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332486 11/21/18
or_Coq '1� �f CITY OF CARMEL, INDIANA VENDOR: 155109 4,� ***** ** i �,• ONE CIVIC SQUARE AWWA CHECK AMOUNT: $ 90.00 s?. a�; CARMEL, INDIANA 46032 PO BOX 972997 CHECK NUMBER: 332486 °Mdiori.�°. DALLAS TX 75397-2997 CHECK DATE: 11/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 7001613154 90.00 OTHER EXPENSES VOUCHER NO. 183376 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 155109 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER AWWA* CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, DALLAS,TR-75397--;19971 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 90.00 155109 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR AWWA* Terms Carmel Water Utility PO BOX 9722997 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), DALLAS,TX 75397-2997 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 7001613154 01-6040-03 $90.00 and received except 11/13/2018 7001613154 $90.00 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20 Clerk-Treasurer West Den IT, TIME T RENEW, Denver,CO 80235-3098 USA Phone:800.926.7337 American Water Works Outside US:303.794.7711 Association Fax:303.347.0804 ntvl,co,edto,newo,mc Most;roponnm Jreauu,ce• Email:service@awwa.org Dedicated to the world's most important resource,AWWA champions water knowledge,treatment and informed regulations.Through membershipAWWA 2943 provides solutions to improve public 2943 1 MB 0.421 health, protect the environment, sustain II��I�'1�111�11"'I�I"'III'��I�11111"'lll�l'll'��III'I�'�'I'lll 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 all pages of this notice with your payment. Find ways to professionally grow at awwa.org/getinvolved. MEMBERSHIP DUES MEMBERSHIP TERM:--04.104120'19 — 12/31/201-9 AWWA MEMBERSHIP DUES DATE: ORDER MEMBER PO DATE TOTAL DUES: NUMBER: NUMBER: NUMBER: DUE: 09/24/2018 7001613154 03347436 12/11/2018 $90.00 FOUR EASY WAYS TO RENEW Be sure to mail or fax all pages of this form along with your payment. a� s © Mail:American Water Works Association PO Box 972997, Dallas TX 75397-2997 4 Online:www.awwa.org/renew roart]r� 5n c Fax:303.347.0804 f, Phone:800.926.7337 or 303.794.7711 Hours:Mon-Fri Sam-spm MT r C3 Check(U.S.Funds only) 13 VISA E3 MasterCard C3 AmericanExpress 0 Discover Card Card No: INA, I Brt yR�yr�L Expiration Date: Signature: 1 q ppk fYI` > ���"RFy� American Water Works Association 2943 ANNUAL UPDATE REQUIRED Please make any corrections to your information below. 2.What one business activity best describes your company? (Please select only one) Mr. Brian Tolan ❑'A Public Water Supply Utility-Municipally Owned El Public Water Supply Utility-Investor Owned Electrical Supervisor ❑ C Government-Federal,State,Local City of Carmel Utilities ❑ D Consulting Firm ❑ E Contractor 3450 W 131 st St ❑ F Private Industrial System or Water Wholesaler ❑ G Manufacturer of Equipment&Supplies(including representatives) Carmel, IN 46074-8267 ❑ H Distributor of Equipment&Supplies(including representatives) El Educational Institutions(faculty and students),Libraries and other Home Phone: related organizations Business Phone:317.417.5063 ❑ J Fully Retired ❑ K Research Lab Email:btolan@carmel.in.gov ❑ L Other Allied to the field(please specify) 3.What one category best describes your company's field served/principal activity? (Please select only one) ❑ 9 Both Water Supply and Wastewater in Water Supply Only ❑ 7 Wastewater Only ❑ 3 Other 4.What category 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.) 1.What areas of the water and wastewater industry ❑ B Management/Non-Engineering(Division Head,Section Head, _ are of current.interest to_you?(Ptaaseselect All mat apply) Manager,Dept.Head,Comptroller,etch ❑ C Desi n . g. gManagerialNon-managerial _ 9 --- ❑ Advanced Water TreatmenUReuse public Health g and En ineerin /Both and Non-mana erial ❑ Asset Management ❑ Public Info./Communications (Chief Engineer,Civil Engineer,Mechanical Engineer,Elect. ❑ Automation&Control ❑ Regulatory Issues Engineer,Environmental Engineer,Planning Manager,Field ❑ Backflow/Cross Connection ❑ Small Systems Engineer,System Designer,etc) ❑Timate Change P-Source Water El ScientifiGNon-managerial(Chemist,Biologist,Biophysicist, !dConservation/Efficiency Ll Stormwater Researcher,Analyst,etc.) ❑ Customer Service ❑ Training/Career Development ❑ E Purchasing(Purchasing Agent,Procurement Specialist,Buyer, ❑ Desalination ❑ Utility Managementetc.) ❑ Design/Construction 13Wastewater Collection/Treatment 12TIF Operations(Foreman,Operator,Maintenance Crewman,Service �2 Distribution/Plant Ops. ❑ Water Loss Representative,etc.) I2'Drought J;;-Water QualityrTreatment ❑ G Marketing&Sales/Non-managerial(Market Analyst,Marketing ❑ Emer.Preparedness/Security Ja'Water Research Representative,Salesperson,Sales Representatve,etc.) C;i-Groundwater P-Water Resources/Planning ❑ 1 Professorial(Educator,Teacher,etc.) ❑ Innovation ❑ Workforce Strategies ❑ Z Other(please specify) ❑ Laboratory ❑ Young Professionals ❑ Membrane Treatment Slgnature Date MEMBERSHIP RENEWAL PAYMENT BREAKDOWN DESCRIPTION AMOUNT AWWA-Operations/Administrative 01-Jan-2019 to 31-Dec-2019 $75.00 AWWA-Indiana Section 01-Jan-2019 to 31-Dec-2019 $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 60%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-$16.NOTE:Members'phone numbers and email addresses are protected under AW WA's Privacy Policy and are not shared with outside parties. 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