308157 02/13/17 0y u!-4�qy
® ;°� CITY OF CARMEL, INDIANA VENDOR: 00351464
CHECK AMOUNT: S""'""'370.00"
j ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC
:9 q CARMEL, INDIANA 46032 PO BOX 242 CHECK NUMBER: 308157
M�«6r ZIONSVILLE IN 46077-0242 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 17060 370.00 OTHER EXPENSES
VOUCHER # 163940 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
17060 01-6040-03 370.00
Voucher Total 370.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Indiana Rural Water Association
Serving professionals in the water industry since 1968
Main Ofce
P.O.Box 242;Zionsville,IN 46077
866-895-4792-Office;855-202-7298-Fax
www.indianaruralwater.org
MERE=P en►uoec•
Invoice: 17060
Date: January 22,2017 Amount Due: $370
To: Jaimie Foreman For Period: 2/17/2017 to 2/17/2018
Carmel Water Dept. Prior payment:3/1/2016
4915 East 106th Street; Ck#: 255849 Amt.Paid: $370
Indianapolis, IN 46280
From: Odetta Cadwell, Executive Director
Indiana Rural Water Association
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 MEMBERS: If others
Company Name: Carmel Water Dept. i from your organization would ;
Contact: Jaimie Foreman- like to receive information on
1
E-Mail: jforeman@carmel.in.gov IRWA events,please indicate ,
Website: www.carmel.in.gov names and e-mail addresses on '
Addressl: 4915 East 106th Street the back. i
Add ress2:
( i NOTE-ASSOCIATE MEMBERS: i
City,St,Zip: Indianapolis,IN 46280 Please include a brief company
Office Telephone: 317-571-4144 description on the back. In
Cell: 317-571-4140 V addition to your company's web
Office Fax- 317-571-4140 VVVV ' link,we will include your
description on IRWA's website. '
#of Meters(or Population served): Please update L--------------------
%M1126 Conned - �P 8� 480
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!
ANNUAL MEMBERSHIP DUES Paving by check,please remit to: (#17060)
IRWA
Water&Wastewater Utilities PO Box 242
Number of Meters in operation Non-Community Water Systems$80
(or approximate population served) Zionsville,IN 46077-0242
1-300 meters $80 Associate Members(Vendors) $270 Fax: 855-202-7298
(approx.3 to 750 population)
301-600 meters $110 Combined Membership $650
(approx.751 to 1500 population) Paving by Credit Card:
601-1000 meters $160 Corporate with Multiple Facilities—
(approx.1501-2500 population) Call IRWA office to check applicability Visa_ MC_ Discover_ Amer Exp
1001-1500 meters $220
#
(approx.2501-3750 population)
1501-3000 meters $270
(approx.3751-7500 population) ■1iM1. Exp.:_- Security:
3001 meters and above $370
(approx.7501 population and above) NAME ON CARD:
oe
SIGNATURE: