HomeMy WebLinkAbout231153 04/08/14 ♦W"C�q�R
�! ;� CITY OF CARMEL, INDIANA VENDOR: 00350188
® 31 ONE CIVIC SQUARE AMERICAN WATER WORKS ASSOCIATOWCK AMOUNT: $.......174.00'
i° CARMEL, INDIANA 46032 D6666 W ENVER QUINCY
80235E CHECK NUMBER: 231153
To CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 33114 174.00 OTHER EXPENSES
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American Water Works Mail completed application to: Fax completed application to:
Association AWWA Customer Service 303.347.0804
Dedicated to the worlds Most imuortcat ftes'ource" 6666 West Quincy Avenue Questions?Call Customer Service
Denver,CO 80235-3098 USAat 1.800.926.7337 or 303.794.7711
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Mr. ❑ Ms. ❑ Mrs. ❑ Dr.
G -meq (A01�C0--r) Annual Dues—Section 3A $
Name ( L C�
Title�1 str\ b)_`,1 1f">n Mn—YY3s2� e_S— Section Assessment*—Section 3B $
Company Name C0-Y-•rne U fi I ++��5 Additional Section Option*—Section 3C $
Is your company a member of AWWA? Yes ElNo Total $ 7E4,
Company Member number(if known) CSC ag _-,N9(o *If applicable
❑ Home ')� BBusiness Payment Method
Address 3I't o )i\J I �:j -��J- S >°--_i
la Check enclosed
City (make payable to AWWA,US currency only,drawn from a US bank)
State/Province ZIP/Postal code LAC0074 Country ❑ American Express ❑ MasterCard
Phone 31-7- -1 33 ' `�5 5 ❑ Discover ❑ Visa
Email Card Holder Name
Were you referred by an AWWA member? _KYes ❑ No Card Number
Referring Member ��� , Pere Q Expiration Date
Member#
(if known lJl- lJ) DO L4 V 6 t D !:IYour membership will be activated when payment is received.
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Individual Active$174 AWWA has'43 local Sections in North America.You are automatically enrolled
An individual,such as a water utility employee,municipal official,public in a Section based on your address.Some Sections require additional fees
health professional,engineer,scientist,educator,consultant,or other to better serve their local members.The Section assessment is required if your
person interested or serving in the field of water supply.(02) address is located in one of the following areas:
r ,
❑ Young Professional$99 t
A special discount for first-year dues for individuals interested or serving
in the field of water supply,who are age 35 or younger,or new to the water Alaska Colo�ad °M•inn' *' >>j`'' `:+= "'3:
o, esota,Missoun;:< c'r:.`r.'>:let;,.i s
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indust P2014 :.,.;..,,,.;j F`$9,;, 4',,
ry� ) -��Niiw;Mexico;,NoNi Carbliiia,Ontano;Wyoinin' ;'=�z';:-'-,-. ,�;;�ci4:<;.;;
'Altierta
❑ Operations/Administrative$72 -Manitoba2�NoitliwestTerntones•�:+ 'jr'�'�" => ;;',,''; 4,.. . ,<.
An individual employed in any operating or administrative position
•<..,'�,,,.. ;,..;:,;;-�,."''-_::+:"', i' ..;.:;�;: •
SaskatchewanTennessee;'TeicasWisconsin::_;.
by a water utility that has 1,000 or fewer service connections or an
y ;J.A,•cl{ab.aMma
employee below the supervisory level in a utility that has more than r=;,Arkk.�a-�,n,.;s.=at:s;a.:at,Con>n,e1`c;t=icut:'i'ceIda::h'o<;,°;> `js .�` .H::;•ir:=%,:�,t'h.M`,,'�'-`�>%,;_n�''i,<
06) L
1,000 service connections.
Lo u_
Nssissippi';New;dersey,*zy�,, �-'ii •:�:', :`t;, ..'r:�s:'',�yx;.e-s,.c<';
xt,L
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❑ Student 25
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A or the equivalent)
student nroRed in a minimum of nine credit hours( q )a :;�r;a ;v`w=rs`t•s aza::-a„< '`�,° is{°:` t; ? ;r;,:; •+ ,
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South Carolinas
of acne d cla (14)
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?New Hampshire;Rhode9sland Vermoiitp '.,;, '-"'!is .•' %;::,u�<<,nn N>'3:x, ;%,
Signature Date) «_...'''...
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'BY signing this application,You certifY that have selected the aPPrappropriate
:
;�NS�ct��� ����:A•A°tl.�i;t�o n a i,-Sec:t•i a nr'0;.�:t'E;orn's :*,,:;.:
membership category :_:�:xr:x><:k:.., 'r«�fl r•.'.' ': ;Vic;;r..a s',. ',Fr`,..,,rf.,::F .... :' rr,iF,:,.,
In addition to your Section membership,you mayjoin otherAWWA sections.
There is a$33 multi-section fee,plus the assessment fee for the second section.
Please call 1.800.926.7337 for more information.
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
155109
AWWA Purchase Order No.
Dept 0064 Terms
Denver, CO 80256 Due Date 3/31/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/31/2014 33114 $174.00
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
Date V O 'Cer
VOUCHER# 134581 WARRANT # ALLOWED
155109 IN SUM OF $
AWWA
Denver, CO 8G25t-
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
33114 01-6040-05 $174.00
Voucher Total $174.00
Cost distribution ledger classification if
claim paid under vehicle highway fund