240919 01/13/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 010025
ONE CIVIC SQUARE AMERICAN BACKFLOW PREVENTION AMOK AMOUNT: $********70.00*
CARMEL, INDIANA 46032 PO BOX 3051 CHECK NUMBER: 240919
BRYAN TN 77805-3051 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 R2048-15 70.00 OTHER EXPENSES _
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AMERICAN BACKFLOW PREVENTION ASSOCIATION
December 4, 2014
INVOICE R2048-15
MICHELLE BREEDLOVE
CITY OF CARMEL Please return a copy of this notice
3450 W. 131 ST with payment for proper credit.
CARMEL, IN 46074
Our records indicate that your membership in the American Backflow Prevention Association will expire on
1/31/2015. In the last year ABPA has experienced a tremendous growth in membership and with your continued support
we can continue uprovide tedhn--ical assistance, educational opportunities,public information and much more.
Please note that application fees for national membership are$65.00 yearly,per person; this includes your
subscription to the ABPA publication, ABPA News. We also have you as a member of the Indiana Chapter and their fees
are an additional cost of$5.00. Both the national and local chapter dues may be paid with one payment to national
headquarters, the local dues will be forwarded on to your local chapter along with any changes you let us know of with
your renewal.
Please take this opportunity to make any necessary changes to the information below and return it along with
your payment so your membership will remain in good standing. If payment has already been remitted,please disregard
this notice. Credit card payment may be faxed in.
LAST NAME BREEDLOVE
FIRST NAME MICHELLE
COMPANY CITY OF CARMEL
ADDRESS 3450 W. 131ST
CITY, STATE ZIP: CARMEL, IN 46074
E-MAIL: carmel.in.mbreedlove@ g ov
PHONE: (317)733-2855
FAX: (317)733-2053
MEMBERSHIP NO: R2048
E-XgIRP.-T-IQI,�-I}ATE:—i/�H2?-15 — — -- --- ---
LOCAL CHAPTER: INDIANA
NATIONAL DUES: $65.00
LOCAL DUES:
TOTAL DUE: $70.00
CREDIT CARD: isa❑ MC ❑ AE ❑ Discover❑
# , Exp. - CVV
NAME ON CARD:
CHECK NO&AMT.: ABPA TAX PAYER I.D.#74-2395100
POST OFFICE Box 3051 •BRYAN,TX 77805-3051 •979-846-7606.979-846-7607 FAX• www.abpa.org
VOUCHER # 142689 WARRANT# ALLOWED
TABPA IN SUM OF $
AMERICAN BACKFLOW PREVENTION
PO BOX 3051
BRYAN, TX 77805-3051
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
R2048-15 01-6040-05 $70.00
Ii
I
I
Voucher Total $70.00
I
i
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
TABPA
AMERICAN BACKFLOW PREVENTION ASSOC Purchase Order No.
PO BOX 3051 Terms
BRYAN, TX 77805-3051 Due Date 1/8/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/8/2015 R2048-15 $70.00
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 Officer