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Home My WebLink About240710 01/07/15 'f. CITY OF CARMEL, INDIANA VENDOR: 00351464 d 'r ONE CIVIC SQUARE IN RURAL WATER ASSOC CHECK AMOUNT: 5""""'414.00` CARMEL, INDIANA 46032 PO BOX 242 CHECK NUMBER: 240710 9M<:6NEO' ZIONSVILLEIN 46077-0242 CHECK DATE: 01/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2014-02989 414.00 OTHER EXPENSES I Remit To: Indiana Rural Water Association PO Box 242 Zionsville, IN 46077-0242 ATTN: ACCOUNTS PAYABLE Invoice BILL TO DATE INVOICE NO. City of Carmel 12/5/2014 2014-02989 3450 W 131 St. St. Carmel, IN 460747 ;------------------------------------------ IRWA is proud to be funded solely by membership dues and registration fees with no federal government assistance. ; Membership Renewal Date 2/17/2015 Questions? MaryJane Peters,Administrative Director MaryJane@indianaruralwater.org P.O. No. TERMS Telephone-866-895-4792 Fax-855-202-7298 K112414;K112314I F Due on receipt DESCRIPTION AMOUNT IRWA 2014 Water Institute, December 8-10, 2014 in Columbus, IN Tuesday Only-Aldwin Castaneda, Matt McNulty, Shawn Cooksey, 300.00 Anthony Isenberger, Jacen Rayle Meals: ML 0; TL(6) NOTE: Includes Donald Simpson (PO#K1112014 114.00 Inv#2014-02902) 12/6/2014 Mail v �V K112414; Kl 12314 Balance Due $414.00 REGISTRATION FORM - IRWA Water Institute - December 8-10, 2014 Pleaseprint or type one form for EACH ATTENDEE! First time attendee? O Attendee Information: Billing Information: �-Cllst Company Name:C. af-r(N e-1 U0 csuy Guest's name; if attending Address, Telephone SQ-'7.2 E-mail E-mail invoice I will be submitting contact hours for- Please print cfearly � Water*� Wastewater 0 Well Drillers/Pump Installers 0 MONDAY SESSIONS IRWA Member Non-Member Utility Board Members & Managers -(9:00a -4:00p) 0 $60.00 0 $120.00 $ -b Wastewater Technical Sessions -(1:00p- 5:00p) 0 $40.00 C1 $80.00 $ TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member � Tuesday& Wednesday 0 $100.00 0 $20000 $_________ � [] Boards& Managers [] Utility Business Forum � 0 [] $60.00 [] $120.00 $ 21 M [] Board & Managers [] Utility Business Forum WednesdaV [] $48.00 [] $80.00 $_________ � MEALS ,______ Monday Lunch Tuesday Lunch _� Tuesday Reception Attendee 0 $19.0O Attendee *k $19.00 Attendee [] $ NoFee Guest [] $19.00 Guest [] $19.00 Guest [] $ No Fee | One BOARD MEMBER u,MAYOR per system/, \ One BOARD MEMBER o,MAYOR per system u | NO CHARGE Please cheuk.//planning maoeou/ | | entitled m(z)COMPLIMENTARY Monday Lunch | entitled m(1)COMPLIMENTARY Tuesday Lunch \ /MARILYN GAYN8OLDEDUCATION FUND DONATION (yNGEF) $ Mail-IRWA E-MAIL, Bill us 0 Credit Card 0 Pay on Site PO Box 242 ayJane(@-indionaruralwater.org )3 E-mail cc receipt: Zionsville,IN 46077-0242 <AX: 855-202-7298 We welcome registrations on-site. - Please submit requests'nwriting. Norefunds after December 5.3V14. NAME ON CARD: Security: Questions' MaryJanePete's SIGNATURE Billing Zip Code: Telephone:866'895-4792 E-mail: Manuane@i,mana,vra/waterpr; n3��EGISTRATIQN �FORM - IRWA Water Institut�!ni" e - December 8-10, 2014 Please print or type one form for EACH ATTENDEE! First time attendee? ❑ Attendee Information: Billing Information: Name Company Name:C. QY—Y`n c-1 lo C.. 1 Title Billing Contact Ke-cct` Ln\ -r It Guest's name; if attending Address, Address L6 Cit 1 � 1 l r y c__ ,f.,.�L St rU Zip L ��Y`�L'_� Cityst.Q6 Zip �t�� Telephone 7 3 Telephone, -7�3-?JgSSFax3l'7-?33---20 �3 �� _ --2- IL) 3 Fax 3 l 2 , - E-mail _ I will be submitting contact hours for- E-mail invoice V,(WLQj\ 0q., caarlmp�. L �n Water-4� Wastewater ❑ Well Drillers/Pump Installers[ Please print 3 Engineer PDHs ❑ None ❑ Purchase Order# n 12,`A I LA MONDAY SESSIONS IRWA Member Non-Member Well Drillers & Pump Installers- Part 1& 2 (8:30a -4:00p) ❑ $60.00 ❑ $120.00 $ Utility Board Members & Managers- (9:00a -4:00p) ❑ $60.00 ❑ $120.00 $ NetDMR Workshop-(10:00a - Noon) ❑ $20.00 ❑ $40.00 $ Water Technical Sessions -(1:00p- 5:00p) ❑ $40.00 ❑ $80.00 $ c Wastewater Technical Sessions -(1:00p- 5:00p) ❑ $40.00 11 $80.00 $ a TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member ° Tuesday& Wednesday ❑ $100.00 ❑ $200.00 $ M ❑ General/Technical Sessions ❑ Boards& Managers ❑ Utility Business Forum CL —►Tuesda ONLY ❑ $60.00 ❑ $120.00 $ACC,_— GeneraI/Technical Sessions ❑ Board & Managers ❑ Utility Business Forum ® Wednesday ONLY ❑ $40.00 ❑ $80.00 $ Y U ❑ 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 $ + Tues/Wed $ + Lunch $ + MGEF $ _ $T� Mail-IRWA E-MAI Bill us ❑ Credit Card ❑ Pay on Site PO Box 242 <AX.: ane@indianaruralwoter.org E-mail cc receipt: Zionsville,IN 46077-0242855-202-7298 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 v REGISTRATION FORM - IRWA Water Institute - December 8-10, 2014 Please print or type one form for EACH ATTENDEE! First time attendee? ❑ Attendee Information: /Billing Information:" Name Company Name:: C CLI-Yl1 (!!-,Il I V � - cl" Title r Billing Contact Tie-fir,_ L C,J LQ l t Guest's name; if attending Addresssq C�-:SC, W I r,I. %''- S-k Address <.N- City cc mc�- P -�. St Zip-4:(D.Caq Cit) (�(-p� , St� Zipo.a� Telephone Telephone ax 91 J--?33-.D-[)53 Fax 2� E-mail _ I will be submitting contact hours for- Email invoice (OITFSlea print clemp arly Water-,� Wastewater ❑ Well Drillers/Pump Installers❑ , 1 Engineer PDHs ❑ None 13 Purchase Order# I`V A I a LA 10 MONDAY SESSIONS IRWA Member Non-Member Well Drillers& Pump Installers- Part 1& 2 (8:30a -4:00p) ❑ $60.00 11 $120.00 $ Utility Board Members & Managers- (9:00a -4:00p) ❑ $60.00 ❑ $120.00 $ NetDMR Workshop-(10:00a - Noon) ❑ $20.00 ❑ $40.00 $ Water Technical Sessions- (1:00p-5:00p) ❑ $40.00 ❑ $80.00 $ -6 Wastewater Technical Sessions-(1:00p- 5:00p) ❑ $40.00 13 $80.00 $ C W r TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member ° Tuesday& Wednesday ❑ $100.00 1:1 $200.00 $ .. ❑ General/Technical Sessions ❑ Boards& Managers ❑ Utility Business Forum CL —►Tuesday ONLY ❑ $60.00 ❑ $120.00 $ M 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 *'16 $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 $ + Tues/Wed $ i6f)C).Ot, + Lunch $IIL�.M + MGEF $ _ $T2' PU Mail-IRWA E-MAI Bill us ❑ Credit Card ❑ Pay on Site PO Box 242 ayJane@indianaruralwater.org E-mail cc receipt: Zionsville,IN 46077-0242 AX: 855-202-7298 - We welcome registrations on-site. - Visa_ MC_ Discover AmExp Please submit cancellation requests in writin4. # 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 -`------ Dec. 3. 2014 10:58AM No. 0399 P. i rljl�' REGISTRATION FORM - IRWA Water Institute - December 8-10, 2014 r Please print or type one form for EACH ATTENDEE! First time attendee? B' Attendee information: Billing Information: Name 0 rJ ybe(-,qe/' Company Name: CA-T—r•-cr�.p,�,� Title S o r2 Billing Contact �( Y�1 l�C>\1 P l l Guest's name; If attending Address &95D \A) 151fa� Address _2q. U w• I I .�l' City CC� P St�o zip City ('A r 1 5t Zlp G O?y Telephone `,1T--77-,-3 Telephone Fax 3f7�737'oZb �`� Fax E-mail IS-enl�i1°�s�!�G'j/ oJ ^ I wi be submitting contact hours for- E-mail invoice Kk(>\j AV, &Ca-cme� �I t�l•�l�V 9 Please prim Clearly Water Wastewater ❑ Well Drillers/Pump Installers❑ �/ 1 Engineer PDHs ❑ None ❑ Purchase Order MONDAY SESSIONS IRWA Member Non-Member Well Drillers&Pump Installers-Part 1&2 (8:30a-4:00p) ❑$60.00 [3$120.00 $ Utility Board Members& Managers-(9:00a-4:00p) ❑$60.00 ❑$120.00 $ NetDMR Workshop-(10:00a-Noon) ❑ $20.00 ❑ $40.00 $ Water Technical Sessions-(1:00p-5:00p) 171$40.00 ❑$80,00 $ -6 Wastewater Technical Sessions-(1:00p-5:00p) ❑$40.00 ❑ $80.00 $ C TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member Tuesday& Wednesday ❑ $100.100 ❑ $200.00 $ M ❑ General/Technical Sessions ❑ Boards& Managers ❑ Utility Business Forum ---►Tuesd9yInLY $60.00 ❑ $120.00 $ a_ General/Technical Sessions ❑ Board &Managers ❑ Utility Business Forum m Wednesday ONLY ❑ $40.00 ❑ $80,00 $ U ❑ 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 It planning to attendl entitled to(1)COMPLIMENTARY Monday Lunch entitled to(1)COMPLIMENTARY Tuesday Lunch MARILYN GAMBOLD EDUCATION FUND DONATION (MGEF) Mon $ + Tues/Wed $( + Lunch $ IQl f�T� + MGEF $ Mall-IRWA E-MAIL; Bill us L1Credit Card F3Pay on Site PO Box 242 Maylane@indlanaruralwoter.org ❑ E-mail cc receipt: Zlonsville,IN 46077-0242 FAX; 855-202-7298 -- We welcome registrations onslte. Visa MC Discover AmExp Please submit cancellation requests In writing. # Exp.:—- No refunds after December 5,2014. NAME ON CARD: Security: Questlons- MaryJane Peters SIGNATURE Billing Zip Code; Telephone:866-895-4792 malt: MaryJanetJndlanararelwatar.org Dec. 3. 2014 10:58AM No. 0399 P. 2 7,�LZSTRATIONFOR�M - RWA Water Institute�- Dec�emb�er8-�1020�14 Please print or type one form for EACH ATTENDEE First time attendee? Attendee Information: Billing Information: Name �,A Y )'e Company Name: co c L.. W e'r Title (!a^1 CJ Pe,,A�0/,1 Billing Contacty"r." /IW__11 V P mk t Guest's name;if attending Address L-,`J V� -a� s-r` Address M—o 3 �T City SL� Zip City 0.0--d Sl T�-Zlp d 7 Telephone Tetephone ln-7 7-7-D!2OFax �1��1'�3'�.v s� � �-�yeFax E-mail'd`—='fi '-e9 rr," ) c ,e_1, \A), 6 6 J E-mail invoice fi I will be submitting contact hours for- <\,Zg �1 EU l QY'rneAt in• (::)61,/(::)61,/fl acPlease print eady Water Wastewater ❑ Well Drillors/Purnp Installers❑ Engineer PDHs ❑ None 0 Purchase Order# 16 a 3( 4 MONDAY SESSIONS IRWA Member Non-Member Well Drillers&Pump Installers-Part 1 & 2 (8:30a-4:00p) D $60,00 ❑$120,00 $ Utility Board Members& Managers- (9:00a -4:00p) 11 $60.00 ❑$120.00 $ NetDMR Workshop-(10:00a-Noon) ❑ $20.00 13$40.00 $ Water Technical Sessions-(1:00p-5:00p) ❑$40.00 ❑ $80.00 $ ;; Wastewater Technical Sessions-(1:00p-5:00p) 0 $40.00 ❑$80.00 $ c m TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member .Tuesday& Wednesday ❑ $1o0.-Gu ❑ $200,00 $ ❑ General/Technical Sessions ❑ Boards& Managers ❑ Utility Business Forum a G y Tuesd NLY $60.00 ❑ $120.00 $ � b General/Technical Sessions ❑ Board &Managers ❑ Utility Business Forum Wednesday ONLY ❑ $40.00 ❑ $80.00 $ ❑ General/Technical Sessions MEALS $ Monday Lunch Tuesday lunch Tuesday Reception Attendee ❑ $19.00 Attendee $19.00 Attendee ❑ $No Fee Guest ❑ $19.00 Guest 11 $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 attendl entitled to(1)COMPLIMENTARY Monday Lunch entitled to(1)COMPLIMENTARY Tuesday Lunch MARILYN GAMBOLD EDUCATION FUND DONATION (MGEF) $ _ Mon $ + Tues/Wed $lam DC+- Lunch $ + MGEF $ — Mall-IRWA E-MAIL: ill us 0 Credit Card O Pay on Site PO Box 242 Maylane@lndlanaruralwater,or, 11 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:866-8954792 E-mail:. MaryJane@Jndlanaruralwater.org 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 ZIONSVILLE, IN 46077-0242 Due Date 12/9/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/9/2014 2014-02989 $414.00 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 VOUCHER # 142479 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 PO# INV# ACCT# AMOUNT Audit Trail Code 2014-02989 01-6040-03 $158.00 2014-02989 01-6040-05 $256.00 Voucher Total $414.00 Cost distribution ledger classification if claim paid under vehicle highway fund