215834 12/19/2012 CITY OF CARMEL, INDIANA VENDOR: 010558 Page 1 of 1
ONE CIVIC SQUARE AMERICAN SOC OF CIVIL ENG MEMBR�I
CARMEL, INDIANA 46032 PO BOX 79084 CHECK AMOUNT: $240.00
BALTIMORE MD 21279-0084 CHECK NUMBER: 215834
CHECK DATE: 12/19/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 DUNCAN 240 . 00 ORGANIZATION & MEMBER
In order to ensure the accuracy of your record, please review all the information below and make changes where needed.
Currently your preferred mailing address is: Business/School.
Change your preferred mailing address by circling your new preference: RESIDENCE or BUSINESS/SCHOOL
COMPANY NAME: Carmel City of
Currently your actual business title is:Assist Engr; if this is not correct please mark through this and write in your changes
here
RESIDENCE ADDRESS BUSINESS/SCHOOL ADDRESS
Line 1: rt i3121 rz-_-,TM G)(uT- Line 1 One Civic Square
Line 2: Line 2:
Line 3: Line 3:
City: CA41) 9-L- City: Carmel
State: IN State. IN
Zip Code:462.3&-4-Ui03 3 Zip Code:46032
Count a: United States Country United States
Home Phone: 317 4-194II (o Co"I - 2 37 3 E-mail Address#1: gduncan@carrnel.in.gov
Business Phone: 317 571-2441 E-mail Address#2:
Fax Phone: (317)571-2439 Online Account E-mail: gduncan @carmel.in.gov
- n - "`<'�' '�: r�:p.: .;.�, >,;�"'.`�'�,z°�'''�---._ e>nx �y�.-�� Se;:�.—;,��Y.<:.�r1�.-.,�;r-y.T?a":�-,N-x=.:'"�'ct'U•' x-=.=
�'" �. �'t;'- _ f �k a t a � a � e '-1 t tc ft: ;����.°�.. »c�;-5T&'s°�•. N�--�a:.�S:�..sa
Please place a check(X)in the box that best describes your business title and industry classification.This helps ASCE to better filter the most
appropriate business information to you. Note:This information must be updated annually
X Standardized Business Title X Industry Classification
Engineer in Training,Engineering Intern,Assistant Engineer,Junior 1 Consulting Firm
(A) Engineer,Staff Engineer,Engineering Instructor
2 Architectural Firm
Civil Engineer,Associate Engineer,Project Engineer,Resident
(D) Engineer,Assistant Professor 3 Federal
(E) I Senior Engineer,Project Manager,Associate Professor 4 State,County,Township and District
(F) Principal Engineer,District Engineer,Engineering Manager,Professor GOVERNMENT
5 Municipal
Director,Program Manager,City Engineer,County Engineer,Division
(G) Engineer,Department Head,Vice President 6 Military
Bureau Engineer,Director of Public Works,Dean,President,Owner, 7 Engineering Schools
(H) CEO
(1) Other non-engineer,non-technical,non-sciences,student 8 Specializing in Highway and Heavy Construction
(J) Retired 9 Specializing in Building Construction CONTRACTOR
10 Engaged in Both 8 and 9
Please sign
Produces of Building and Construction Materials and Manufacturers of
11 Construction Equipment and Supplies
1 1 Z Professional and Trade Associations,Libraries,Clubs and Others Allied to the
Signature Date 12 Field
.,)xr` •.,h: 5N -- .c. =�- ._„3'�c�.�*�,�'@*,�'�t'?e� .�� `m 3.N .isz;3 '�e 3:,r.xN c :�x.i.s, lv a�;s•^. �;.� *�r��
�e*a I � �e � •y "3»'s �,1-�.- t�.. � 4 � ��.°,c.��.��a,��,'.'f•... I n^�. �,��a�'C:s.,y-i'��r
�d��.S.».n�..a- �' .ai ��^t .:a -.+--�-.`4. `f'+ ..,.S�i.x�i'�Y �+r',L 3T .*"S.. "�.•_ ,...nc.`t�,4 e-� 'aG''" +..��.�`2� -`+��� a `�
Payment by Check Check must be made payable to ASCE in equivalent U S dollars.
