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HomeMy WebLinkAbout306055 u�c�� `� CITY OF CARMEL, INDIANA VENDOR: 155108 �`" �, CHECK AMOUNT: $"'""""'400.00 ONE CIVIC SQUARE INDIANA SECTION AWWA ?Q: CARMEL, INDIANA 46032 2680 E MAIN ST CHECK NUMBER: 306055 SUITE 106 CHECK DATE: 12/12/16 -'�irpN"�" PLAINFIELD IN 46168 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 COOK/CARPENT 250.00 OTHER EXPENSES 601 5023990 LUPER/SMITH 150.00 OTHER EXPENSES Voucher No. Warrant No. DETAILED ACCOUNTS ACCOUNTS PAYABLE ACCT. `. MUNICIPAL WATER DEPT. No. CARMEL, INDIANA Favor Of E svo $ Total Amount of Voucher i Deductions • 's Amount of Warrant $ 50 C Yr 1MN z. Month of 4 Acct. VOUCHER RECORD No. Source of Su I I Water Treatment . Transmission and Dist. q Customer Accounts Administrative and General ration-Maintenance C t lhiI' Plant in Service r F 4 constr.Work in P ress Materials and Su !as t Customers De sits 't k Total . f Allowed I Board of Control Filed Official Title 1 3 ROYCE FORMS•SYSTEMS 1382-8742 325 a 109th Annual Meeting EMMA SECTION AWWA Marriott Hotel-Indianapolis,IN January 31-February 2,2017 r A L L A T T E N D E E S dutility ❑ Service Provider NAME: Ly Per T M to hael E 4 • (only one name per form) AWWA MEMBER#: b�u� Last First Initial TITLE: 1n�w+e� b'S t r',b v+iu u Fore a"nt ORGANIZATION: CG r`M e—i WoL+e-( ADDRESS: 3q.50 VJ 13iS+ S fi• CITY 1STATE 1ZIP: Carne ( W, g1bo-7y OFFICE TELEPHONE: ( 31-7 ) 7 3 3- 02 S S FAX: ( 31 ^l 3 3 _ a 05-3 EMAIL: M Ly PEllZ Q Cx rrr-el • Irl 5y\/ REGISTRATION FEES The DEADLINE for ADVANCE registration Full conference-member* ❑ Advance:$125 ❑ On-site:$185id Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265 One day-member* X Advance:$100 ❑ On-site: $135 Day: cz- ( — /-7 One day-non-member* ❑ Advance:$195 ❑ On-site: $230 Day: *A$10.00 fee will be charged for all on-site name changes on pre-registration name badges.(Service Providers Only) COMPLRvIENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired (AWWA members only) ❑ Guest(Admittance to receptions only) Name: ❑ First time attendee 1 Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) EARLY BIRD REGISTRATION Monday,Jan.30, 3:00-7:00 p.m. MEALS-Tickets required C9 b ❑Tuesday,Jan.31, 12-noon:Keynote luncheon-$25 lKWednesday, Feb. 1, 12-noon:Awards luncheon-$25 ❑Thursday, Feb.2, 7:30 a.m.: Breakfast-$15 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed:$ ` •b Return this completed form with payment to the address below. G4heck made payable to Indiana Section AWWA is enclosed. (Check no.: ) ❑ Please charge to my: ❑Visa ❑MasterCard ❑American Express ❑ Discover Name as it appears on card: Signature: Billing address: Card number: Exp.date: Security Code: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURNCOMPLEIED FORM,PLEASE Every reasonable effort will be You can recover your pre-pay- FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact marked no later than Jan.9, 2680 East Main Street,#106 or go to our web site Dawn Keyler at(866)213-2796 2017,to Dawn Keyler. Plainfield, IN 46168 for additional forms. or dawn.keyler@inawwa.org Request for refunds made after Office: (866)213-2796 www.inawwa.org with your request. that date cannot be honored. FAX: (866)215-5966 109th Annual Meeting INDIANA SECTION A%VA Marriott Hotel-Indianapolis,IN JanUdr1-j31-Februar1j 2,2017 J J - _ A L L A T T E N D E E S Atility ❑ Service Provider l 2 L� NAME: SM �+I 1T G (only one name perform) AWWA MEMBER#: O W4 J h - - - — Last First Inida' TITLE: D)5-+r;hv__frvL jurew• /��rc1u5;, 5 flee f_ ORGANIZATION: GrM1e _�/CA{er - - -- - ------- ADDRESS: 3y 5� V,/- 13 ) s+ S _ CITY I STATE/ZIP: C_Ctf/vt�_,jo j q�0-7 y -- -- ---- --- -- OFFICE TELEPHONE: (2-LT_ 3 a 5 S 17_ '7 3 3 - ,�0 S3 ) FAX: ( - ) - -- - -------------- EMAIL: J-5 s,-, 4k-\ (a' Cr,,e I . I hl b oV REGISTRATION ff-5 The DEADLINE for ADVANCE registration Full conference-member* ❑ Advance:$125 ❑ On-site:$185 Jan.13,2017 Full conference-non-member* ❑ Advance: $215 ❑ On-site:$265 One day-member* ❑ Advance: $100 ❑ On-site: $135 Day: One day-non-member* ❑ Advance: $195 ❑ On-site: $230 Day:____ 'A$10.00 fee will be charged for all on-site name changes on pre-registration name badges.(Service Providers Only) COMPLIMENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired(AWWA members only) ❑ Guest(Admittance to receptions only) Name:_ M ETE P, MAj FSS ❑ First time attendee I Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) COMrE 1 rok EARLY BIRD REGISTRATION Monday,Jan. 30, 3:00-7:00 p.m. 5Z E E MEALS-Tickets required ❑Tuesday,Jan. 31, 12-noon:Keynote luncheon-$25 `1 XWednesday, Feb. 1, 12-noon:Awards luncheon-$25 CODA' ❑Thursday, Feb. 2, 7:30 a.m.: Breakfast-$15 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed:$_ a 5. _ —___ Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: ❑ Please charge to my: ❑Visa ❑ MasterCard ❑American Express ❑ Discover Name as it appears on card: Signature: Billing address: Card number: Exp.date: Security Code: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY REFURN COMPLETED FORM, PLEASE i Every reasonable effort will be You can recover your pre-pay- FORM TO: Photocopy the registration made to accommodate special ment by written request, post Indiana Section AWWA form for use by others needs. Please contact marked no later than Jan.91 2680 East Main Street,#106 or go to our web siteDawn Keyler at(866)213-2796 2017,to Dawn Keyler. Plainfield, IN 46168 for additional forms. or dawn.keyler@inawwa.org Request for refunds made after Office: (866)213-2796 www.inawwa.org with your request. that date cannot be honored. ! FAX: (866)215-5966 N E N E co O m U- 0 U W N a 0 Z 1= Q Q $ o cz LO 0 H O D a N Z n O O a o D a m coL O !E 3 co w a. � g v rn Z C/) co ?� a U 4) M4)z — LL 4) t F" Q Z O > � � E *k Wap L j 'o oCr_ v = Qfnw V O ui Z U N v_ U dM Z Q o Q o n ONOGDg N cMZNCO 0 a. a U V 109th Annual Meeting INDMA SECTION AWWA Marriott Hotel r Indianapolis,IN January 31-February 2,2017 A L L A T T E N D E E S Utility ❑ Service Provider{- NAME: Cap K ST-e ye- (only one name per form) AWWA MEMBER M Last First Initial TITLE: WA te,- ORGANIZATION: r rt OF eArireL C,),47-Pr 016 ADDRESS: 41-0 Gl, 1315'* STr,,-r CITY I STATE 1 ZIP: �'"f r-.v I. 116 U 7 OFFICE TELEPHONE: (11� ) 733- les FAX: ( 3,-7 ) 733- las 3 EMAIL: S Ceylk ft) C°.A r r,e f, i nl y©V a REGISTRATION FEES The DEADLINE Full conference-member* Advance:$125 ❑ On-site:$185 Jdn.13,2017 Full conference-non-member* ❑ Advance:$215 ❑ On-site: $265 One day-member* ❑ Advance:$100 ❑ On-site:$135 Day: o One day-non-member* ❑ Advance:$195 ❑ On-site:$230 Day: W *A$10.00 fee will be charged for all on-site name changes on pre-registration name badges.(Service Providers Only) _ COMPLIMP.NTARY REGISTRATIONS ❑ Student,full-time ❑ Retired(AWWA members only) I(Guest(Admittance to receptions only) Name: Ike lar.4 L rl ooze- ❑ First time attendee 1 Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) EARLY BIRD REGISTRATION Monday,Jan.30,3:00-7:00 p.m. MEALS—Tickets required ❑Tuesday,Jan.31, 12-noon: Keynote luncheon-$25 ❑Wednesday, Feb. 1, 12-noon:Awards luncheon-$25 ❑Thursday, Feb.2,7:30 a.m.: Breakfast-$15 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed:$ f ( a 5. 0 CD Return this completed form with payment to the address below. heck made payable to Indiana Section AWWA is enclosed. (Check no.: ) ❑ ?I"'-- lease charge to my: ❑Visa ❑ MasterCard ❑American Express ❑ Discover Name as it appears on card: Signature: Billing address: Card number: Exp.date: Security Code: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RERMN CONfll D FORM,PEASE! Every reasonable effort will be You can recover your pre-pay- FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact marked no later than Jan.9, 2680 East Main Street,#106 or go to our web site Dawn Keyler at(866)213-2796 2017,to Dawn Keyler. Plainfield, IN 46168 for additional forms. or dawn.keyler@inawwa.org Request for refunds made after Office: (866)213-2796 www.inawwa.org with your request. that date cannot be honored. FAX: (866)215-5966 109th Annual Meeting MMA SECTION AWWA Marriott Hotel-lnclianapolis,IN January 31-February 2,2017 / ALL A T T E N D E E S `, utility ❑ Service Provider NAME: L (only one name perform) AWWA MEMBER#: V a 3R Lasl First� Mall � `` TITLE: �rCL ;� _ '-4GCC_}SQ_ ORGAN IZATION:C:, `A. � wLtrCL WC�-ktL ADDRESS:3)-ugo V4 3 -sh. - S�"-r_A CITY 1 STATE 1 ZIP:G0a �h� LA(.r, o-I OFFICE TELEPHONE:(31-1 ) q FAX: EMAIL: S4—C way,:AIv�crc t.)• G:,v/ REGISTRATION FEES The DEADLINE f. ADVANCE Full conference-member' 'JHdvance:$125 ❑ On-site:$185 Jdn. Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265 One day-member* ❑ Advance:$100 ❑ On-site:$135 Day: One day-non-member* ❑ Advance:$195 ❑ On-site:$230 Day: U-3 ZNL *A$10.00 fee will be charged for all on-site name changes on pre-registration name badges.(Service Providers Only) COMPLIMENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired(AWWA members only) ❑ Guest(Admittance to receptions only) Name: ❑ First time attendee 1 Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) EARLY BIRD REGISTRATION Monday,Jan.30,3:00-7:00 p.m. MEALS-Tickets required ❑Tuesday,Jan.31,12-noon:Keynote luncheon-$25 ❑Wednesday,Feb.1,12-noon:Awards luncheon-$25 ❑Thursday,Feb.2,7:30 a.m.:Breakfast-$15 --------------------------------------------------------------------------------------------------------- Totel Amount Enclosed:$ 15 1 2 S ' C7 C-) Return this completed form with payment to the address below. heck made payable to Indiana Section AWWA is enclosed. (Check no.: ) ❑ Please charge to my: ❑Visa ❑MasterCard ❑American Express ❑Discover Name as it appears on card: Signature: Billing address: Card number: Exp.date: Security Code: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM,PLEASE Every reasonable effort will be You can recover your pre-pay- FORM TO: Photocopy the registration made to accommodate special ment by written request,post- Indiana Section AWWA form for use by others needs.Please contact I marked no later than Jan.9, 2680 East Main Street,#106 or go to our web site Dawn Keyler at(866)213-2796 2017,to Dawn Keyler. Plainfield,IN 46168 for additional forms. or dawn.keyler@inawwa.org Request for refunds made after Office:(866)213-2796 www.inawwa.org with your request. that date cannot be honored. FAX:(866)215-5966 bolls aPa eon,rwow n.lrree r W12119 1024 AM l