified 112 /3l/ 2011 !12/31/2011 47.5 �y a,z H,
Rem r Rewrt Retemfi lion
Utilityspecialut Certified ,z /Ss /zou ss /3r /zors iy� i ce- dR➢)FS u
obtained over the life of your certification. If you ti -a
Tree Worker Decertified 6/30/zoo8 I6 /3o /x008 _r
are eligible for recertification, consider recertifying is t I f 5
online. It is quick and easy! hoard Certified j1T1certified6 /3o/zoo8 613.1-8 '2,5/45/- anoh
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International Society of Arboriculture www.isa- arbor.com 54
VOUCHER NO. WARRANT NO.
L ALLOWED 20
International Society of Arboriculture
Certification Program
IN SUM OF
P.O. Box 3129
Champaign, IL 61826 -3129
$60.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1192 I I 43- 553.00 I $60.00 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
Fr' June 15, 2 1
ector
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
06/15/12 Recertification Nichole Passineau $60.00
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