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HomeMy WebLinkAbout257943 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 00351464 ® tai•: ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC CHECK AMOUNT: $******`474.00• =4; CARMEL, INDIANA 46032 PO Box 242 CHECK NUMBER: 257943 ZIONSVILLE IN 46077-0242 CHECK DATE: 04/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 16-06118 474.00 OTHER EXPENSES 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 4/11/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/11/2016 16-06118 $474.00 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# 161180 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 16-06118 01-6040-03 $474.00 Voucher Total $474.00 Cost distribution ledger classification if claim paid under vehicle highway fund i< LEGISTRATION FORM - IRWA Sprinq Conference -April 18-20, 2016 Please print or type one form for EACH ATTENDEE! AttendX49 formatioonn: Billing Information: Name / 7 �C) J r�2�t"tr�..p�,� �J� Company Name: �L rylel Title Billing Contact re-t-" Guest's name; if attending Address 44115 F /j�L t-K 5 AddressC -I (,cJ City ��I�r�g.� Std Zip �?�S City A a J St.l: % Zip Telephone Fax Telephone J l �- j E-mail Fax-5l 2-7S'5-7�a" will be submitting contact hours for- E-mailinvoice i�IM�I-r4nTV Wate643 Wastewater ❑ Well Drillers/Pump Installers❑ Please punt clearly Engineer PDHs ❑ None ❑ Purchase Order# Y-1 q 5t LR - MONDAY SESSIONS IRWA Member Non-Member Operating Under Emergency Conditions(8:00a-11:00) ❑ $30.00 ❑$60.00 $ NetDMR Workshop-(9:00a-Noon) 11 $30.00 ❑$60.00 $ Well Drillers&Pump Installers-Part 1&2 (9:00a-4:00) 13$60.00 ❑$120.00 $ Water Operator Certification Test Refresher-(9:00a-4:00) 13 $60.00 ❑$120.00 $ Accurate NPDES Monitoring(10:00a-Noon) ❑$20.00 ❑$40.00 $ CU Revised Total Coliform Rule(1:00a-5:00) 13$40.00 ❑$80.00 $ 0. Wastewater Technical Sessions-(1:00p-5:00) 13$40.00 ❑$80.00 $ c a TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member Tuesday& Wednesday ❑ $100.00 ❑ $200.00 $ ❑ Technical/General Sessions ❑ Utility Business Forum ® Tuesday ONLY ,R $60.00 ❑ $120.00 $ b C) Technical/General Sessions ❑ Utility Business Forum U Wednesday ONLY ❑ $40.00 ❑ $80.00 $ ❑ Technical/General Sessions r o J NOTE: One BOARD MEMBER or MAYOR per system is entitled to(1)COMPLIMENTARY Monday or Tuesday Lunch MEALS $ l Monday Lunch Tuesday Lunch Tuesday Reception Attendee ❑ $19.00 Attendee A $19.00 Attendee ❑ $ No Fee Guest ❑ $19.00 Guest ❑ $19.00 Guest ❑ $ No Fee GAMBOLD EDUCATION FUND DONATION (GEF) $ Mon $ + Tues/Wed $6J�)— + Lunch $J`�.—+ GEF $ $ �, MAIL:IRWA E-MAIL: BIII us PO Box 242 MaryJane@indianaruralwater.org Zionsville,IN 46077-0242 FAX. 855-202-7298 ❑ Credit Card E-mail cc receipt. - We welcome registrations on-site Visa MC Discover Am Exp Please submit cancellation requests in writing. # Exp.: _ No refunds after April 15,2016. NAME ON CARD: Security: Questions- MaryJane Peters SIGNATURE Billing Zip Code: Telephone:866-895-4792 E-mail. MaryJane@indianaruralwater.org �.:- ;� !� / /r--Ss /; may, / sf" -- ! N r ti .i/ s r r � �J N /js _,• F S3J rS,,.-fid :VYo.4 /Y'/....�. ✓,J:Y;. Y. rTf i / ...{.'.t'> / /sM1P.S-, ..�. .isl, J J, G. �/ .r� V REGISTRATION FORM - IRWA S yin Conference -A ail 18-20 2016 Please print or type one form for EACH ATTENDEE! Attendee Information: Billing Information: Name C lf ,d j A -j Company Name: 06, Y/ M y Title T_ 1 'e_C+r"CA f ,50P. ` Irk Guest's name; if attending Billing Contact 1 Address `$�'( 1 �° �n a-�— Address J citySt.Do Zip City l .1 i/Y?gj St iff Zip Telephone Fax Telephone 317 E-mail Fax 30- 2 I will be submitting contact hours for- E-mail invoicEK[Daoar,l��(,�'►r me-1, %j'�_ 13 WaterAk Wastewater Well Drillers/Pump Installers E3easleast i�rint clearly Engineer PDHs ❑ None ❑ Purchase Order# l `"r 51 MONDAY SESSIONS IRWA Member Non-Member Operating Under Emergency Conditions (8:00a-11:00) 11$30.00 ❑$60.00 $ NetDMR Workshop-(9:00a-Noon) ❑ $30.00 ❑$60.00 $ Well Drillers&Pump Installers-Part 1&2 (9:00a-4:00) ❑$60.00 ❑ $120.00 $ Water Operator Certification Test Refresher-(9:00a-4:00) 11$60.00 ❑ $120.00 $ Accurate NPDES Monitoring(10:00a- Noon) 11$20.00 ❑$40.00 $ V Revised Total Coliform Rule (1:00a-5:00) 13 $40.00 El$80.00 $ Wastewater Technical Sessions-(1:00p-5:00) 11$40.00 ❑$80.00 $ 2 Q. TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member a Tuesday& Wednesday ❑ $100.00 ❑ $200.00 $ ❑ Technical/General Sessions ❑ Utility Business Forum c�, 0 Tuesday ONLY $60.00 ❑ $120.00 $ Technical/General Sessions ❑ Utility Business Forum U Wednesday ONLY ❑ $40.00 ❑ $80.00 $ ❑ Technical/General Sessions y C, cs NOTE: One BOARD MEMBER or MAYOR persystem is entitled to(1)COMPLIMENTARY Monday or Tuesday Lunch MEALS $ 1 Monday Lunch Tuesday Lunch Tuesday Reception Attendee ❑ $19.00 Attendee $19.00 Attendee ❑ $ No Fee Guest ❑ $19.00 Guest ❑ $19.00 Guest ❑ $No Fee GAMBOLD EDUCATION FUND.DONATION (GEF) $ Mon $ + Tues/Wed $ '—+ Lunch $J� .-�+—GEF $ 7 MAIL:IRWA E-MAIL: !illus PO Box 242 MaryJane@indianaruralwater.org Zionsville,IN 46077-0242 FAX: 855-202-7298 ❑ Credit Card E-mail cc receipt.' — We welcome registrations on-site. Visa MC Discover Am Exp Please submit cancellation requests in writing. # Exp.: _ No refunds after April 15,2016. NAME ON CARD: Security: Questions- MaryJane Peters Telephone:866-895-4792 SIGNATURE Billing Zip Code: E-mail: MaryJane@indianaruralwater.org �� {...4r,'t';�r 6.:r'�,..: F; ..u...^rx ;viS, ,.vr✓ a �y_ ? ,'.1 / ' _ e r 7 ,T _ .REGISTRATIORI �ORI�i11 - IRI�VA Splinq Confelrence -Ap�'il 1�-20, 2016 Please print or type one form for EACH ATTENDEE! Attendee Information: /1B,.i�l,ling Information: Name `1 C 6A�( IQ ` - Company Name: L�JI-�1n�� �C Title Billing Contact �r-trl Loup a _Ll Guest's name; if attending Address ��5 - Address ��� , 1yj City Sr-lak) Zip City co-fM-r1 S �t� Zip 4(,r)-74 Telephone Fax Telephone 31 j 7- 75 3 E-mail Fax 3 17- 7 -S ^ I will be submitting contact hours for- E-mail invoice K bu acLLl �rh.. • v Water X Wastewater ❑ Well Drillers/Pump Installers❑ Please print clearly Engineer PDHs ❑ None ❑ U `-G 5 I Purchase Order# MONDAY SESSIONS IRWA Member Non-Member Operating Under Emergency Conditions (8:00a-11:00) ❑$30.00 