The
Maintenance Committee of the IWPCA is awarding individuals who have
exceeded in maintenance in the water pollution treatment process. The
award is given to the individual(s) who has/have gone "beyond
exceptional duties" in the maintenance of equipment. This
prestigious award will be given to the recipient at our annual state
meeting. They will be inducted into an exclusive club of individuals
that have received his award, and share the fraternal responsibilities
of the club. A plaque and lapel pin will be awarded to the recipient of
this award.
Date:______________________
Nominee:
______________________________________________________________
Address: _________________________________________________________
Telephone: _______________________________________________________
Years of service: ___________________________________________________
Position: _________________________________________________________
City/Company: ____________________________________________________
Address: ___________________________________________________
Telephone: _________________________________________________
Nominated by:
__________________________________________________________
Address: _________________________________________________________
Telephone: _______________________________________________________
Local Paper:
____________________________________________________________
Address: _________________________________________________________
_________________ is deserving of this
award because ________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
__________________________________________(attach
additional sheet if needed.)
Send to Lynn Pitts, Ankeny WPC, 1102 SE Creekview
Drive, Ankeny, Iowa 50021-9436 |
