185637 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 364188 Page 1 of 1
ONE CIVIC SQUARE AMERICAN PUBLIC WORKS ASSOCIATRECK AMOUNT: $70.00
CARMEL, INDIANA 46032 PO Box 802296
KANSAS CITY MO 64180 -2296 CHECK NUMBER: 185637
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4355300 682274 70.00 ORGANIZATION MEMBER
American Public Works Association AD
Ar
P.O. Box 802296
Kansas City, MO 64180 -2296 ID No. Description Renewal Invoice
ph 816 472 -6100
toll -free 800 848 -APWA
fax 816- 472 -1610 682274 Individual (05)
www.apwa.net
Individual Member Fee $US 70.00
Total 70.00
Mr. David W. Huffman
Street Commissioner
Carmel Street Department
3400 W 131st St
Westfield, IN 46074 -8267 Invoice Date: 02/25/2010
Current Expiration Date: 02/28/2010 For period 03/01/2010
Ending: 02/28/201 i
Please detach and return bottom portion with your remittance. Make address changes below.
I have added $35 US per person for new Check enclosed Credit Card Visa MasterCard O American Express
membership in the Public Works Historical
Society for
MAIL TO: 1—
APWA Account number Card Expires (MMNM)
PO Box 802296
(Name of person(s) to'which membership should Kansas City, MO
Name as it appears on card Signature
be assigned) 64180 -2296
Please send invoices for future renewal of Send receipt via: Mail E -mail to:
this PWHS membership to: MAIL TO: APWA, 2345 Grand Blvd., Suite 700, Kansas City, MO 64108 -2625
Aforementioned individual(s) OR FAX T0: 816 595 -5374 or 816 -472 -1905
OR ONLINE: www.apwa. net /Membership /MemberRenewal.asp
Key contact person for my group
membership
To change your address, e-mail, or other member information, call 1 -800- 848 -APWA {8:00 a.m.- 4:30 p.m. CT),
e -mail membership @apwa.net or visit www.apwa .net /MembersOnlylMemberTools/.
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MEMBERSHIP TYPES ADDITIONALINFO
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 and request the "Extended Membership" form.
options, visit the Membership Benefits section of www.apwa.
ASSOCIATE Associate member- net, or call 800 -848 -APWA. PURCHASE ORDERS FOR MEMBERSHIP DUES
ship is available to any person APWA will process your company or organization's Purchase
not qualifying as an Individual PUBLIC AGENCY GROUP Available to any federal, provincial, Order for your membership dues; however, expired member
member, but who has an interest state, local or other public agency concerned with public works. ships will not be considered "active" until payment for the
in public works activities. Asso- The number of individual memberships and the annual fee for membership renewal is received. New membership will not be
ciate members may not vote or an agency are based on the population served by the agency. considered as "active" until payment is received. Please notify
hold office at the national level. APWA if your company or organization requires its Purchase
Public agency group membership provides a savings of more Order number to be referenced on the membership renewal
STUDENT Available to any than $20 per person compared to separate individual member- invoice.
student enrolled in at least nine ship.
credit hours per semester at an CPWA MEMBERSHIP
accredited college, university, CORPORATE GROUP Available to any non governmental entity All members of APWA in Canada are also members of the
junior college or community that furnishes public works services or products, including Canadian Public Works Association (CPWA). Membership
college offering associate's, privately held or incorporated utilities. There are three levels renewals for APWA members in Canada will be invoiced in
bachelor's or advanced degree of corporate group membership Heritage, Prestige, and Canadian dollars. If payment is made by credit card, dues are
programs in engineering, public Crown. The benefits and number of individual memberships charged in US dollars and may be subject to the exchange rate
administration, planning, vary depending on which level of corporate group member- at time when payment is processed.
construction or other public ship is selected. Contact APWA for complete details, or visit
works- related coursework. the Membership Info section of www.apwa.net. PWHS Membership
APWA will accept individual The Public Works Historical Society (PWHS) is dedicated to
student memberships regard- ONE -CALL CENTER /SYSTEm GROUP APWNs One -Call Center improving the public's awareness and appreciation of public
less of whether the educational (or System) group membership provides a method for those works throughout history. PWHS membership does not require
facility also has a student group focused on damage prevention to share new technologies membership in APWA. For more information visit www.apwa.
established. There is a five -year and practices and to promote public safety. The base group net/About/SIG/PWHS.
maximum as a Student Member. membership for a One -Call Center covers two people, but
Existing APWA members will more members may be added as necessary. APWA REPORTER SUBSCRIPTION ONLY
not be allowed to transfer to The APWA Reporter is published monthly by the American
Student Membership without STUDENT GROUP Available to any group of at least five Public Works Association and distributed to all members
the express written permission students who qualify for Student Individual membership and free -of- charge. Non members may purchase a one -year
of the APWA Executive Director. are enrolled at the same accredited college, university, junior subscription; call 800- 848 -2792 for pricing.
college or community college. When joining as a Student
RETIRED AND LIFE MEMBER- Group, each member saves $5 US on annual membership dues. FEDERAL TAX INFORMATION
ncUVprc coerial APWA is a 501(c)(3) organization.
VOUCHER NO. WARRANT NO.
ALLOWED 20
American Public Works Association
IN SUM OF
P. O. Box 802296
Kansas City, MO 64180 -2296
$70.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member;
2201 43- 553.00 $70.00 1 hereby certify that the attached invoice(s), or
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
Th sd ay 20, 2010
All
Street Commissi der
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/01/10 70.00
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