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Home My WebLink About226224 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 356912 Page 1 of 1 ONE CIVIC SQUARE AMERICAN SOCIETY OF CIVIL ENGINEEPHECK AMOUNT: $240.00 �t?a CARMEL, INDIANA 46032 P.O.BOX 79084 BALTIMORE MD 21279-0084 CHECK NUMBER: 226224 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 104251323 240 . 00 ORGANIZATION & MEMBER r E a Ab'CAMERICAN SOCIETY aEOF CIVIL ENGINEERS P.O. BOX 79084, BALTIMORE, MD 21279-0084 IIIIIIIII III�IIII I II September 3, 2013 RENEW EARLY FOR A Nicholas Joseph Redden, P.E., M.ASCE CHANCE TO WIN CASH Carmel City of AND/OR A 50" TV 7219 W 75 S Lafayette, IN 47909-9263 I'llllllll llllll'I'lllll 111 111"I')1'1111 l l l ll l l 111111 ll ll'll'rl l ® Renew your membership online at www.asce.or4/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-Central Branch Dues $15.00 SD Transportation and Development Inst Dues TDI 50.00 TDMP Annual Sub-total: ® $240.00 "Amount Description Suggested Amount W Code Engineers Without Borders National Membership 560.00 EO Engineers Without Borders Supporting Membership 540.00 E813 Architectural Engineering Institute Dues AEI 530.00 AEMS Coasts,Oceans,Ports and Rivers Inst Dues COPRI 530.00 COMS Construction Institute Dues CI 530.00 CIMS Engineering Engineefing Mechanics Institute Dues EMI 530.00 EMMS Engineers Without Borders National Membership 560.00 EO Environmental and Water Resources Inst Dues EWRI 530.00 EWMS Geo-Institute Dues G-I 530.00 GIMS Structural Engineering Institute Dues SEI 530.00 SEMS Intl Soc of Soil Mech Geotechnical En ISSMGE S15.00 ISS Indiana Section-Central Branch Voluntary 525.00 SV -- National Funds Description See enclosed insert for descriptions Write-in Amount Write-in Code write-in description LU JO % rite-in description co write-in description Hto to QE Institute Funds Description see enclosed insert for descriptions Write-in Amount Write-in Code =z Up write-in description write-in description write-in dasCriotion Annual Sub-total: Turn Over for Payment Information 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: Residence. 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: PLAN REVIEW COR; if this is not correct please mark through this and write in your changes here RESIDENCE ADDRESS BUSINESS/SCHOOL ADDRESS Line 1: 7219 West 75 South Line 1: Line 2: Line 2: Line 3: Line 3: City: Lafayette City: State: IN State: Zip Code:47909 Zip Code. Count a: United States Country: Home Phone: 765 572-2293 E-mail Address#1: redden78 hotmail.com Business Phone: E-mail Address#2: Fax Phone (317)571-2439 ' Online Account E-mail: nredden @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 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 (I) 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 Producers of Building and Construction Materials and Manufacturers of 11 Construction Equipment and Supplies 16--1 Professional and Trade Associations,Libraries,Clubs and Others Allied to the Signature Date 12 Field Payment by Check:Check must be made payable to ASCE in equivalent U.S.dollars. GRAND TOTAL: ® --$240.-00--- ID-No-13=1635293-Checks-nohin U.S-dollars drawn on a U-S.-bank will be -- returned. Payment by Credit Card: O AMEX ❑Discover O MasterCard O Visa ❑Diners Club MEMBERSHIP DUES ARE DUE •e :e BY DECEMBER 31,2013. Credit Card# Expiration Date ' = o o r r �o MEMBER#: 369968 X INVOICE#: 1042513273 :er Signature 't^+ Thank you for renewing your membership. Your 2014 Membership Year begins on January 1, 2014. 525,(or a Pro ration thereof)of your dues payment represents the non-de ductible a nou`nt associated with the Cn i!Engineering,magaiine.The balance of your dues and all voluntary contnbution`s maybe"de9uctiblg as a`cFiaritabte contribution according"to tfie,I:R.S.Please cohsult your tax advisor.' y ;-� 369968 1 1 1042513273 2 TYPE A - me USA 14 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 1/0/1900 104251323 asce membership $ 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 104251323 2200-4355300 $ 240.00 or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and 1 received except 11/18/2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund