HomeMy WebLinkAbout257812 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 00350188
u® I ONE CIVIC SQUARE AMERICAN WATERWORKS ASSOCIATIWCK AMOUNT: $*******795.00*
,• �� CARMEL, INDIANA 46032 6666 W QUINCY AVE CHECK NUMBER: 257812
Ytp�TON_�. DENVER CO 80235 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 JUNE2016 795.00 OTHER EXPENSES
VOUCHER # 161182 WARRANT# ALLOWED
155109 IN SUM OF $
AWWA*
Dept 0064
Denver, CO 80256
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
JUNE 2016 01-6040-05 $795.00
Voucher Total $795.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 4/11/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/11/2016 JUNE 2016 $795.00
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
f
Date Officer
2016,Annualt6riference&.Ex-position American Water Works Association
June 19-22 Chicago,dL:. - REGISTRATION FORM 6666.West Quincy Ave Denver;.CO 80235,USA
www.awwa.org/acel6' 800.926333 .or 303.7.94.7711
Individual Membership# or Company Membershipp#
F!rst Name .S CO✓eN . MI L. Last Name ecpoK
Company/Organization C,¢P M e G (..W4 Ter Title LJaTer
Mailing Address 3y.s0 W. 1.3/"r ST re eT- City: �'ArP7 e L
State/Province ,7--wJ• Country ZIP/Postal Code
Primary Phonei7� � 7 �—.3`1/3. ❑ Home Work E-mail -SCK&eA rrrG[ div, aoi/
Is this a change.of address for your AWWA Membership? EI-YES ❑ NO
If you require any special.ADA:accommodations to fully participate,provide'-phone#or email address.
Registration.Category Super-Saver•Rate' Standard.Rate -
On or before April 9-June 3,2016:
April 8,2016 . After.June 3 increased onsite rates will apply
Please Circle One
Member Nonmember Member Nonmember
A Full Conference $795 $995 $995 $1,195
I Field Operator(Full Conference) 695 $895. . . . $895 $1,095
-PF---- _ -Professors
$695 -$895 $895' $1,095
B One Day Only $465 $665 $665 $865
W Field Operator's Day(Tuesday) $125 $155 $125 .$155 .
U Smaller Utilities Program(Wednesday) $125 $155 : $125 .$155.
G_ Exhibits Only.(not exhibitors) $95 . $95 $145 $145
GF Utility/Municipality Exhibits Only NEW! : . Pre-Registration Only - No Fee .- Eligibility will be verified
GWF Wastewater Utility Exhibits Only NEW! Pre-Registration Only _ - No Fee Eligibility will be verified
H
Student(ID required) $75 $7. 5 ;- :: $75
Pre-Conference 1NOrkshops These'are optional and an additional cost.You must be registered in one of the above categories to purchase workshops.
Please Circle One Member Nonmember Student
SUN01 Addressing Algal Activity:Measuring and Responding to Water Quality Impacts $125 $225 $60
SUN02 Water Loss Control:From Audits to Action :$125 $225 $60
SUN03 Water Main Rehabilitation:Materials,Lessons Learned,and Demonstrations $125 $225 $60
SUN04 Preparation and Application of Real-Time Distribution System Hydraulic Models $125 $225 $60.
SUN05 Advanced Pipeline Asset Management:Mining and Collecting the"Right Data" $125: $225 $60
SUN06. Tools for.Understanding'and Anticipating WaterQuality from Groundwater Wells $95 $195 $30
.Public Officials Courses These are optional and an:additional cost.You must'be registered for,th6 conference in one of:the'above categories to
purchase.courses.Public'Officials Only. .
CRT1 Introduction to Water and Sewer Operating Environments $95 . $195 N/A
CRT2 Water and Sewer Infrastructure,Operations,and Maintenance $95 $195 N/A
CRT3 Making the;Hard:Decisions $95 $195 N/A
CRT4 All Three Courses:Attendees earn an AWWA Public Officials Certificate
$285.:.. $585 N/A
Facility TOUrS These are optional and an additional cost.Limited capacity.You must be:registered for the conference in one of the above categories to
purchase tours.
T1(TUE) Jardine Water Purification Plant $55
T2(TUE). Highland Park Water Treatment:Park
T3(TUE). e d SOLD:OUT : $55:
T4(TUE) SOLD OUT
$55
T5(WED) MWRD Stickney Water Reclamation Plant Tour 1 $55
T6(WED) Main Stream Pumping Station. $55:
T7(WED) Evanston Water Treatment Plant $55:
T8(WED) MWRD Stickney Water Reclamation Plant Tour 2 $55
Ticketed Events These are optional and an additional cost(if indicated). ... Qty Price Total-
9 MON) FirsVTime Attendee Breakfast/Program NC �CJ
T10(TUE) I Student/Young;Professionals Scavenger Hunt NC
T11(TUE) Public Officials Breakfast and Caucus NC
T12(TUE): Water.lndustry Luncheon $60
T13(WED) Fuller.Breakfast $40
T14(WED) AAEES/AIDIS/AWWALuncheon $50
n �Ii (Please complete both sides)
1 �
Page.2'Registration.Form . Registrant Name: . "S7 V'e#0. . . .
Spouse/Guest Registration Qty 'f Price Total #'sr
SA- Spouse/Guest. $20
Name:. . .
Name:; .
What one business-activity best describes'your company? (Please circle only one-Required.)
A. Public Water.Supply Utility—:. E. Contractor ; J. Fully Retired
Municipall}r Owned F. Private Industrial System or Water Wholesaler K. Research Lab,Libraries and other
related organizations:
B. Public Water Supply Utility—Investor Owned. G.:Manufacturer of Equipment&Supplies
:.. .. :.
C. Government—Fedf.
eral,"State,Local .: H. Distributor &Supplies Pu i
e )
L " blit Official
M Oth r(please specify
D. Consulting Firm I. Educational:lnstitutions(Faculty&Students)
What one category best describes your job title? (Pleasecircle_only one—Required.):
A. " Executive(General Manager,:Commissioner,Board Member,City Manager,Municipal Superintendent,Mayor,;President,Vice President;
Owner,Partner,Di rector,"etc.)
�B. J Management/Non Engineering(Division Head,Section Head,Manager,-Department Head,Comptroller,etc.)
Cw Design and Engineering/Both;Managerial and'Non-Managerial"(Chief Engineer,Civil,Mechanical,"Electrical,;Environmental"or Field Engi
neer,.Planning Manager,System Designer,etc.)
D. Scientific/Non:Managerial(Chemist;Biologist,Biophysicist,Researcher,Analyst,etc.)
E. Purchasing(Purchasing Agent,Procurement'Specialist,Buyer,etc.)
Operations(Foreman.Opera tor;'Maintenance Crewman;Service Representative;etc.)
G. Marketing&Sales/Noh-Managerial(Market Analyst,Marketing Representative,Salesperson;Sales Representative,etc.)
H. Professorial(Educator,Teacher,etc.)
I: Other"(please specify)
What one category best describes your field:served rinci pal acti.vit Please circleeonl one—Required.)
Potable:Water Su ly Onl
C.Both Potable Water Supply&Wastewater E.Reuse;
B.Wastewater Only D.Stormwater Only F.Other(please-specify)
:Are you a first-time attendee? YES: ❑NO
Would:you like to be involved with AWWA Committees? ❑YES XNO :0 Already Involved:-
'What type of prod ucts-or services are you coming to our exhibit hall to see?
Total/Method of Payment: AWWA Federal Tax ID#13-5660277
Total Amount Due: $ �
eck .ETAmerican Express " ❑:Discover ❑ MasterCard _❑Visa ❑Government PO
Card#: Ex 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 cancella-
Aions are not accepted.All cancellations postmarked/fax-dated by 04/10/16 will receive a refund;minus a 25%administrative fee:Beginning
on04/11/16,cancellations will not be refunded;however,substitute registrants are welcome.Fax requests.for substitutions or cancellations to
303.347.0804 or:email ee ounsren@awwa.ora.
This form is not valid for on=site registration or exhibitor registration.,