252533 12/15/15 r CAA .
y "�� CITY OF CARMEL, INDIANA VENDOR: 364188
j ® 3. ONE CIVIC SQUARE AMERICAN PUBLIC WORKS ASSOCIATMNECK AMOUNT: $'"""'179.00'
,. ?4 CARMEL, INDIANA 46032 PO 13Ox 802296 CHECK NUMBER: 252533
,;,,TON- ` KANSAS CITY MO 64180-2296 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 179.00 ORGANIZATION & MEMBER
AMERICAN PUBLIC WORKS ASSOCIATION
M lil
jr preftensiv�ork Reminder Invoice
Send membership payments to:
P.O.Box ID: 794028 Invoice Date:10/09/2015
Kansas Cityity,,MMO 64180-2296
O
Fax:816-303-4950 Member Type: 05
Send other correspondence to: Renewal for period: 01/01/2016 through 12/31/2016
2345 Grand Blvd.,Suite 700
Kansas City,MO 64108-2625
816-472-6100•800-848-APWA•Fax 816-472-1610 Description Amount
www.apwa.net Individual membership(1 member) $179.00
Total $179.00
Please verify your contact information as listed below,then choose
which payment option works best for you. If there are corrections to
Mr. Jeremy Kashman your name,job title, or company/organization information please mark
the changes and return with payment. Changes can also be made
APWA has 63 chapters in the United States and Canada, online at www2.apwa.net/MembersOnly , under Member Tools.
some of which charge additional dues to help support their
local activities. Chapter dues, if applicable, are collected by
the nationalassociation and forwarded to the local chapter.
Payment of invoice provides full benefits of membership in 2 2 0 0 — L4:3 5 5 3 0 O
the American Public Works Association for the person
named below(on group memberships the benefits go to
people named on the group's roster).
Renew by Check or Credit Card!
With a MasterCard,VISA or American Express: Item
Online-visit the"Members Only"section of Number Description Amount
0001 Membership in Local Chapter (Included)'
www.apwa.net, then go to Member Tools 0002 12 issues of APWA Reporter magazine (Included)`
Fax-complete the remittance section below and fax t0 0003 Members Only access to online membership directory (Included)'
816-303-4950. 0004 Members Only access to infoNOW communities (Included)'
Mail-complete the remittance section below and mail 0005 Members Only access to online Members'Library (Included)'
to APWA, 2345 Grand Blvd, Ste 700, Kansas City, MO 0006 Free registration for live Click, Listen&Learn webinars (Included)'
64108-2641. Do not mail credit card payments to the 0007 Annual print Buyer's Guide (Included)
PO Box address. 0008 Online Buyer's Guide (Included)
0009 APWA Catalog&Online Store purchases (Reduced Pricing)'
With a Check: 0010 Workshops,Seminars,&Online Training g (Reduced Pricing)'
Mail-complete the remittance section below and mail 0011 Int'I Public Works Congress&Exposition (Reduced Registration fee)'
with payment to APWA, PO Box 802296, Kansas City, MO 0012 North American Snow Conference (Reduced Registration fee)'
64180-2296. 0013 National Awards Program (Included)
0014 Public Works advocacy and gov't relations support (Included)
Call 800-848-APWA or e-mail at membership@apwa.net if 'rostered members only
you have questions regarding this invoice.
it
MEMBERSHIP TYPES ADDITIONAL INFO
INDIVIDUAL(3 types) GROUP (4 types) DUES WAIVER FOR UNEMPLOYED MEMBERS
INDIVIDUAL Individual member- Group memberships reduce an organization's administrative Should you become unemployed while a member,APWA will
ship is available to any official costs by consolidating billing into one invoice with a group waive your dues for a period of six months,extendible for up
or employee of a governmental roster.Groups may add and drop members or make other to one year.The dues waiver extension will end at one year or
agency,manufacturer,supplier, roster changes,as needed,at any time during the year.Group on the date of your new employment,whichever comes first.
contractor,or consulting firm memberships have a base group membership fee,but more To request this special benefit,please contact a Membership
who is actively engaged in the members can be added(an "additional member"fee will Specialist at 800-848-APWA,or e-mail membership@apwa.net.
field of public works. apply).For a complete list of available group membership
options,visit the"Types of Membership"Section Of WWW. PURCHASE ORDERS FOR MEMBERSHIP DUES
STUDENT Available to any apwa.net/membership,or call 800-848-APWA. APWA will process your company or organization's Purchase
student enrolled in at least nine Order for your membership dues;however,expired member-
credit hours per semester at an PUBLIC AGENCY GROUP Available to any federal,provincial, ships will not be considered"active" until payment for the
accredited college,university, state,local or other public agency concerned with public works. membership renewal is received.A new membership will not
junior college or community The number of individual memberships and the annual fee for be considered as"current"until payment is received.Please
college offering associate's, an agency are based on the population served by the agency. notify APWA if your company or organization requires its
bachelor's or advanced degree Purchase Order number to be referenced on the membership
programs in engineering,public Public agency group membership provides a savings of more renewal invoice.
administration,planning, than$25 per person compared to separate individual member-
construction or other public ship. CPWA MEMBERSHIP
works-related coursework. All members of APWA in Canada are also members of the
APWA will accept individual CORPORATE GROUP Available to any non-governmental entity Canadian Public Works Association(CPWA).Membership
student memberships regard- that furnishes public works services or products,including renewals for APWA members in Canada will be invoiced in
less of whether the educational privately held or incorporated utilities.There are three levels Canadian dollars.If payment is made by credit card,dues are
facility also has a student group of corporate group membership—Heritage,Prestige,and charged in US dollars and may be subject to the exchange rate
established.There is a five-year Crown.The benefits and number of individual memberships at time when payment is processed.
maximum as a Student Member. vary depending on which level of corporate group member-
Existing APWA members will ship is selected.Contact APWA for complete details,or review PWHS Membership
not be allowed to transfer to the"Benefits Comparison Chart"at www.apwa.net/member- The Public Works Historical Society(PWHS)is dedicated to
Student Membership without ship. improving the public's awareness and appreciation of public
the express written permission works throughout history.PWHS membership does not require
Of the APWA Executive Director. ONE-CALL CENTER/SYSTEM GROUP APWA's One-Call Center membership in APWA.For more information visit www.apwa.
(or System)group membership provides a method for those net/PWHS.
RETIRED AND LIFE MEMBER- focused on damage prevention to share new technologies
SHIPS APWA offers special and practices and to promote public safety.The base group APWA REPORTER SUBSCRIPTION ONLY
rewards to its longtime members membership for a One-Call Center covers two people,but The APWA Reporter is published monthly by the American
by offering Retired membership more members may be added as necessary. Public Works Association and distributed to all members
and Life membership.Visit www. free-of-charge.Non-members may purchase a one-year
apwa.net/membership/types-of- STUDENT GROUP Available to any group of at least five subscription;call 800-848-2792 for pricing.
membership for complete details students who qualify for Student Individual membership and
regarding the criteria for these are enrolled at the same accredited college,university,junior FEDERAL TAX INFORMATION
special memberships. college or community college.When joining as a Student APWA is a 501(c)(3)organization.
Group,each member saves$5 on annual membership dues. Federal Employer ID Number:36-2202880
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 Public Works Association Purchase Order No.
POB 843742 Terms
Kansas City, MO 64184-3742 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
10/9/2015 0 APWA Membership Renewal-Jeremy $ 179.00
Total $ 179.00
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
_ I
VOUCHER NO WARRANT NO.
American Public Works Association ALLOWED 20
POB842 �Q C� --/ IN SUM OF$
Kansas City, MO 64184-3742
$ 179.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PD#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 2200-4355300 $ 179.00 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
12/14/2015
Signature
City Engineer
:F
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund