The URL can be used to link to this page

Home My WebLink About248704 08/26/15 o4• CITY OF CARMEL, INDIANA VENDOR: 00353283 ® ONE CIVIC SQUARE AMERICAN WATER WORKS ASSOCIATMCK AMOUNT: S"""'595.00" ,. �Q; CARMEL, INDIANA 46032 PO BOX 972997 CHECK NUMBER: 248704 +M�_6N�o, DALLAS TX 75397-2997 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1153685 595.00 OTHER EXPENSES 0 6666 West Quincy Avenue Denver,CO 80235-3098 ® Inquiries 800.926.7337 American Water Works (outside US 303.794.7711) Fax 303.347.0804 Association E-mail custsvc@awwa.org GST/HST Bus.No.:13183 6744 RT0001 Dedicated to the World's Most Important Resource- #BWNCWZH #02698689 7# Mr. Greg Hollander Water Distribution Manager Carmel Utilities 3450 W 131st St Carmel, IN 46074-8267 INVOICE NUMBER PO NUMBER 2015 Water Infrastructure Conference 0001153685 W09989 10/13/2015 10/16/2015 PRODUCT STATUS RATE QTY. UNITPRICE EXTPRICE ADJUSTMENT LINETOTAL WIC15 Active Daily Rate 1 $0.00 $0.00 $0.00 $0.00 2015 Water Infrastructure Conference Discount applied: Coupon applied: 2015 Water Infrastructure Conference 10/14/2015 10/16/2015 PRODUCT STATUS RATE QTY. UNITPRICE EXTPRICE ADJUSTMENT LINETOTAL A Active Member 1 $595.00 $595.00 $0.00 $595.00 Full Conference Discount applied: Coupon applied: For reference purposes only your order number is 7001062657 Make payment online at www.awwa.org/My Account page to pay this balance due online. WATER INFRASTRUCTURE To register,visit www.awwa:orgi!H20infocon American a Water Works Conference and submit online or-complete this registration form.and Association fax or mail itwith full payment or credit card information. October 13-16, 2015 1 Bethesda, Maryland FAX 3031347.0804 Registration Form p 6666 West Quincy Avenue'Denv6rCO80235-3098 AWWA Member No. Qa(29 D(3'1 L? Individual ❑ Organization Questions?Calk 1.800:926.7337 First Name(FOR BADGE) 1 M.I. Last Name ��A/-) Title ( b. i��-, A--t ) S r 0-1 J' LSTI ;, 71 n4,Ajt4-6 ��— Company or Organization <E_1 T-y cD(= t^y¢aa>7 tse_ Mailing Address !Z® L2 13 k `i r -51— city City 2i L State/Prov. 717/1J Countryt)S/4 ZIP/Postal Code 0 7 Telephone 3 1 7 7 33� Fax 1 -7 3 2�S 3 Email 1-k)!J A 'J b ,sit- (2 Cly/LN/ L Lam' CyIJ Name of Registered Spouse/Guest(extra cost) Registration Check the items below for which you are registering. Member registering Nonmember& on or before 9/15/15 Member registering on Pre-conference Workshops or after 9/76/15 ❑ TUE01—Cost-Effectively Reduce Leakage:The Water Research Foundation's Component Analysis Tool .......... $110...............$210 ❑ TUE02—Geta Grip on Cyber Risks,Start Here............................................................. $110...............$210 ❑ TUE03—Water Distribution System Model Calibration Made Easy(includes lunch). ............................ $195...............$295 ❑ TUE04—Hands-on Development of Asset Management Plans(includes lunch) ................................ $195...............$295 ❑ TUE05—AWWA Pipe Manuals of Practice.................................................................. $110...............$210 ❑ TUE06—Utility Evaluation Tool for Wastewater Renewal/Replacement ....................................... $110...............$210 Technical Sessions and Exposition ;W,A Full-Conference(does not include workshops;does include lunches and Wednesday reception)............ ............$770 El D Wednesday-Only(includes Wednesday lunch and Wednesday reception)..................................$360...............$535 ❑ E Thursday/Friday-Only(includes Thursday lunch)........................................................ $360...............$535 ❑ G Exhibits-Only......................................................................................... $60................$90 ❑ H Student(same as Full-Conference)...................................................................... $60................$90 ❑ P Speaker(40%Discount off of a Full-Conference Registration).............................................$355...............$355 Additional Options ❑ SA Spouse/Guest Registration(includes admittance to Wednesday evening reception).......................... $35................$35 Are you a first time conference attendee?(Required) Yes [�- No ❑ hat one business activity best describes your company?(please circle one—Required) (A,JPublic Water Supply Utility—Municipal B.Public Water Supply Utility—Investor C.Government �� Consulting Firm E.Contractor F.Private Industrial Systems or Water Wholesaler G.Manufacturer of Equipment H.Distributor of Equipment&Supplies I.Educational Institutions J.Fully Retired K.Research Lab L. Public Official M.Other(please specify) What one category best describes your job title?(please circle only one—Required) Executive F. Operations Management/Non-Engineering G.Marketing&Sales/Non-Managerial C.Design and Engineering H.Professional D.Scientific/Non-Managerial I. Other(please specify) E. Purchasing ILVhat one category best describes your field served/principal activity?(please circle only one—Required) Potable Water Supply Only B.Wastewater Only C.Both Potable Water Supply&Wastewater D.Stormwater only E.Reuse F.Other(please specify) What type of products or services are you coming to our exhibit hall/exposition to see? If not currently,would you like to be involved with AWWA Committees? ❑Yes ONo thanks ❑Currently involved nn� If you require special accommodations to fully participate,please provide a phone number or email address and AWWA will contact you. �-O o,(t of Payment: AWWA Federal Tax ID#13-5660277 TOTAL AMOUNT DUE: $ v Government PO ❑ Check ❑ American Express E3 MasterCard 13 Discover El Visa Card#: Exp.Date: Signature: By registering for this event,your contact information may be shared with exhibitors and/or sponsors. Fax this form to 303.347.0804 Cancellation Policy:Cancellations must be received in writing,on company letterhead,and faxed or mailed to AWWA.Phone cancellations are not accepted. All cancellations postmarked/fax-dated by 9/15/15 will receive a refund,minus a 25%administrative fee.Beginning on 9/16/15, cancellations will not be refunded;however,substitute registrants are welcome.Fax requests for substitutions or cancellations to 303.347.0804 or email eyoungren@awwa.org This form Is not valid for on-site registration or Exhibitor registration. 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 155109 AWWA* Purchase Order No. Dept 0064 Terms Denver, CO 80256 Due Date 8/18/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/18/2015 1153685 $595.00 1 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 # 152825 WARRANT # ALLOWED 155109 IN SUM OF $ AW.I� � � - ��e P6&A g -Dqt,ZS- CX Carme@ Dater utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 1153685 01-6040-05 $595.00 r Voucher Total $595.00 Cost distribution ledger classification if claim paid under vehicle highway fund