HomeMy WebLinkAbout255849 03/01/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351464
ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC CHECK AMOUNT: $*******370.00*
CARMEL, INDIANA 46032 PO BOX 242 CHECK Z ONSVIL E IN 46077-0242 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 16057 370.00 OTHER EXPENSES
Indiana Rural Water Association
Serving professionals in the water industry since 1968
Main Office
P.O.Bax 242;Zionsville,IN 46077
866-895-4792-Office;855-202-7298-Fax
www.indianaruralwaler.org
1VIEMBERSH"I'P, INVOICE
Invoice: 16057 ;
Date: January 24,-,2016 : Amouni'Due: $370
. ,
To: Jai=11 Fpr Period 2/17/2016'to 2/17/2017
CaDept. Prior payment:2/10/
3450W131stSt.; Ck# 242008 Amt.P d $370
Carmel,IN 46074
-- From Odetta Cadwell,uecutive Director
Indiana ft ral„Water A�sociatloh . t yv k t f41; i{ l
x i l pub sst?�u,}.,,-}r .d ..,,y�5. . 1:�,. t,J.,. d..1Gr,r�, rJ.i. ..�..j t':; �Y.a-• xm-.1.a'.,-.M.:, —.:s y... .M
Enclosed you will find information regarding membership. Please make changes as necessary to the information listed
below and return with membership dues.
r-------------------
NOTE-ALL
------------------NOTE-ALL MEMBERS. If others 1
Company Name: Carmel Water Dept. i from your organization would
Contact: Jaimie Foreman like to receive information on
E-Mail: jforeman@carmel.in.gov IRWA events,please indicate
Website: names and e-mail addresses.on
Addressl: 3450 W 131st St. the back. l
1 1
Addressl: i NOTE-ASSOC/ATE MEMBERS.
City,St,Zip: Carmel,IN 46074 Please include a brief company
Office Telephone: 317-571-4144 1 description on the back. In
Cell: 317-571-4140 addition to your company's web
Office Fax: 317-379-3115 link,we will include your i
1 description on IRWA's website.
#of Meters(or Population served): Please update t---------------------
Thank you for your membership! You and your organization are an important part of the Indiana Rural Water
Association and we look forward to your continued support!
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.�_-..;ANNUAL'MEJVI6ERSF)'l'kDL1ES`..=.; ,[.;_.
e jz 1 1 t f- IRWA`
r Water&Wastewater Ufihties f PO Box 242
Number of MetersIn opera ion Non-Community Water sy3tem5$80
Zionsville,IN 46077-0242
(orapproximatepopulgtionserved)
1-300 meters $80
Associate Members(Vendors) $270 Fax: 855-202-7298
(approx.3 to 750 population)
301-600 meters $110 Combined Membership $650
Paying by Credit Card:
(approx.751 to 1500 population)
Corporate with Multiple Facilities-
601-1000 meters $160 Call IRWA office to check applicability
(approx.1501-2500 population) Visa_ MC_ Discover_ Amer Exp
1001-1500 meters $220 #
(approx.2501-3750 population)
1501-3000 meters $270
(approx.3751-7500 population) Exp.:_-_ Security:
3001 meters and above $370
(approx.7501 population and above) NAME ON CARD:
SIGNATURE:
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 2/8/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/2016 16057 $370.00
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
.2 A114 ' ✓Vti iQLo� c
Date Officer