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Home My WebLink About305589 11/28/16 Coq . CITY OF CARMEL, INDIANA VENDOR: 00351464 jg® ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC CHECK AMOUNT: $*******158.00* ,• ?� CARMEL, INDIANA 46032 PO aox 242 CHECK NUMBER: 305589 ZIONSVILLE IN 46077-0242 CHECK DATE: 11128/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 16-07104 79.00 OTHER EXPENSES 601 5023990 16-07141 79.00 OTHER EXPENSES VOUCHER# 163395 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 16-07141 01-6040-05 79.00 C � ry.� i IlZ2�G Voucher Total 79.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 131st. St. 11/18/2016 16-07141 Carmel, IN 4607471------------------------------------------ IRWA is proud to be funded solely by membership dues and registration fees with no federal government assistance.------------------------------------------ ; 1 Membership Renewal Date 2/17/2017 Questions? MaryJane Peters,Administrative Director MaryJane@indianaruralwater.org Telephone-866-895-4792 P.O. No. TERMS Fax-855-202-7298 K1-111816 Due on receipt DESCRIPTION AMOUNT IRWA Water Institute, Clarion Hotel &Conference Center, Columbus, IN - December 5-7, 2016 Tuesday Only- Donald Simpson 60.00 Meals: ML();TL (1) 19.00 11/18/2016 E-mail r na 1 Subtotal $79.00 Payments/Credits $0.00 Balance Due $79.00 REGISTRATION FORM - IRWA Water Institute - December 5 - 7. 2016 Please print or type one form for EACH ATTENDEE! Attendee Information: Billing Information: , ' Name ;Q-1A.0 I d S t .'ea 5 0 Company Name: C l� D Call- ,"i Title (� 5�y� 6wTc�^ Iayd.eG7o`� Billing Contact KL��'t LbV 4-Lk Guest's name; if attending Address Address'13'1T1.`9•G31 S Tr i City Cj9_krY7e_L St-Z S Zip -1. City C,,,wx( St .L�t Zip Telephone Telephone3/`� 7/G 3Sy� Fax 3 l •� 3 - .� 3 Fax E-mail E-mail invoice_14h>Qe_G l CCLk .Zi2. 161' I will be submitting contact hours for- Please print cearly Water L9' Wastewater 13 Well Drillers/Pump Installers❑ Purchase.Order# Engineer PDHs ❑ None ❑ MONDAY SESSIONS IRWA Member Non-Member Preventative Maintenance/:CUPPS (8:00a=Noon) ❑ $40:00 11 $80.00 $ Well Drillers&Pump Installers-Part 1.&2 (9:00a-4:00) ❑ $60.00 .11$120.00 $ Utility Board Members/Managers-(9:00a -4:00) ❑ $60.00 ❑$120.00 $ Revised Total Coliform Rule Level 2 Assessment(1:00p-5:00) ❑ $40:00 ❑$80.00 $ 6 Wastewater Technical Sessions-(1:00p-5:00) ❑ $40.00 ❑$80.00 $ d TUESDAY&WEDNESDAY SESSIONS IRWA Member Non-Member ° Tuesday& Wednesday ❑ $100.00 ❑ $200.00 $ M ❑ Technical/General Sessions ❑ Utility Business Forum CL ;, Tues a ONLY $60.00 El $120.00 $ �C/' 0 C) M Tech nical/General Sessions ❑ Utility Business Forum Wednesday ONLY ❑ $40.00 ❑ $80.00. $ ❑ Technical/General 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 attendi entitled to(1)COMPLIMENTARY Monday Lunch entitled to(1)COMPLIMENTARY Tuesday Lunch GAMBOLD EDUCATION FUND DONATION (MGEF) $ �1 Mon $ N**� + Tues/Wed $� + Lunch $ + MGEF $ _ $ ZQ. MAIL:IRWA E-MAIL: FAX: IZ—Bill us PO Box 242 Zionsville,IN 46077-0242 MaryJane@indianaruralwater.org 855-202-7298 ❑ Credit Card E-mail cc receipt: - We welcome registrations on-site. Visa MC Discover AmExp Please submit cancellation requests in writing. # Exp.: No refunds after December 2,2016. NAME ON CARD: Security: Questions- MaryJane Peters Telephone:866-895-4792 SIGNATURE Billing Zip Code: E-mail. MaryJane@indianaruralwater.org VOUCHER# 163314 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 16-07104 01-6040-05 79.00 Voucher Total 79.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 131st. St. 11/15/2016 16-07104 Carmel, IN 460747 ------------------------------------------- IRWA is proud to be funded solely by membership dues and registration fees with no federal government assistance. l -----------------------------------------J1 Membership Renewal Date 2/17/2017 Questions? MaryJane Peters,Administrative Director MaryJane@indianaruralwater.org Telephone-866-895-4792 P.O. No. TERMS Fax-855-202-7298 K1-2016 Due on receipt DESCRIPTION AMOUNT IRWA Water Institute, Clarion Hotel &Conference Center, Columbus, IN - December 5-7, 2016 Monday, Well Drillers & Pump Installers- Brett Ransford 60.00 Meals: ML(1);TL () 19.00 rn Subtotal $79.00 Payments/Credits $0.00 Balance Due $79.00 Look for the Windmillljjqjt-qjjt�jjjIfq Ty Indiana Rural Water Association presents 1 IDNR 2016 EDUCATIONAL TOUR RESERVE YOUR for PLACE TODAY!! Well Drillers, Pump Installers, and Water Operators .......................................................................................................................................s Register on-Line FEES, TIME and LOCATION: www.indianaruralwater.org E-mail Registration fees: IRWA Member—$60.00 • Non-Member —$120.00 MaryJane Time: 9:00am-4:00pm(local time) @indianaruralwater.org (Registration begins at 8:OOa—Workshop starts promptly at 9:O0am) Fax Dates and Locations: 855-202-7298 December 5,2016 Clarion Hotel&Conference Center Mail 2480 Jonathan Moore Pike; Columbus, IN 47201 IRWA :Notes: Lunch buffet available for$19.00 PO Box 242 This program will be held as part of Indiana Rural Water Association's 2016 Water Institute Zionsville, IN 46077 :. .... ................................................................................................................ ....� ... .... .... .... -Questions?? - - - - 866-895-4792 •...e..........................................••.•.................................. RESERVE YOUR REGISTRATION Fax Or PLACE TODAY.. mail Coda ! WELL DRILLERS & PUMP INSTALLERS INDIANA RURAL Date: December 5,2016 Location: Clarion Conference Center;Columbus,IN '"� WATER System/Company Name �i ("!4'/ ASSOCIATION /� Representative �� (��STb�Y� Position 7,-Z,A f Iry r MaryJane Peters, (Ple;se sen n one registration form for each person ttending.) Administrative Director Address �y� 866-8954792—Office 855-202-7298—Fax City/St2ip 11144e-1 County 10!viv�/�i7 MaryJane@lndianaruralwater.org Odetta Cadwell,Director Tel(31 7 ) M?- Zjr-y- Fax(317 ) 733- ZO 3 317-402-7349 Registration $ o OdleIRWA@aol.com Membership $ or Lunch $ Odetta@lndianaruralwater.org E-mail O/Y/1,�� (.lat/,1G//.� •QQl� Total Due � $ 131, ❑ Check Enclosed Pay on Site <Bill Us(PO# K.l-�1 ❑ Credit Card CREDIT CARD: Visa MC Discover American Express # Exp.: NAME ON CARD: Security: SIGNATURE Billing Zip Code: