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American Public Works Association ARM <br />P.O. Box 801296 Renewal <br />Kansas City, MO 64180-2296 <br />ph 816-472-6100 <br />toll-free 800-848-APWA <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 />Current Expiration Date: 07/31/2010 <br />Invoice Date 05/13/2010 <br />Forperiod 08/01/2010 <br />Ending: 07/31/2011 <br />Please detach and return bottom portion with your remittance. Make address changes below. <br />I have added 835 US per person for new <br />membership in the Public Works Historical <br />Society for <br />(Name of person(s) to which membership should <br />be assigned) <br />Please send invoices for future renewal of <br />this PWHS membership to: <br />❑ Aforementioned individual(s) <br />❑ Key contact person for my group <br />membership <br />❑ Check enclosed Credit Card U Visa MasterCard ❑ American Express <br />MAILT0: 5S ~ <br />APWA Account number and Expir (M NYYY) <br />PO Box 802296 Q.[„l - v.~ ey1 4"a f <br />Kansas City, MO Name as it appears on card l Signatur <br />64180-2296 ff <br />Send receipt via: ❑Mail ~`pICE-mailto:514QU-&.rA.(ori4etcd(P-G(- <br />MAIL TO: APWA, 2345 Gran Blvd., Suite 700, Kansas City, MO 64108-2625 C.uC fAL • cir• <br />OR FAX TO: 816-595-5374 or 816-472-1905 US <br />OR ONLINE: www.apwa.net/Membership/MemberRenewal.asp <br />To change your address, e-mail, or other member information, call 7-800-848-APWA (8:00 a.m.-4:30 p.m. Cr), <br />e-mail membership@apwa.net or visit www.apwa.net/MembersOnlylMemberTools/` <br />If your invoice reflects local chapter membership dues, these dues must be paid in order to maintain your membership in APWA. <br />ID No. Type Of Membership <br />354 A Agency(10) <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 />American Public Works Association <br />P.O. Box 802296 <br />Kansas City, MO 64180-2296 <br />ID No. Description <br />354 A Agency (10) <br />Invoice <br />Amount <br />Agency Membership Base Fee - $US 1,856.00 <br />Agency Additional Members - $US 2,320.00 <br />Total 4,176.00 <br />Description <br />Agency Membership Base <br />Fee - $US <br />Agency Additional Members - <br />$US <br />Total <br />~ fjQ~"&A : <br />Amount <br />1,856.00 [ 1 <br />2,320.00 [ 1 <br />---4-,+764. eQ- 141q- eek <br />Li lit -C~' <br />00 <br />191-1131P, • oo y,29Z, <br />