11$60.00 $ NetDMR Workshop-(9:00a-Noon) 11$30.00 ❑$60.00 $ Well Drillers&Pump Installers-Part 1&2 (9:00a-4:00) 13$60.00 ❑$120.00 $ Water Operator Certification Test Refresher-(9:00a-4:00) ❑$60.00 11$120.00 $ Accurate NPDES Monitoring(10:00a-Noon) ❑$20.00 11$40.00 $ V Revised Total Coliform Rule (1:00a-5:00) ❑ $40.00 11$80.00 $ Wastewater Technical Sessions-(1:00p-5:00) ❑$40.00 11$80.00 $ C M a TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member 0 Tuesday&Wednesday ❑ $100.00 ❑ $200.00 $ 21 ,o ❑ Technical/General Sessions ❑ Utility Business Forum 51 Tuesday ONLYo $60.00 ❑ $120.00 Technical/General Sessions ❑ Utility Business Forum u Wednesday ONLY ❑ $40.00 ❑ $80.00 $ ❑ Technical/General Sessions NOTE: One BOARD MEMBER or MAYOR persystem is entitled to(1)COMPLIMENTARY Monday or Tuesday Lunch 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 GAMBOLD EDUCATION FUND DONATION (GEF) $ Mon $ + Tues/Wed $-C,:: Lunch $ + GEF $ -� $ MAIL:IRWA E-MAIL: ill uS PO Box 242 MaryJane@indianaruralwater.org Zionsville,IN 46077-0242 FAX: 855-202-7298 ❑ Credit Card E-mail cc receipt.' - We welcome registrations on-site. •- Visa MC Discover Am Exp Please submit cancellation requests in writing. # Exp.: _ No refunds after April 15,2016. NAME ON CARD: Security: Questions- MaryJane Peters SIGNATURE Billing Zip Code: Telephone:866-895-4792 E-mail., MaryJane@indianaruralwater.org y.r S(3}<,s's"•. � �;;Stwd rt,+'..+ �r.�.!.�"{ iyr� �i'� % �y`Fzz'�dtN�.r�� F �. ff 7?l"'"`•'` ��" "Ee- ��.Y:��' ,> �° y SE,v-.7' L.{-: T ,mom '" ���I ,.:.ri5:'ub�i fa�3'�✓' �i t� yr,�'s��� w' ��. /Y.a,„l"� �/N '� �� t,� x£�� Y a ="r`' 4 `tY"� l V .`�' a . � �"rp'l'r. �l�^ ' � ",•s5?7 �t'..-',��, ,?�`=".r, k!s� ���,�� ti;� _,-$, � f�i��` .��.�5/a,��a., fJ.;'r.; .REGISTRATION FORM - IRWA Spring Conference -April 18-20, 2016 Please print or type one form for EACH ATTENDEE! Attendee Information: _ Billing Information: Name h A oo%"-C/l S,P n�b'A) S Y`r�el �A a`1 _ 4- Company Name: f` —� Title ()p' rA` ok '` Billing Contact 4 l Aprlr I Guest's name; if attending �r1 Address 5E I ()(o` "h- j+— Address (fir City a��, StTsi Zip 4(A City��_r'm e- sXQ Zip `t- _ —'t Telephone Fax Telephone , C-7- 7 E-mail Fax I will be submitting contact hours for- E-mail invoicelav� 1 WaterA Wastewater ❑ Well Drillers/Pump Installers❑ Please pril7ftleady Engineer PDHs ❑ None ❑ Purchase Order# 41 MONDAY SESSIONS IRWA Member Non-Member Operating Under Emergency Conditions (8:00a-11:00) 13 $30.00 ❑$60.00 $ NetDMR Workshop-(9:00a- Noon) 11 $30.00 ❑$60.00 $ Well Drillers& Pump Installers- Part 1&2(9:00a-4:00) 11$60.00 ❑$120.00 $ Water Operator Certification Test Refresher-(9:00a-4:00) ❑ $60.00 ❑ $120.00 $ Accurate NPDES Monitoring(10:00a-Noon) ❑ $20.00 11 $40.00 $ V Revised Total Coliform Rule (1:00a-5:00) 11 $40.00 ❑$80.00 $ Wastewater Technical Sessions-(1:00p-5:00) 11$40.00 ❑$80.00 $ c a TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member Tuesday& Wednesday ❑ $100.00 ❑ $200.00 $ 21 'R ❑ Technical/General Sessions ❑ Utility Business Forum fav M TuesdaltONLY $60.00 ❑ $120.00 $ P, Technical/General Sessions ❑ Utility Business Forum Wednesday ONLY ❑ $40.00 ❑ $80.00 $ ❑ Technical/General Sessions NOTE: One BOARD MEMBER or MAYOR per system is entitled to(1)COMPLIMENTARY Monday or Tuesday Lunch MEALS $�� Monday Lunch Tuesday Lunch Tuesday Reception Attendee ❑ $19.00 Attendee 1 $19.00 Attendee ❑ $ No Fee Guest ❑ $19.00 Guest ❑ $19.00 Guest ❑ $ No Fee GAMBOLD EDUCATION FUND DONATION (GEF) $ Mon $ + Tues/Wed $4e6,�'+ Lunch $ f�:--+ GEF $ ---- _ $ MAIL:IRWA E-MAIL: BI US PO Box 242 MaryJane@iridianaruralwater.org Zionsville,IN 46077-0242 FAX: 855-202-7298 ❑ Credit Card E-mail cc receipt - We welcome registrations on-site. Visa MC Discover Am Exp Please submit cancellation requests in writing. # Exp.: _ No refunds after April 15,2016. NAME ON CARD: Security: Questions- MaryJane Peters SIGNATURE Billing Zip Code: Telephone:866-895-4792 E-mail: MaryJane@indianaruralwater.org � ,.�" %✓d� r.r�+y.''/Xv�a,.^�x4 � /�,$��.'x�>'�:yr sv�.xf; F's " 4t,� w'i,'r,'3'-u gf F,fi S��r".axF�ay':�s��y-., y - y tr'J'yr x-,✓✓ ..* x. ' f � i5fY.ks' �/•.r,.+ w^,1 ✓JS. U'F //.., 3' 7rr,._ c3"F '° `-f»5„Y�" �t,ax'S s z` m'ilf'Yi+�"e, y� h�.�j fy^k `1"� r. �Jr.2< G. '.!;� .�'so,'�.>'F'c. k.'Sr.'�' .vr�'+y':;,,1; f,_ ,.G��av''' Xu�� c�,ai�,st'x'-'�,#"",1ai°�x; x ''x F .FS�. �.,�i,' 7.•x `'N.. REGISTRATION FORM - IRWA Swinq Conference -April 18-20, 2016 Please print or type one form for EACH ATTENDEE! Attendee Information: Billing Information: Name AIh�P_VJ IS e-� C_arhned Company Name:Title 0 p r rJA_ , Billing Contact i /"n C-by,e Ld Guest's name; if attending Address y 4115 �� �iJ�4 S `� Address �;s ti srW (�I -S-I- .s+ �/ City` y�p(�_St M zip q-[o 7—SC) CitY�Cv►�tz�r�,��_st zip Q'?7� Telephone Fax Telephone E-mail Fax S�> -- © 1�� � I will be submitting contact hours for- E-mail invoice PiN J-P e71A Ur?) 1-Irr"� Water X Wastewater ❑ Well Drillers/Pump Installers❑ Please print early Engineer PDHs ❑ None ❑ Purchase Order# w�'tA MONDAY SESSIONS IRWA Member Non-Member Operating Under Emergency Conditions(8:00a-11:00) ❑$30.00 ❑$60.00 $ NetDMR Workshop-(9:00a-Noon) 13$30.00 ❑$60.00 $ Well Drillers& Pump Installers-Part 1&2 (9:00a-4:00) 11 $60.00 ❑ $120.00 $ Water Operator Certification Test Refresher-(9:00a-4:00) ❑ $60.00 ❑$120.00 $ Accurate NPDES Monitoring(10:00a-Noon) ❑ $20.00 11$40.00 $ Revised Total Coliform Rule (1:00a-5:00) ❑ $40.00 11$80.00 $ ° Wastewater Technical Sessions-(1:00p-5:00) 11$40.00 ❑$80.00 $ 0 c �a Q. TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member 0, Tuesday& Wednesday ❑ $100.00 ❑ $200.00 $ co ❑ Technical/General Sessions ❑ Utility Business Forum �O M Tuesday ONLY C $60.00 ❑ $120.00 $�� JX Technical/General Sessions ❑ Utility Business Forum U Wednesday ONLY ❑ $40.00 ❑ $80.00 $ ❑ Technical/General Sessions d NOTE: One BOARD MEMBER or MAYOR per system is entitled to(1)COMPLIMENTARY Monday or Tuesday Lunch MEALS $� Monday Lunch Tuesday Lunch Tuesday Reception Attendee ❑ $19.00 Attendee a $19.00 Attendee ❑ $ No Fee Guest ❑ $19.00 Guest ❑ $19.00 Guest ❑ $ No Fee GAMBOLD EDUCATION FUND DONATION (GEF) $ Mon $ + Tues/Wed $ r + Lunch $ ! GEF $ �1 = $ � MAIL:IRWA E-MAIL: ill us PO Box 242 Marylane@indianaruralwater.org Zionsville,IN 46077-0242 FAX. 855-202-7298 ❑ . Credit Card E-mail cc receipt - We welcome registrations on-site. Visa MC Discover Am Exp Please submit cancellation requests in writing. P• # Ex No refunds after April 15,2016. NAME ON CARD: Security: Questions- MaryJane Peters Telephone:866-895-4792 SIGNATURE Billing Zip Code: E-mail., MaryJane@indianaruralwafer.org V REGISTRATION FORM - IRWA Sprinq Conference -April 18-20, 2016 / Please print or type one form for EACH ATTENDEE! Attendee Inform tion: Billing Info tion: Name d IM 1 ® t Company Name:. Title M_^W Y=E UJ A A C La d GI-1A ling Contact Guest's name; if attending Cdress &1f (__) �c�C �� J --� l Address L(ql pfi�A I City:Zi�� St Zip City Cax-ic� Stoma Zip 4G 02 Telephone Fax Telephone Z_� E-mail Fax L S I will be submittingcontact hours for- 1 l ` E-mail invoice Water ❑ Wastewater ❑ Well Drillers/Pump InstallersA Please p t clearly Engineer PDHs ❑ None ❑ Purchase Order# q MONDAY SESSIONS IRWA Member Non-Member Operating Under Emergency Conditions(8:00a- 11:00) ❑ $30.00 ❑$60.00 $ NetDMR Workshop-(9:00a- Noon) ❑$30.00 13$60.00 $ vs Well Drillers& Pump Installers- Part 1&2 (9:00a-4:00) 9$60.00 ❑$120.00 $ Water Operator Certification Test Refresher-(9:00a-4:00) 13 $60.00 ❑$120.00 $ 6 Accurate NPDES Monitoring(10:00a- Noon) 11 $20.00 ❑$40.00 $ V Revised Total Coliform Rule (1:00a-5:00) 11 $40.00 ❑$80.00 $ CO ° 0 Wastewater Technical Sessions-(1:00p-5:00) 13 $40.00 ❑$80.00 $ C M EL TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member 0, Tuesday& Wednesday 11 $100.00 ❑ $200.00 $ ❑ Technical/General Sessions ❑ Utility Business Forum ® Tuesday ONLY ❑ $60.00 ❑ $120.00 $ ❑ Technical/General Sessions ❑ Utility Business Forum U Wednesday ONLY ❑ $40.00 ❑ $80.00 $ ❑ Technical/General Sessions j NOTE. One BOARD MEMBER or MAYOR per system is entitled to(1)COMPLIMENTARY Monday or Tuesday Lunch MEALS $ Monday Lunch Tuesday Lunch Tuesday Reception Attendee A $19.00 Attendee ❑ $19.00 Attendee ❑ $ No Fee Guest 13 $19.00 Guest ❑ $19.00 Guest ❑ $ No Fee GAMBOLD EDUCATION FUND DONATION (GEF) $�— Mon $ + Tues/Wed $ + Lunch $ CO& + GEF $ �'_ $ -29,e50 MAIL:IRWA E-MAIL: BIII uS PO Box 242 MaryJane@ in did naruralwater.org Zionsville,IN 46077-0242 FAX: 855-202-7298 ❑ Credit Card E-mail cc receipt.' – We welcome registrations on-site. Visa MC Discover Am Exp - Please submit cancellation requests in writing. # Exp.: - No refunds after April 15,2016. NAME ON CARD: Security: Questions- MaryJane Peters Telephone:866-895-4792 SIGNATURE Billing Zip Code: E-mail: MaryJane@indianaruralwater.org Remit To: Indiana .Rural Water Association PO Box 242 Zionsville,IN 46077-0242 ATTN. ACCOUNTS PAYABLE Invoice BILL TO City of Carmel DATE INVOICE NO. 3450 W 131 st. St. 4/9/2016 16-06118 Carmel, TN 460747 ------------------------------------------ I IRWA is proud to be funded solely by 1 membership dues and registration fees 1 1 with no federal government assistance. ' Membership Renewal Date T 2/17%2017 Questions? iMaryJane Peters,Administrative Director MaryJate!