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HomeMy WebLinkAbout239746 12/03/2014 Coq ",�i i'....--yf J ;•- CITY OF CARMEL, INDIANA VENDOR: 00351464 S 4 i ONE CIVIC SQUARE IN RURAL WATER ASSOC CHECK AMOUNT: $---... "60.00- �° CARMEL, INDIANA 46032 PO Box 242 CHECK NUMBER: 239746 pMl)�i1.Gp` ZIONSVILLE IN 46077-0242 CHECK DATE: 12/03/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2014-02902 60.00 OTHER EXPENSES U REGISTRATION FORM - IRWA Water Institute - December 8-10, 2014 Please print or type one form for EACH ATTENDEE! First time attendee? ❑ Attendee Information: (� U Billing Information:^ Name_ p ,2 ,'y� t7 0"� Company Nam'e:/�-- Ynf__� 1Ek � A 1 5% Title 10, 5 1 a;b w7-,-,,, 1'fis�eoTO (�y Billing Contact Kecc ^�\tom? t; l .�- Guest's name; if attending Address , q 5b ) ?J1,�� a2J i Address ��© � /�% S '''� City C0_r-y-yM-Pil Sa-vA Zip city CwK+,l StK�Zlp � DX' (0 7 Telephone317,yllo•34i�5 Fax 317 733• p10� Telephone 31-7-773-z)- Q �i 5.5 . E-mailci.S:Noso�CaN�t,t�n ,dt. Ger) Fax "7- -7 3 3 - (� I will be submitting contact hours for- E-mail invoice MWEX11A cy Car w ,io, C"�l/ Pleaserint clearly Y Water W( Wastewater ❑ Well Drillers/Pump Installers❑ Engineer PDHs-❑ None ❑ - Purchase Order# 1(1 1-1 Zo 1-y- --- -- - -. MONDAY SESSIONS IRWA Member Non-Member Well Drillers& Pump Installers- Part 1&2 (8:30a-4:00p) 11$60.00 ❑ $120.00 $ Utility Board Members& Managers-(9:00a-4:00p) ❑$60.00 ❑ $120.00 $ NetDMR Workshop-(10:00a-Noon) ❑ $20.00 11 $40.00 $ Water Technical Sessions-(1:00p-5:00p) ❑$40.00 ❑ $80.00 $ Wastewater Technical Sessions-(1:00p-5:00p) 11$40.00 ❑ $80.00 $ a VC-9 TUESDAY&WEDNESDAY SESSIONS IRWA-Member Non-Member ° Tuesday& Wednesday ❑ $100.00 ❑ $200.00 $ 0 ❑ General/Technical Sessions ❑ Boards& Managers ❑ Utility Business Forum CL D® 01 -0o.Tuesda ONLY El $60.00 El $120.00 $ � , General/Technical Sessions ❑ Board & Managers ❑ Utility Business Forum Y Wednesday ONLY ❑ $40.00 ❑ $80.00 $ s ❑ General/Technical Sessions MEALS $ Monday Lunch Tuesday Lunch Tuesday Reception Attendee ❑ $19.00 Attendee ❑ $19.00 Attendee ❑ $ No Fee Guest ❑ $19.00 Guest ❑ $19.00 Guest ❑ $ No Fee One BOARD MEMBER or MAYOR per system is One BOARD MEMBER or MAYOR per system is NO CHARGE-Please check if planning-to attend!- entitled to(1)COMPLIMENTARY Monday Lunch entitled to(1)COMPLIMENTARY Tuesday Lunch MARILYN GAMBOLD EDUCATION FUND DONATION (MGEF) $ Mon $ (0 + Tues/Wed $ + Lunch $ + MGEF $(_ _ $ Ca�CAD Mail-IRWA E-MAIL: Bill us ❑ Credit Card ❑ Pay on Site PO Box 242 MayJane@indionaruralwater.org ❑ E-mail cc receipt: Zionsville,IN 46077-0242 FAX: 855-202-7298 - We welcome registrations on-site. - Visa MC Discover AmExp Please submit cancellation requests in writing. # Exp.: No refunds after December 5,2014. NAME ON CARD: Security: Questions- MaryJane Peters SIGNATURE Billing Zip Code: Telephone:866-895-4792 E-mail: MaryJane@indianaruralwater.org 2014 Operator of the Year These awards are to be presented at the IRWA 2014 Operator of the Year Nomination Form Water Institute on Tuesday, Dec. 9, 2014 Nominee One of the highlights of the Water Institute Title will be the recognition of- Certification (s) Two Water and Length of service Two Wastewater Treatment Operators Small System: WATER O WASTEWATER O • Small Systems Operators (less than 10,000 pop.) One Water z One Wastewater Large System: WATER O WASTEWATER O (less than 10,000 population) (more than 10,000 pop.) • Large Systems Operators One Water— One Wastewater Name of System (more than 10,000 population) Address_ To nominate your utility person, complete the form and send a letter giving detailed Telephone information (accomplishments, etc.) in Submitted by support of your nomination. Final selection Name Title will be based upon this information. IT IS NECESSARY THAT WE RECEIVE A SUPPORTING LETTER GIVING DETAILS! Must be received by November 7, 20141 Questions? MaryJane Peters—855-202-7298 Mail—IRWA, PO Box 242,Zionsville,IN 46077-0242 or Fax—855-202-7298 Marilyn Gambold Education Fund INDIANA RURAL WATER GRANTS AVAILABLE To assist first time attendees to an IRWA conference, ASSOCIATION MGEF grants are now available. Awardees of a MGEF grant will receive a full conference registration TO// Free (Monday-Wednesday), offered meals, two nights stay at the Clarion and an IRWA shirt. No travel costs will Telephone - 866-895-4792 be paid or reimbursed. Please visit our website, %,vww-.indianaruralwaterorg-dr-call MaryJan`e,'- — Fax - 855-202-7298 866-895-4792 for an application. Application Deadline: NOVEMBER 7, 2014 f limo N1 fel 30 pM T1'¢sdAy 8:30 nM to Play money ... 8-30,P41, 10.•3 0PM to Real prizes! CORNHOLE TOURNE�= Everyone's Invited! Where? Upper Terrace and IRWA Hospitality Room Courtesy ofour Sales and Service Persons! �� 'Wr 1 11WV lqww 'Wr VOUCHER # 142375 WARRANT # ; ALLOWED 351464 IN SUM OF $ INDIANA RURAL WATER ASSOCIATIO PO BOX 242 ZIONSVILLE, IN 46077-0242 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members i PO# INV# ACCT# AMOUNT Audit Trail Code 2014-02902 01-6040-05 $60.00 r t Voucher Total $60.00 Cost distribution ledger classification if claim paid under vehicle highway fund i 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 351464 INDIANA RURAL WATER ASSOCIATION Purchase Order No. PO BOX 242 Terms I ZIONSVILLE, IN 46077-0242 Due Date 11/25/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount i 11/25/201, 2014-02902 $60.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer