HomeMy WebLinkAbout236296 08/27/14 1� t CITY OF CARMEL, INDIANA VENDOR: 00352670
( ONE CIVIC SQUARE ALLIANCE OF INDIANA RURAL WATER CHECK AMOUNT: $*******220.00*
CARMEL, INDIANA 46032 PO BOX 789 CHECK NUMBER: 236296
FRANKLIN IN 46131 CHECK DATE: 08/27/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 TRAINING 220.00 OTHER EXPENSES
Specialty Trainings /IYD/A/vA
/f/!l�i4L'WAY"
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Competent Person and Confined Space Training
Date:August 12,2014 Location: Fowler,IN Time:9 am-3 pmPre-registration
for Advanced/Specialty
Trainings.
Course Description:OSHA requires that a"competent person"be on your construction or mainte-
nance site whenever workers are exposed in an excavation. This training program goes over how to
recognize hazards and violations including shoring dilemmas and solutions. It also covers soil analy- ::
sis through manual and visual test,selection and correct use of protective systems as well as OSHA 937-4992 to register.
terms and definitions. Course participants will receive a check off sheet for site inspection,a card
and a certificate.
Cancellations ,
will he subject to a$15 admin-
Course Instructor: Tom Speer,City of Lawrence istrative fee per registered
Cost: $85 for members/$110 for non-members
Contact Hours: 5 technical water hours and 5 general wastewater hours
Location: Fowler Fire Station-107 N.Washington Ave.Fowler,47944 '
.......................................................................................................................................................................................................................................................
LL1pA/C C1 Cqf�-2� U ,�i�,�s Quantity Price Total:
AW/ ' System/ t lit�ame X $85 Member
WArM960 p tir I t z-
-e I �e-)
P kit)
N X $110 Non-Member
PO Box 789 Address
Franklin,IN 46131 t:�Vid)%qyn 8Q011,S f I/&.2-� Method of Payment
City,ST Zip ❑ Check
Phone:317-789-4200 311—�71.,2(03 t�/ ,�[send Invoice
Fax:317-736-6676 Email Phone ❑ visa
E-mail:alliancoginh2o.org Name _�Q soy/ 5 4 ❑ MasterCard
Competent Person Name NY)y> Ly Y11cl SS)Y1 9
`] �
August 12,2014 � 1 Credit Card# Exp.Date
Fowler,IN flame Name on Card Billing Zip
Name Signature
VOUCHER # 145392 WARRANT# ALLOWED
352670 IN SUM OF $
Alliance of Indiana Rural Water
PO BOX 789
FRANKLIN, IN 46131
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT- Audit Trail Code
COMPETENT 01-7040-01 $220.00
1
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Voucher Total $220.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
4
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352670
Alliance of Indiana Rural Water i Purchase Order No.
PO BOX 789 Terms
FRANKLIN, IN 46131 Due Date 8/21/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2014 COMPETEN' $220.00
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
correct and I have audited same in accordance with IC15-11-10-1.6
Date fficer