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 ________________________
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__________________________________________(attach additional sheet if needed.)
Send to Lynn Pitts, Ankeny WPC, 1102 SE Creekview Drive, Ankeny, Iowa 50021-9436