HomeMy WebLinkAbout241217 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 00353283
ONE CIVIC SQUARE AMERICAN WATER WORKS ASSOCIATOWCK AMOUNT: $"'""3,377.00"
CARMEL, INDIANA 46032 PO BOX 972997 CHECK NUMBER: 241217
DALLAS TX 75397-2997 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 24396 3,377.00 OTHER EXPENSES
Den West Quincy Avenue WS TWE TO RE N E n n�
Denver,CO 80235-3098 uvu O u� Uv
Phone:800.926.7337
American Water Works Outside US:303.794.7711
Association Fax:303.347.0804 Your membership helps AWWA carry out its mission
Dedicated to the World's Most Important Resource- Email:service@awwa.org successfully.Thank you for your continued support.
Dedicated to the world's most important resource,
#BWNCWZH AWWA champions water knowledge,treatment,and
#00024396 2# informed regulation. Providing solutions to improve
Mr. John M. Duffy public health, protect the environment,sustain the
City of Carmel Utilities economy, and enhance quality of life,AWWA sets
PO Box 109 the standard for water throughout the world.
Carmel, IN 46082-0109
PAST DUE MEMBERSHIP RENEWAL NOTICE
Thank you for renewing! A complete breakdown of your membership renewal is attached.Your dues are subtotaled below. Dues to the Water
Research Foundation are voluntary. Add any voluntary dues to the AWWA dues subtotal and indicate the total below.Your membership renewal
will be activated once payment is received. Please submit the completed form and return all pages with your payment.
MEMBERSHIP DUES 01/01/2015 — 12/31/2015
AWWA MEMBERSHIP DUES SUMMARY.-'
VOLUNTARY DUES
DATE: ORDER CUSTOMER PO DATE DUE: SUBTOTAL DUE: FOR WATER RESEARCH AWWA -$3377.0q-
NUMBER: NUMBER: NUMBER: FDN.SUBTOTAL:
— WRF $
09/26/2014 7000877877 3377.00 00024396 12/11/2014 $ $2030.00 TOTAL $
337 7.0'
00
0
THREE EASY WAYS TO RENEW
Be sure to mail or fax all pages of this form along with your payment.
•i
• Mail:American Water Works Association
PO Box 972997,Dallas,TX 75397-2997
• Fax: 303.347.0804
• Phone: 800.926.7337 or 303.794.7711 '•f� 't• .''E + „
,Check(U.S. Funds only)
❑ VISA ❑ MasterCard ❑American Express ❑ Discover Card
j �• i f
Card No: /• r :
Expiration Date: Signature:
i
6%,,American Water Works Association 000877 77
j 00024396
PLUS+POINTS
Customize your benefits with Plus+Points! Available Plus+Points
When you renew,you can make changes to the benefits your company To maximize your benefits,use all possible points. 250
receives.Plus+Points may be allocated to Standards Subscriptions
or Individual Memberships.The information to the right details the Standards Subscription
number of Plus+Points available to your company and how they are Current Allocation X 75 points=�
currently allocated. ❑ Change to: X 75 points=
Benefit Options ❑ No Change
Standards Subscription 75 points Individual Members
AWWA Standards are recognized as the consensus standards for A current list of your company's individual members is below.
products and procedures used in the treatment and supply of safe water.
A standards subscription supplies you with all updates distributed in a Current Allocation 0 X 50 points=
given year. ❑ Change to: X 50 points=
❑ No Change
Individual Membership 50 points
You can select and assign individual memberships to specific Plus+Points Total*
company employees.While all employees will enjoy member pricing, Standards Subscription +Individual Members =
assigned members receive the full benefit of membership including *Depending on your selection you may have fewer than 50 points remaining.
JournalAWWA,Opflow,section membership,and more.
Visit www.awwa.org/benefits for more information. Questions?
For assistance, please call 800.926.7337 or 303.794.7711.
INDIVIDUAL MEMBERS
❑ Please check here if there are no changes to the list of members below.