GRAND TOTAL: ® $240.00 Federal ID No. 13-1635293.Checks not in U S.dollars drawn on a U.S.bank will be
returned
Payment by Credit Card ❑AMEX ❑Discover ❑MasterCard ❑Visa ❑Diners Club
MEMBERSHIP DUES ARE DUE
• •o ,:s BY DECEMBER 31,2012.
Credit Card# Expiration Date MEMBER#:285096
X INVOICE#: 1042034097
Signature
Thank you for renewing your membership. Your 2013 Membership Year begins on January 1, 2013.
$25(or a pro-ration thereof)of your dues payment represents the non-deductible amount associated with the Civil Engineering magazine The balance of your dues and all voluntary contributions
may be deductible as a charitable contribution according to the I.R S.Please consult your tax advisor
285096 4 1 1042034097 2 TYPE A - MB USA 13
ASCEAMERICAN SOCIETY
OF CIVIL ENGINEERS
P.O. BOX 79084, BALTIMORE,MD 21279-0084
I VIII IIIIIIII IIIIIIIIII IIIIIIIIIII :o��°�"
September 4, 2012
RENEW EARLY FOR A
Gary R Duncan, P.E., WASCE
Carmel City of CHANCE TO WIN $101
1 Civic Sq
Carmel, IN 46032-2584
Renew your membership online at www.asce.org/renewal
Address Update - Please note any changes in Step 3 on reverse side of form.
Instructions:To maintain your current level of membership and services,please submit the"Grand Total"amount. To amend your current levels,please circle
any items you choose to pay in Step 1.Add additional items in the Step 2"write-in"column and include them in the"Grand Total." To choose or change your EWB
Chapter,please call ASCE's Customer Service at(800)548.ASCE(2723)or(703)295-6300
Description Renewal Amount Code
National Membership Dues $225.00 ND
Indiana Section-Metro Indianapolis Branch Dues $15.00 SD
Trans ortation and Development Inst Dues(TDI) $0.00 TDMP
Annual Sub-total: ® $240.00
,r.,..
B Q :§,�. � •A -
Description Write-in Amount Code
Engineers Without Borders National Membership $60.00 EO
Engineers Without Borders Supporting Membership $40.00 E813
Architectural Engineering Institute Dues AEI $30.00 AEMS
Coasts,Oceans,Ports and Rivers Inst Dues COPRI $30.00 COMS
Construction Institute Dues CI $30.00 CIMS
Engineering Mechanics Institute Dues EMI $30.00 EMMS
Environmental and Water Resources Inst Dues EWRI $30.00 EWMS
Geo-Institute Dues G-I $30.00 GIMS
Structural Engineering Institute Dues SEI ($3000) SEMS
Int'I Soc of Soil Mech Geotechnical En ISSMGE $15.00 ISS
Indiana Section-Metro Indianapolis Br Voluntary $25.00 SV
National Funds Description See enclosed insert for descriptions Write-in Amount Write-in Code
U)
Wz
_3 O
mF_
FZ)
m
_Q. Institute Funds Description See enclosed insert for descriptions Write-in Amount Write-in Code
=z
UO _
U
Annual Sub-total:
Turn Over for Payment Information
285096 4 1 1042034097 2 TYPE A - MB USA 13
In order to ensure the accuracy of your record, please review all the information below and make changes where needed.
Currently your preferred mailing address is: Business/School.
Change your preferred mailing address by circling your new preference: RESIDENCE or BUSINESS/SCHOOL
COMPANY NAME: Carmel City of
Currently your actual business title is: Assist Engr; if this is not correct please mark through this and write in your changes
here
RESIDENCE ADDRESS BUSINESS/SCHOOL ADDRESS
Line 1 rt 1312 S-FM G;J(ur Line 1: One Civic Square
Line 2: Line 2:
Line 3: Line 3:
City: ! C-Afw 9-L- Cit : Carmel
State IN State: IN
Zip Code:46236-- Zip Code:46032
Count . United States Country. United States
Home Phone. 317 824-2,94& &G`1 - 7_173 E-mail Address#1: gduncan@carmel.in.gov
Business Phone: 317 571-2441 E-mail Address#2:
Fax Phone: (317)571-2439 [ Online Account E-mail: gduncan @carmel.in.gov
-
__•__._...,.
Please place a check(X)in the box that best describes your business title and industry classification.This helps ASCE to better filter the most
appropriate business information to you. Note:This information must be updated annually.
X Standardized Business Title X Industry Classification
Engineer in Training,Engineering Intern,Assistant Engineer,Junior 1 Consulting Firm
(A) Engineer,Staff Engineer,Engineering Instructor
2 Architectural Firm
Civil Engineer,Associate Engineer,Project Engineer,Resident
(D) Engineer,Assistant Professor 3 Federal
(E) Senior Engineer,Project Manager,Associate Professor 4 State,County,Township and Distdct
(F) Principal Engineer,District Engineer,Engineering Manager,Professor GOVERNMENT
5 Municipal
Director,Program Manager,City Engineer,County Engineer,Division
J� (G) Engineer,Department Head,Vice President 6 Military
Bureau Engineer,Director of Public Works,Dean,President,Owner, 7 Engineering Schools
(H) CEO
(1) Other non-engineer,non-technical,non-sciences,student 8 Specializing in Highway and Heavy Construction
(J) Retired 9 Specializing in Building Construction CONTRACTOR
10 Engaged in Both 8 and 9
Please sign
Produces of Suiiding and Construction Materials and Manufacturers of
11 Construction Equipment and Supplies
1 1, Professional and Trade Associations,Libraries,Clubs and Others Allied to the
Signature Date 12 Field
- - .� _ W. -_-s--.-,- �. �..�.a�-�°-�----.-�,�-r;-ti=n.-^--r •-'.-----_-- - TM°�-:--- r.;---
'L'' ova''*�:.xx...y y' _,{ ���'''{{{,,,^,�j'`(;� ' Y'"yi,r' .A.V;.Ci✓i'. !"..;.' .,��,ti�� s %d'i0.e £, .�.-
�.�l.�-�.}~ `s�''�
Q Payment by Check Check must be made payable to ASCE in equivalent U.S.dollars
GRAND TOTAL: ® $240.00 Federal ID No. 13-1635293.Checks not in U.S.dollars drawn on a U S.bank will be
returned.
Payment by Credit Card: ❑AMEX ❑Discover ❑MasterCard ❑Visa ❑Diners Club u
MEMBERSHIP DUES ARE DUE
o BY DECEMBER 31,2012.
Credit Card# Expiration Date •• • - is: MEMBER#: 285096
X :o e®' INVOICE#: 1042034097
Signature
Thank you for renewing your membership. Your 2013 Membership Year begins on January 1, 2013.
$25(or a pro-ration thereof)of your dues payment represents the non-deductible amount associated with the Civil Engineering magazine The balance of your dues and all voluntary contributions
may be deductible as a charitable contribution according to the I R S.Please consult your tax advisor
285096 4 1 1042034097 2 TYPE A - MB USA 13
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
American Society of Civil Engineers Purchase Order No.
POB 79084 Terms
Baltimore, MD 21279-0084 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
9/4/2012 0 2013 asce dues; Duncan $ 240.00
Total $ 240.00
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 NC WARRANT NO.
American Society of Civil Engineers ALLOWED 20
POB 79084 IN SUM OF $
Baltimore, MD 21279-0084
$ 240.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 0 2200-4355300 $ 24000 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
r,.,—//20/2012 /
Signat r r'e� H-ollrba*
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund