215561 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 010025 Page 1 of 1
ONE CIVIC SQUARE AMERICAN BACKFLOW PREVENTION
CARMEL, INDIANA 46032 PO BOX 3051 CHECK AMOUNT: $65.00
BRYAN TX 77805-3051 CHECK NUMBER: 215561
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 R2048-13 65 . 00 OTHER EXPENSES
AMERICAN BACKFLOW PREVENTION pASSOCIATION
December 4, 2012
INVOICE 82048-13
MICHELLE BREEDLOVE
CITY OF CARMEL Please return a copy of this notice
3450 W. 131 ST with payment for proper credit.
CARMEL, IN 46074
Our records indicate that your membership in the American Backflow Prevention Association will expire on
113112013. In the last year ABP.1 hc„cxperi,:?,rc a a tr erg endows ;;row ih in membership and wit/ your continued support
we can continue to provide technical assistance. educational opportunities,public information and much more.
Please note that application fees for national membership are 560.00 yearly,per person; this includes your
subscription to the ABPA publication, ABPA News. We also have you as a member of the Indiana Chapter and their fees
are an additional cost of 55.00. Both the national and local chapter dues maybe paid with one payment to national
headquarters, the local dues will be forwarded on to your local chapter along with any changes you let us know of with
your renewal.
Please take this opportunity to make any necessary changes to the information below and return it along with
your payment so your rnenrbership frill remain in,good standing. !(payment has already been remitted,please disregard
this notice. Credit curd payment may be f(Lyed in.
LAST NAME BREEDLOVi
FIRST NAME MICHELLE
COMPANY CITY OF CARMEL
ADDRESS 3450 W. 131ST
CITY, STATE ZIP: CARMEL, IN 4607/4
E-MAIL: mbreedlove cocarmel.in.bov
PHONE: (317) 733-2855
FAX: (317) 733-2053
MEMBERSHIP NO: R2048
EXPIRATION DATE: 1/31/2013
LOCAL CHAPTER: INDIANA
NATIONAL DUES: $60.00
LOCAL DUES: $5.00
TOTAL DUE: $65.00
CREDIT CARD: Visa ❑ MC ❑ AE ❑ Discover ❑
9 -- Exp. - CVV
NAME ON CARD:
CHECK NO & AMT.: ABPA TAX PAYER I.D. 4 74-2395100
POST OFFICE Box 3051 o BRYAN,TX 77805-3051 o 979-846-7606 0 979-846-7607 FAX o www.abpa.org
VOUCHER # 123052 WARRANT # ALLOWED
TABPA IN SUM OF $
AMERICAN BACKFLOW PREVENTION
PO BOX 3051
BRYAN, TX 77805-3051
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
R2048-13 01-6040-05 $65.00
Voucher Total $65.00
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
TABPA
AMERICAN BACKFLOW PREVENTION ASSOC Purchase Order No.
PO BOX 3051 Terms
BRYAN, TX 77805-3051 Due Date 12/13/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/13/201; R2048-13 $65.00
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
_.f}1.q,�--�----"----
Date Officer