311149 05/09/2017 9- )
CITY OF CARMEL, INDIANA VENDOR: 364085
ONE CIVIC SQUARE MADISON COUNTY COUNCIL OF GOVT§HECK AMOUNT: S`""'"510.00"
CARMEL, INDIANA 46032 16 E 9TH STREET CHECK NUMBER: 311149 ANDERSON IN 46016 CHECK DATE: 05/09/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 624882782 510.00 EXTERNAL INSTRUCT FEE
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IND AN A
ANNUAL MS4 MEETING
REGISTRATION INVOICE
Registration Fees
Individual registration fee $85
Please complete the following information:
Name Company Name/Employer Amount
Total Amount Due $
Make checks payable to:
Madison County Council of Governments
Memo:2017 Indiana Annual MS4 Meeting
MCCOG TID#0002012189
Mail checks and copy of this invoice to:
Attn: Richard DeWitt—2017 Indiana Annual MS4 Meeting
City of Franklin
2851 N. Morton Street
Franklin, IN 46131
For further information or questions:
Phone: 317-346-1212
rdewitt@franklin.in.gov
NOTE: ALL REGISTRATION/SPONSOR FEES MUST BE RECEIVED BY MAY 5, 2017 OR THE REGISTRATION WILL
BE CANCELLED. IF YOU HAVE A LOCAL POLICY/REQUIREMENT THAT YOU NEED TO ATTEND THE EVENT
BEFORE SUBMITTING REGISTRATION PAYMENT, THE INDIVIDUAL WILL NEED TO PAY AND SUBMIT FOR
REINBURSEMENT THROUGH THEIR EMPLOYER. THE STATE BOARD OF ACCOUNTS DOES NOT REQUIRE
ATTENDANCE BEFORE PAYMENT.
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Order for Indiana MS4 Annual Meeting
with Golf Outing & Networking Event
Order #624882782 for $510.00 purchased on May 2, 2017
Monday, May 15, 2017 at 12:00 PM —
Tuesday, May 16, 2017 at 4:00 PM (SST)
Indianapolis IN
PRINT TICKETS
CONTACT THE ORGANIZER
Annual Meeting, May 16 - Regular Registration
(D The organizer has elected to not make this information editable. Contact the organizer if
you made a mistake.
Contact Information
First Name *
John
Last Name *
Thomas
Email *
jthomas@carmel.in.gov
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Annual Meeting, May 16 - Regular Registration
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The organizer has elected to not make this information editable. Contact the organizer if
you made a mistake.
Contact Information
First Name
Kurt
Last Name
Anderson
Email *
kanderson@carmel.in.gov
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Annual Meeting, May 16 - Regular Registration
��
�'`'� The organizer has elected to not make this information editable. Contact the organizer if
you made a mistake.
Contact Information
First Name
Caleb
Last Name
Warner
Email *
cwarner@carmel.in.gov
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Annual Meeting, May 16 - Regular Registration
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you made a mistake.
Contact Information
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502017 Eventbrite-My Tickets
First Name
Alex
Last Name
Jordan
Email
ajordan@carmel.in.gov
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Annual Meeting, May 16 - Regular Registration
r'i The organizer has elected to not make this information editable. Contact the organizer if
you made a mistake.
Contact Information
First Name *
Aaron
Last Name *
Hoover
Email *
ahoover@carmel.in.gov
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Annual Meeting, May 16 - Regular Registration
0 The organizer has elected to not make this information editable. Contact the organizer if
you made a mistake.
Contact Information
First Name *
Jarrod
Last Name *
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5/2/2017 Eventbrite-My Tickets
Hutt
Email
jhuff@carmel.in.gov
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