317866 10/31/2017 d d c�qy*i
>, CITY OF CARMEL, INDIANA VENDOR: 155109 CHECK AMOUNT: $.****...90.00*
® ONE CIVIC SQUARE AMERICAN WATER WORKS ASSOC
CARMEL, INDIANA 46032 PO BOX 972997 CHECK NUMBER: 317866
o DALLAS TX 75397-2997 CHECK DATE: 10/31/17
' Mei ruN c°'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7001432189 90.00 OTHER EXPENSES
k z 0 � G o
« D <
q 2 § °
CL
k
0-4 % f n \ 7
Q 2 2 # &
§ w g g
P-4 Ul
m k c w§ E P.
« o »
ƒ N mf � 2 §
] 2 $ a
� � »
\ k k 0
o n o
O
g n 2
J o k
A: 2 k
'pr
A �
un E $_ o c " 7 ak m
- c i % m «
ƒ / R � O O d g ƒ C
) % 0 7 7 � § R
CL cr g
� m
q 0 c
§
�
§
2 0
% c §
o Z
\ �
k
66
st Quincy Avenue
® Denver,eCO 80235-3098 USA IT'S TIME RENEW!
Phone:800.926.7337
American Water Works Outside US:303.794.7711
Association Fax:303.347.0804
Email:service@awwa.org Dedicated to the world's most important
resource,AWWA champions water
knowledge,treatment and informed
regulations.Through membership AWWA
1682 provides solutions to improve public
16821 MB 0.420 health, protect the environment, sustain
II'1'llll�"111'I.I.1111111 '1'��'ll'lll'�I'��I'll'�I���I��I"I" the economy and enhance quality of life.
#BWNCWZH Together we are creating a better world
#03347436 6# through better water.
Mr. Brian Tolan
City of Carmel Utilities
3450 W 131st St
Carmel, IN 46074-8267
FIRST MEMBERSHIP RENEWAL NOTICE
Thank you for your continued support. Please verify your contact information and return gll pages of this notice with your payment.
Find ways to professionally grow at awwa.Qrg/getinvolved.
MEMBERSHIP DUES MEMBERSHIP TERM: 01/01/2018 — 12/3112018
AWWA MEMBERSHIP DUES
DATE: ORDER MEMBER PO DATE TOTAL DUES:
NUMBER: NUMBER: NUMBER: DUE:
09/20/2017 7001432189 03347436 12/11/2017 $90.00
FOUR EASY WAYS TO RENEWE
DLIVER
�Q63 _ ED OCT 2 3 2017
Be sure to mail or fax X11 pages of this form along with your payment.
0 Mail:American Water Works Association au
PO Box 972997, Dallas TX 75397-2997
!� Online:www.awwa.ora/rene
i Fax:303.347.0804
Phone:800.926.7337 or 303.794.7711 Hours:Mon-Fri 8am-5pm MT
D Check(U.S.Funds only)
D VISA D MasterCard D AmericanExpress Discover Card
Card No:
s
Expiration Date: Signature:
4A American Water Works Association t
1682
r,
ANNUAL UPDATE REQUIRED
Please make any corrections to your information below.
2.What one business activity best describes your company?
Mr. Brian Tolan (Please select only one)
8 A Public Water Supply Utility—Municipally Owned
Electrical Supervisor ❑ B Public Water Supply Utility—Investor Owned
City of Carmel Utilities ❑ C Government—Federal,State,Local
❑ D Consulting Firm
3450 W 131 st St ❑ E Contractor
❑ F Private Industrial System or Water Wholesaler
Carmel, IN 46074-8267 ❑ G Manufacturer of Equipment&Supplies(including representatives)
❑ H Distributor of Equipment&Supplies(including representatives)
Home Phone: ❑ I Educational Institutions(faculty and students),Libraries and other related organizations
Business Phone:317.417.5063 EJ K Fully Retired z
❑ K Research Lab
Email: btolan@carmel.in.gov ❑ L Other allied to the field(please specify)
3.What one category best describes your field served/principal activity?
(Please select only one)
❑ 9 Both Water Supply&Wastewater
8.5 Water Supply Only
❑ 7 Wastewater Only
❑ 3 Other
4.What one category best describes your job title?
(Please select only one)
L What areas of the water and wastewater industry are of current ❑ A Executive(General Manager,Commissioner,Board Member,
Interest to you? City Manager,Municipal Supt.,Mayor,President,Vice President,
(Please select all that apply) Owner,Partner,Director,etc.)
❑ Asset Management ❑ Public Info./Communications ❑ B Management/Non-Engineering(Division Head,Section Head,
❑ Backflow/Cross Connection Regulatory Issues Manager,Dept.Head,Comptroller,etc.)
Q Climate Change I Reuse C Design and Engineering/Both Managerial and Non-managerial
Q Conservation/Efficiency ❑ Small Systems (Chief Engineer,Civil Engineer,Mechanical Engineer,Elect.Engineer,
❑ Customer Service ❑ Stormwater Environmental Engineer,Planning Manager,Field Engineer,System
❑ Desalination ❑ Training/Career Development Designer,etc.)
❑ Design/Construction ❑ Utility Management ❑ D Scientific/Non-managerial(Chemist,Biologist,Biophysicist,
Researcher,Analyst,etc.)
D Distribution/Plant Ops. ❑ Wastewater ElE Purchasing(Purchasing Agent,Procurement Specialist,Buyer,etc.)
13 Drought El Water Loss
❑ Emer.Preparedness/Security ❑ Water Quality/Treatment ❑ F Operations(Foreman,Operator,Maintenance Crewman,Service
Representative,etc.)
EIP Groundwater ❑ Water Research ❑ G Marketing&Sales/Non-managerial(Market Analyst,Marketing
❑ Laboratory ❑ Water Resources/Planning Representative,Salesperson,Sales Representative,etc.)
❑ Membrane Treatment ❑ Workforce Strategies ❑ I Professorial(Educator,Teacher,etc.)
❑ Public Health ❑ Young Professionals ❑ Z Other(please specify)
Signature T� .Date
MEMBERSHIP RENEWAL PAYMENT BREAKDOWN
DESCRIPTION AMOUNT
AWWA-Operations/Administrative 01-Jan-2018 to 31-Dec-2018 $75.00
AWWA-Indiana Section 01-Jan-2018 to 31-Dec-2018 $15.00
TOTAL $90.00
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:Members'phone numbers and email addresses are protected under AW WA's Privacy Policy and are not shared with outside parties.
Page 2 of 2
American Water Works Association 7001432189
03347436 1682