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213838 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00352425 Page 1 of 1 ONE CIVIC SQUARE AMERICAN SOCIETY OF LANDSCAPE ACNECK AMOUNT: $405.75 r CARMEL, INDIANA 46032 636 EYE STREET,NW M(roN.`p WASHINGTON DC 20001-3736 CHECK NUMBER: 213838 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 405 . 75 ORGANIZATION & MEMBER American Society of Landscape Architects 34 56 Ffm T 636 Eye Street, NW, Washington, DC 20001-3736 _ AS L A 202-898-2444 FAX 202-898-1185 www.asla.org3� 'RENEWAL NEWA F.E.I.N. 53-025-9019 ,512 1�T®TIC 'RENEW ONLINE at WWW.ASLA.ORG - October 10, 2012 535699 ®�Fj+� 'fir:'',' Frye'asc provide any additional info/mation or con'ections. Michael P. Hollibaugh,ASLA Full Member Work Phone: (317)571-2444 Department Of Community Services Home Phone: (317)571-2444 1 Civic Sq Cannel IN 46032-2584 Fax: (317)571-2426 Email: mhollibaugh @car7nel.in.gov Website: ASLA Membership Billing Period From01/01/2013 Through 12/31/2013 Indiana Chapter $83.75 National Dues - $322.00 SUB-TOTAL $405.75 ASLA FUND Contribution*: ()$25 ()$50 ()$100 ()Other TOTAL *100%Tax Deductible Contribution NEW! Landscape Architecture Magazine Delivery(Check One) I prefer to receive my subscription to Landscape Architecture magazine in: Print Format Digital Format ` Professional Practice Networks(PPN) If you already have a PPN listed above this will be considered as the complimentary PPN. If there is not a PPN listed above,please select your one complimentary PPN below.Additional PPNs are$15 per network;payment must be included with your membership renewal payment. _Design_Technology(01) Parks&Recreation(07) —Water Conservation (13) _Sustainable Design(26) Design/Build(02) Reclamation&Restoration(08) _women in LA(14) Children's Outdoor Envirn.(27) Historic Preservation(03) /R"esidential LA(09) _Campus Planning/Design(15) Housing&Community Design(04) V Urban Design(I]) Healthcare/Therapeutic Gardens(16) _Planting Design(28) Landsrrpe/Lams Use Planning(06) luieriraticuaT"Praziicc(1 2) Landscape rlrchiteciure at:„T.onsportatrcr - Please Choose Payment Option L] Using a Credit Card? Pay online at www.asla.org to receive immediate update&confirmation.Do not mail if paying online. Check One: MasterCard Visa' American Express Discover Account# AMOUNT PAID $ Name Listed on Card Expiration Date Authorized Signature Full Payment Check Enclosed (Please make check payable to ASLA in USD Renew Direct Debit using account information on tile. Authorized Signature ❑New Direct Debit- 1/12th Annual dues deducted monthly.Complete Option B fonn&return with renewal notice. Chapter Membership is required for all US Members !'lent.nor.rh,,,7?_.. fnar+onol,h+,,r.n,+r nrr dr,h+rr+h/.p,,h:•J,.rnl OBR.f,r of 1993 and IM''�ofnur+o,,/A,,rc J��., .r�•,l(+.r n c..hc il»ion ASLA rn+nrb clap is ba.eAnn rhr+ndrr rdunl.rr a na+-rrnncf.ruhle and rrnrr-refr+rAuhle 535699 . PLEASE DISREGARD THIS NO'T'ICE IF ALREADY PAID VOUCHER NO. WARRANT NO. ALLOWED 20 American Society of Landscape Architects IN SUM OF $ 636 Eye Street, NW Washington, DC 20001-3736 $405.75 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 43-553.00 $405.75 I hereby certify that the attached invoice(s), or I I 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' y, Oc er 19, 2012 Director 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)) 10/10/12 Yearly dues-Mike Hollibaugh $405.75 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