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Public Works Association <br />P.O. Box 802296 <br />Kansas City, MO 64180-2296 <br />ph 816-472-6100 <br />fax 816-472-1610 <br />www.apwa.net <br />Mr.!,Kurt Corey, PE <br />Public Works Director <br />City of Eugene <br />101 E Broadway Ste 400 <br />Eugene, OR 97401-3104 <br />Invoice Date: 05/13/2010 <br />For period beginning: 08/01/2010 <br />Ending:07/31/2011 <br />Al . <br />Amount <br />Please detach and return bottom portion with your remittance. Make address changes below. <br />44131 Mr. Kurt A. Corey, PE PW Historical Society (PWHS) Membership 35.00 <br />❑ Check enclosed <br />Total: 35.00 <br />,Credit Card O Visa 9 MasterCard O American Express <br />Credit card orders may be faxed to: 816-472-1905 <br />510'5, gZ31 q L-10 c) 858 Z (~S <br />Account number _ Exp. Date (MM/yyyy) <br />Historical Society <br />Canadian members, when paying by credit card, dues are charged in U.S. dollars and <br />may be subject to the exchange rate at time when payment is processed. <br />I64db31 TQp@WWW(Ali Description Total: 35.00 Amount <br />Mr. Kurt Corey, PE <br />Public Works Director ~J <br />City of Eugene 0 t 09/0 - O <br />101 E Broadway Ste 400 <br />Eugene, OR 97401-3104 <br />American Public Works Association <br />P.O. Box 802296 <br />Kansas City, MO 64180-2296 <br />ID No. Description <br />44131 A Agency (11) <br />pw-D 51C, //O -Seca <br />Call 1-800-848-APWA, or e-mail membership0apwa.net, to change your member records. (e a.m. -4:30 p.m. CT) <br />