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Home My WebLink About181502 01/20/2010 4,', CITY OF CARMEL, INDIANA VENDOR: 00353283 Page 1 of 1 ONE CIVIC SQUARE AMERICAN WATER WORKS ASSOCIATION AMOUNT: $198.00 7 0, CARMEL, INDIANA 46032 PO BOX 972997 '�o DALLAS TX 75397 -2997 CHECK NUMBER: 181502 CHECK DATE: 1/20/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 7000186277 198.00 OTHER EXPENSES 4\1‘ 6666 West Quincy Avenue TIME Denver, CO 80235 -3098 TO RENEW! American Water Works Inquiries 800.926.7337 Association (outside US 303.794.7711) Fax 303.347.0804 Thanks for your continued support of the The Authoritative Resource on Safe Water" E-mail custsvc@awvva.org custsvc @awa.org American Water Works Association. AWWA is the authoritative resource for knowledge, information, "111111111111111"111111111111111111111111111"11111111111111111 "111111111111111"111111111111111111111111111"11111111111111111 and advocacy to improve the quality and supply of water in North America and beyond. We are #BWNCWZH the largest organization of water professionals in #00406107 1# the world. AWWA advances public health, safety, Mr. Paul V. Pace and welfare by uniting the efforts of the full City of Carmel Utilities spectrum of the water community. 3450 W 131st St T17 P1.2902 Westfield, IN 46074 -8267 FIRST MEMBERSHIP RENEWAL NOTICE Thank you for renewing! A complete breakdown of your membership renewal is attached. Please add any voluntary contributions to the subtotal and indicate the total amount below. Please complete the entire form and return all pages with your payment. Your membership card will be mailed once payment is received. MEMBERSHIP DUES 04/01/2010 03/31/2011 DATE: ORDER CUSTOMER PO DATE DUE: SUBTOTAL DUE: VOLUNTARY CONTRIBUTIONS 701AL NUMBER: NUMBER: NUMBER: SCHOLARSHIP FUND 1.00 WATER FOR PEOPLE 1.00 12/29/2009 7000186277 00406107 03/11/2010 8198.00 WATER RESEARCH FOUNDATION 1.00 i THREE EASY WAYS TO RENEW By Mail (be sure to mail your payment along with this completed form): k t w` American Water Works Association PO Box 972997 Dallas, TX 75397 -2997 x w ti By Fax (be sure to fax all pages of this form): 303347.0804 By Phone: 800.926.7337 or 303.794.7711 ,,,Check (U.S, Funds only) st 41 V4.- VISA MasterCard American Express Discover Card z Card No: Expiration Date: Signature: du to t American Water Works Association 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. Paul V. Pace (Ple a select only one) Operations Manager A Public Water Supply Utility— Municipally Owned City of Carmel Utilities B Public Water Supply U61ity— Investor Owned C Govemment— Federal, State, Local 3450 W 131st St D Consulting Firm Westfield, IN 46074-8267 E Contractor Home Phone: 317 815 1984 F Private Industrial System or Water Wholesaler Business Phone: 317 G Manufacturer of Equipment Supplies (including representatives) Fax 317 733 2053 H Distributor of Equipment Supplies (including representatives) I Educational institutions (faculty and students), Libraries and other related organizations Email: ppace@carmel.in.gov 1 Fully Retired K Research Lab L Other allied to the field (please specify) 4. What Is your lob title? Please select only one) A Executive (General Manager, Commissioner, Board Member, City Manager, Municipal Supt, Mayor, President, Vice President, Owner, Partner, Director, etc.) g uB Management /Non Engineering (Division Head, Section Head, Manager, Dept Head, Comptroller, etc.) C Design and Engineering /Both Managerial and Non managerial 1. If you work for a utility, please check how many service connections (Chief Engineer, Civil Engineer, Mechanical Engineer, Elect Engineer, you have: Environmental Engineer, Planning Manager, Field Engineer, System <5,000 25,001 50,000 150,001 Designer, etc.) 5,001- 10,000 Ot 50,001- 100,000 D Scientific /Non managerial (Chemist, Biologist, Biophysicist, i_0- 10,00.1 =25,0000- 100,001 150,000 Researcher, Analyst, etc.) E Purchasing (Purchasing Agent, Procurement Specialist, Buyer, etc.) 2. What areas of the water and wastewater industry are ofcunent F Operatjons (Foreman, Operator, Maintenance Crewman, Service Interest to you? Representative, etc.) (Reese select all that apply) G Marketing Sales /Non managerial (Market Analyst, Marketing Asset Management (AM) 4Operations (OPER) Representative, Salesperson, Sales Representative, etc.) 4FicBackflow (BACK) Public Information /Relations (P1R) I Professorial (Educator, Teacher, etc.) ,Conservation (CE) Regulatory/Legislative (RL) Z Other (please specify) Customer Service (CS) Resources Management /Planning Desalination (DESA) (WRMP) Design (DESI) SCADA /GIS (SG) 0',r istribution (DS) Water Reuse (WR) 5. What one category best describes your field served /principal activity? roundwater (GW) �ater Treatment (TREA) (Please select only one) Management /Leadership (MANA) ater Quality (WQ1) 9 Both Water Supply Wastewater Membrane Treatment (MT) 1E5 Water Supply Only 7 Wastewater Only 3 Other Signature Date MEMBERSHIP RENEWAL PAYMENT BREAKDOWN ITEM DESCRIPTION AMOUNT DUES_02 AWWA Individual Active 04/01/2010 to 03/31/2011 $165.00 IND_SECTION AWWA Indiana Section 04/01/2010 to 03/31/2011 $33.00 SUBTOTAL $198.00 Voluntary amounts are optional. VOLCONWFP AWWA VOLUNTARY Water For People Contribution 04/01/2010 to 03/31/2011 $1.00 VOLCONWOL AWWA VOLUNTARY Scholarship Contribution 04/01/2010 to 03/31/2011 $1.00 VOLCONRF AWWA VOLUNTARY Water Research Foundation Contribution 04/01/2010 to 03/31/2011 $1.00 Dues are not deductible as charitable comnbudors tot income tax purposes. Dues may be considered ordinary and necessary business deductions. The following is for LISPS 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; Option-516. Allocation for eligible organization members Drinking Water Research -$3. NOTE: Member's phone numbers, fax numbers and email addresses are protected under AWWA's Privacy Policy and are not shared with outside parries. Page2of2 A Water Works Association 7000186277 00406107 VOUCHER 094108 WARRANT ALLOWED 353283 IN SUM OF AMERICAN WATER WORKS ASSOCIA P.O. BOX 972997 DALLAS, TX 75397 -2997 ,��,(c` Carmel Water Utili ON ACCOUNT OF APPROP ATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 00406107 01- 6040 -05 $198.00 Voucher Total $198.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 1/12/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/12/2010 00406107 $198.00 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