219211 04/24/2013 a CITY OF CARMEL, INDIANA VENDOR: 364188 Page 1 of 1
ONE CIVIC SQUARE AMERICAN PUBLIC WORKS ASSOCIATIpN
i CHECK AMOUNT: $169.00
CARMEL, INDIANA 46032 Po sox sozzss
_a.o KANSAS CITY MO 64180-2296 CHECK NUMBER: 219211
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 691772 169 . 00 ORGANIZATION & MEMBER
IF AM�N PUBLIC 55S®10•
Send membership payments to: Renewal, Invoice
PO Box 802296
Kansas City, MO 64180-2296 ID: 691772 Invoice Date:04/10/2013
Fax 816-472-1905 Member Type: 05
Send other correspondence to: Renewal for period: 07/01/2013 through 06/30/2014
2345 Grand Blvd.,Suite 700
Kansas City,MO 64108-2641 Description Amount
816-472-6100•800-848-APWA• Fax 816-472-1610
www.apwa.net Individual membership(1 member) $169.00
Total $169.00
Please verify your contact information as listed below, then choose
which payment option works best for you. If there are corrections to
Mr. Michael T. McBride your name,job title, or company/organization information please
mark the changes and return with payment. Changes can also be
APWA has 63 chapters in the United States and Canada, made online at www2.apwa.net/MembersOnly, under Member
some of which charge additional dues to help support their Tools.
local activities. Cnapter dues, if applicable, are collected
by the national association and forwarded to the local
chapter.
Payment of invoice provides full benefits of membership in
the American Public Works Association for the person
named below(on group memberships the benefits go to
people named on the group's roster).
Renew by Check or Credit Card!
With a MasterCard, VISA or American Express: Item
Online-visit the"Members Only"section of Number Description amount
www.apwa.net, then o to Member Tools 0001 Membership in Local Chapter (Included)*
9 0002 12 issues of APWA Reporter magazine (Included)*
Fax-complete the remittance section below and fax 0003 Members Only access to online membership directory (Included)*
to 816-472-1905 0004 Members Only access to infoNOW communities (Included)*
Mail-complete the remittance section below and mail 0005 Members Only access to online Members'Library (Included)*
to APWA, 2345 Grand Blvd, Ste 500, Kansas City, 0006 Free registration for live Click,Listen&Learn webinars (Included)*
MO 64108-2641. Do not mail credit card payments to 0007 Annual print Buyer's Guide (Included)
the PO Box address. 0008 Online Buyer's Guide (Included)
0009 APWA Catalog&Online Store purchases (Reduced Pricing)*
With a Check: 0010 Workshops,Seminars,&Online Training (Reduced Pricing)*
Mail-complete the remittance section below and mail 0011 Int'I Public Works Congress&Exposition (Reduced Registration fee)'
with payment to APWA, PO Box 802296, Kansas City, MO 0012 North American Snow Conference (Reduced Registration fee)'
64180-2296. 0013 Sustainability in Public Works Conference (Reduced Registration fee)'
0014 National Awards Program (Included)
F 0015 Public Works advocacy and gov't relations support (!ncluded)
Call 800-848-A?�JA or e-mail at mer���ership @apwa.net if
you have questions regarding this invoice. *rostered members only
REMITTANCE STUB
(Please return with payment.)
[ ] Yes,there ARE changes to my membership info/roster ID: 691772 Invoice Date: 04/10/2013
[ ] Payment check enclosed Member Type: 05
[ ] charge to my: _MasterCard _VISA _American Express
Renewal for period: 07/01/2013 through 06/30/2014
Account No: Exp.Date
Description Amount
Print name as it appears on card Signature Individual membership(1 member) $169.00
Total $169.00
Mr. Michael T. McBride
Director
City of Carmel, Indiana
1 Civic Sq
Carmel, IN 46032-2584
MEMBERSHIP TYPES ADDITIONAL INFO
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 who memberships have a base group membership fee,but more To request this special benefit,please contact a Membership
is engaged or interested 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
options,visit www.apwa.net/Membership/Types-of-Membership, PURCHASE ORDERS FOR MEMBERSHIP DUES
STUDENT Available to any or call 800-848-APWA. APWA will process your company or organization's Purchase
student enrolled in at least nine Order for your membership dues;however,expired member-
credit hours per semester at an PUBLIC AGENCY GROUP Available to any federal,provincial, ships will not be considered"active" until payment for the
accredited college,university, state,local or other public agency concerned with public works. membership renewal is received.A new membership will not
junior college or community The number of individual memberships and the annual fee for be considered as current until payment is received.Please
college offering associate's,bache- an agency are based on the population served by the agency. notify APWA if your company or organization requires its
lor's or advanced degree programs Purchase Order number to be referenced on the membership
in engineering,public administra- Public agency group membership provides a savings of more renewal invoice.
