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Home My WebLink About241644 02/03/15 ,C4Ab CITY OF CARMEL, INDIANA VENDOR: 00353283 ONE CIVIC SQUARE AMERICAN WATER WORKS ASSOCIATIMCK AMOUNT: $""""*214.00" =Q CARMEL, INDIANA 46032 PO BOX 972997 CHECK NUMBER: 241644 DALLAS TX 75397-2997 CHECK DATE: 02/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 7000917186 214.00 OTHER EXPENSES West Quincy Avenue Den ff'S T r�tl��E TO RENEW X00® Denver,CO 80235-3098 Phone:800.926.7337 American Water Works Outside US:303.794.7711 Your membership helps AWWA carry out its mission Association Fax:303.347.0804 successfully.Thank you for your continued support. Dedicated to the Worlds Most important Resource' Email:service@awwa.org Dedicated to the world's most important resource, �11�1111��'IIIP--111111Ill. I�"11�111.11.1111111111111111P1l' AWWA champions water knowledge,treatment,and #BWNCWZH 12 12 informed regulation. Providing solutions to improve #00406840 3# public health, protect the environment,sustain the Jerry Cloud economy,and enhance quality of life,AWWA sets City of Carmel the standard for water throughout the world. 3450 W 131st St Carmel, IN 46074-8267 SECOND MEMBERSHIP RENEWAL NOTICE Thank you for renewing your membership.A complete breakdown of your membership renewal is attached. Please complete the entire form and return all pages with your payment.Your membership renewal will be activated and your membership card mailed once payment is received. ki � MEMBERSHIP DUES �> 03/01/2015 —02/29/2016 DATE: ORDER CUSTOMER PO DATE DUE: TOTAL DUE: NUMBER: NUMBER: NUMBER: 11/30/2014 7000917186 00406840 02/08/2015 $214.00 0 N FOUR EASY WAYS TO RENEW Be sure to mail or fax all pages of this form along with your payment. • Mail:American Water Works Association PO Box 972997,Dallas,TX 75397.2997 1 , • Online:www.awwa.org/renew K^ • Fax: 303.347.0804 • Phone: 800.926.7337 or 303.794.7711 Check(U.S.Funds only) ❑ VISA ❑ MasterCard ❑American Express ❑ Discover Card Card No: Expiration Date: Signature: Pagelo� ;� 7000917186 f� ALAmerican Water Works Association 00406840 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. 2.What one business activity best describes your company? Mr.Jerry Cloud (Please select only one) Plant Supervisor ❑ A Public Water Supply Utility—Municipally Owned City of Carmel ❑ B Public Water Supply Utility—Investor Owned 3450 W 131st St El Government—Federal,State,Local ❑ D Consulting Firm Carmel,IN 46074-8267 ❑ E Contractor United States ❑ F Private Industrial System or Water Wholesaler Home Phone: ❑ G Manufacturer of Equipment&Supplies(including representatives) Business Phone:317-733-2855 ❑ H Distributor of Equipment&Supplies(including representatives) ❑ 1 Educational Institutions(faculty and students),Libraries and other related organizations Fax: ❑ 1 Fully Retired Email: ❑ K Research Lab ❑ L Other allied to the field(please specify) 3.What one catagory best describes your Job title? (Please select only one) ❑ A Executive(General Manager,Commissioner,Board Member, City 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 (Chief Engineer,Civil Engineer,Mechanical Engineer,Elect Engineer, Environmental Engineer,Planning Manager,Field Engineer,System Designer,etc.) ❑ D Scientific/Non-managerial(Chemist,Biologist,Biophysicist, 1.What areas of the water and wastewater industry are of current Researcher,Analyst,etc.) interest to you? ❑ E Purchasing(Purchasing Agent,Procurement Specialist,Buyer,etc.) (Please select all that apply) ❑ F Operations(Foreman,Operator,Maintenance Crewman,Service ❑ Asset Management ❑ Public Info./Communications Representative,etc.) ❑ Backflow/Cross Connection ❑ Regulatory Issues ❑ G Marketing&Sales/Non-managerial(Market Analyst,Marketing ❑ Climate Change ❑ Reuse Representative,Salesperson,Sales Representative,etc.) ❑ Conservation/Efficiency ❑ Small Systems ❑ I Professorial(Educator,Teacher,etc.) ❑ Customer Service ❑ Stormwater ❑ Z Other(please specify) ❑ Desalination ❑ Training/Career Development ❑ Design/Construction ❑ Utility Management ❑ Distribution/Plant Ops. ❑ Wastewater 4.What one category best describes your field served/principal activity? ❑ Drought ❑ Water Loss (Please select only one) ❑ Emer.Preparedness/Security ❑ Water Quality/Treatment ❑ 9 Both Water Supply&Wastewater ❑ Groundwater ❑ Water Research ❑ 5 Water Supply Only ❑ Laboratory ❑ Water Resources/Planning ❑ 7 Wastewater Only ❑ Membrane Treatment ❑ Workforce Strategies ❑ 3 Other ❑ Public Health ❑ Young Professionals Signature Date MEMBERSHIP RENEWAL PAYMENT BREAKDOWN ITEM DESCRIPTION AMOUNT DUES-02 AWWA-Individual Active 01-Mar-2015 to 29-Feb-2016 $178.00 IND—SECTION AWWA-Indiana Section 01-Mar-2015 to 29-Feb-2016 $36.00 TOTAL $214.00 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—Joumal AWWA-$50;Opflow-$16. NOTE:Member's phone numbers,fax numbers and email addresses are protected under AWWA's Privacy Policy and are not shared with outside parties. ALAmerican Water Works Association Page 2 of 2 7000917186 00406840 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 353283 AMERICAN WATER WORKS ASSOCIATION Purchase Order No. P.O. BOX 972997 Terms DALLAS, TX 75397-2997 Due Date 1/26/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/26/2015 7000917186 $214.00 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 VOUCHER # 142872 WARRANT # ALLOWED 353283 IN SUM OF $ AMERICAN WATER WORKS ASSOCIA P.O. BOX 972997 DALLAS, TX 75397-2997 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 7000917186 01-6040-03 $214.00 Voucher Total $214.00 Cost distribution ledger classification if claim paid under vehicle highway fund