Please make any changes or corrections to the list of members in the area below. Depending on your geographic location,yourmay
_ be charged a section fee for each member listed below. If you choose to add or subtract members, an adjustment for_t_h_e_totaI
amount due may be necessary. Section fee per member: $36.00
S�oY1' CJ MW-L,
MEMBERSHIP RENEWAL PAYMENT BREAKDOWN
ITEM DESCRIPTION AMOUNT
DUES 82 AWWA-Utility:4M51K CustSvc Con 01-Jan-2015 to 31-Dec-2015 $3199.00
IND SECTION AWWA Indiana Section 01-Jan-2015 to 31-Dec-2015 $178.00 f
IND04A AWWA-Additional Active Member 01-Jan-2015 to 31-Dec-2015 $0.00
SUBTOTAL $3377.00
RFS82 AWWA-VOLUNTARY Water Research Fdn. Dues From Org.01-Jan-2015 to 31-Dec-2015 $2030.00
Dues are not deductible as charitable contributions for income tax purposes.Dues may be considered ordinary and necessary business deductions.The following is for USPS Periodical mailing requirements only.In some AWWA
sections,a portion of the section allotment equal to 50%or more of the domestic subscription rate charged for the section periodical will be allocated toward a subscription to that periodical.Allocation for each publication recipient
authorized—Journal AWWA-$50;Opflow-$I6. NOTE:Member's phone numbers,fax numbers and email addresses are protected under AWNA's Prtvacy Policy and are not shared with outside parties.
Page 3 of 3
ALArnerican Water Works Association 7000877877
00024396
ANNUAL UPDATE REQUIRED Please update this information.AWWA is audited each year to confirm its membership composition.
Please make any corrections to your information below.
3.What one business activity best describes your company?
Mr.John M.Duffy (Plea select only one)
Title: Public Water Supply Utility—Municipally Owned
City Of Carmel Utilities ❑ B Public Water Supply Utility—Investor Owned
PO Box 109 El Government—Federal,State,Local
❑ D Consulting Firm
Carmel,IN 46082-0109 ❑ E Contractor
United States ❑ F Private Industrial System or Water Wholesaler
Home Phone: ❑ G Manufacturer of Equipment&Supplies(including representatives)
Business Phone:317-571-2442 ❑ H Distributor of Equipment&Supplies(including representatives)
❑ 1 Educational Institutions(faculty and students),Libraries and other related organizations
Fax: ❑ J Fully Retired
Email: ❑ K Research Lab
❑ L Other allied to the field(please specify)
4.What one catagory best describes your Job title?
(Please select only one)
❑ A Executive(General Manager,Commissioner,Board Member,
ity Manager,Municipal Supt.,Mayor,President,Vice President,
Owner,Partner,Director,etc.)
B Management/Non-Engineering(Division Head,Section Head,
Manager,Dept.Head,Comptroller,etc.)
❑ C Design and Engineering/Both Managerial and Non-managerial
1.To assist us in maintaining accurate records for your utili y pleaserovide (Chief Engineer,Civil Engineer,Mechanical Engineer,Elect Engineer,
your current number of customer service connections o �r7� Environmental Engineer,Planning Manager,Field Engineer,System
and population served &ADOy Designer,etc.)
❑ D Scientific/Non-managerial(Chemist,Biologist,Biophysicist,
Researcher,Analyst,etc.)
❑ E Purchasing(Purchasing Agent,Procurement Specialist,Buyer,etc.)
❑ F Operations(Foreman,Operator,Maintenance Crewman,Service
2.What areas of the water and wastewater industry are of current Representative,etc.)
interest to you? ❑ G Marketing&Sales/Non-managerial(Market Analyst,Marketing
(Please select all that apply)
Asset Management ❑ Public Info./Communications Representative,Salesperson,Sales Representative,etc.)
El I Professorial(Educator,Teacher,etc.)
❑ Backflow/Cross Connection ElRegulatory Issues
❑ Climate Change ❑ Reuse ❑ Z Other(please specify)
Conservation/Efficiency ❑ Small Systems
❑ Customer Service ❑ Stormwater 5.What one category best describes your company's field served/principal activity?
❑ Desalination ❑ Training/Career Development
❑ Design/Construction ❑ Utility Management (Please sere only one)
❑ Distribution/Plant Ops. El Wastewater
Both Water Supply&Wastewater
❑ Drought ❑ Water Loss ❑ 5 Water Supply Only
❑ Emer.Preparedness/Security ❑ Water Quality/Treatment ❑ 7 Wastewater Only
❑ 3 Other
❑ Groundwater ❑ Water Research
❑ Laboratory ER-Water Resources/Planning j
El Treatment ❑ Workforce Strategies Signature Date !
❑ Public Health ❑ Young Professionals Fir f
Page 2 of 3
A ®Arnerican Water Works Association 7000877877
00024396
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 1/16/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/16/2015 24396 $3,377.00
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
Date Officer
VOUCHER # 142772 WARRANT # ALLOWED
155109 IN SUM OF $
AWWA
-rpt-�'- D ;&P q7R 2j-7
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
24396 01-6750-08 $3,377.00
Voucher Total $3,377.00
Cost distribution ledger classification if
claim paid under vehicle highway fund