tion,planning,construction or than$25 per person compared to separate individual member-
other public works-related course- ship. CPWA MEMBERSHIP
work.APWA will accept individual All members of APWA in Canada are also members of the
student memberships regardless CORPORATE GROUP Available to any non-governmental entity Canadian Public Works Association(CPWA).Membership
of whether the educational that furnishes public works services or products,including renewals for APWA members in Canada will be invoiced in
facility also has a student group privately held or incorporated utilities.There are three levels Canadian dollars.If payment is made by credit card,dues are
established.There is a five-year of corporate group membership—Heritage,Prestige,and charged in US dollars and may be subject to the exchange rate
maximum as a Student Member. Crown.The benefits and number of individual memberships at time when payment is processed.
Existing APWA members will not vary depending on which level of corporate group member-
be allowed to transfer to Student ship is selected.Contact APWA for complete details,or review PWHS Membership
Membership without the express the"Benefits Comparison Chart"at www.apwa.net/member- The Public Works Historical Society(PWHS)is dedicated to
written permission of the APWA ship. improving the public's awareness and appreciation of public
Executive Director. works throughout history.PWHS membership does not require
ONE-CALL CENTER/SYSTEM GROUP APWA's One-Call Center membership in APWA.For more information visit www.apwa.
RETIRED AND LIFE MEMBER- (or System)group membership provides a method for those net/PWHS.
SHIPS APWA offers special focused on damage prevention to share new technologies
rewards to its longtime members and practices and to promote public safety.The base group APWA REPORTER SUBSCRIPTION ONLY
by offering Retired member- membership for a One-Call Center covers two people,but The APWA Reporter is published monthly by the American
ship and Life membership.Call more members may be added as necessary. Public Works Association and distributed to all members
a Membership Specialist at free-of-charge.Non-members may purchase a one-year
800-848-APWA(or visit www. STUDENT GROUP Available to any group of at least five subscription;call 800-848-2792 for pricing.
apwa.net/Membership/Types-of- students who qualify for Student Individual membership and
Membership)for complete details are enrolled at the same accredited college,university,junior FEDERAL TAX INFORMATION
regarding the criteria for these college or community college.When joining as a Student APWA is a 501(c)(3)organization.
special memberships. Group,each member saves$5 on annual membership dues. Federal Employer ID Number:36-2202880
APWA membership dues are not deductible as a charitable contribu-
tion but may be deductible as an ordinary business expense,subject
The American Public Works Association recognizes,appreciates to IRS limits.APWA does not designate the use of membership dues
and fosters the synergy which is created when the work for lobbying or advocacy efforts,however,eight percent(81Q of our
total operating budget is allocated toward advocacy-related programs,
environment values the differences in individuals and practices including staff salaries.Please consult your tax professional with regard
inclusiveness and open communication. to eligible ordinary business expenses.
American Public Works Association
P.O. Box 802296
Kansas City, MO 64180-2296
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
American Public Works Association Purchase Order No.
POB 802296 Terms
Kansas City, MO 64180-2296 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
411012013 691772 APWA Membership $ 169.00
Total $ 169.00
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
VOUCHER NC WARRANT NO.
American Public Works Association ALLOWED 20
POB 802296 IN SUM OF $
Kansas City, MO 64180-2296
$ 169.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 691772 2200-4355300 $ 169.00 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
4zmA�3�14/22/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund