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Home My WebLink About320338 01/04118 CITY OF CARMEL, INDIANA VENDOR: 362435 Q ONE CIVIC SQUARE INDIANA SECTION AWWA CHECK AMOUNT: $ .....460.00' ,i CARMEL, INDIANA 46032 2680 EAST MAIN STREET#106 CHECK NUMBER: 320338 v, PLAINFIELD IN 46168 CHECK DATE: 01/04118 DEPARTMENT ACCOUNT_ PO NUMBER _ INVOICE_NUMBER AMOUNT DESCRIPTION 601 5023990 12218 460.00 OTHER EXPENSES VOUCHER NO. 173584 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 362435 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER INDIANA SECTION AWWA CITY OF CARMEL 2680 EAST MAIN ST#106 An invoice or bill to be properly itemized must show: kind of service, where performed, PLAINFIELD, IN 46168 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee 460.00 362435 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR INDIANA SECTION AWWA Terms Carmel Water Utility 2680 EAST MAIN ST#106 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), PLAINFIELD, IN 46168 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 12218 01-6040-05 $460.00 and received except 12/6/2017 12218 $460.00 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. , 20_ Clerk-Treasurer Indiana Section AWWA PRSRT.FIRST CLASS 2680 E. Main Street US POSTAGE Suite 106 PAID Plainfield, IN 46168 Indianapolis, INPermit No.5677 ll.iililil„Illlllllilllllllli,l,l,llll,liilIlililllill,l,l ****AUTO**ALL FOR AADC 460 T1 P1 92 Greg Hollander Carmel Utilities 3450 W i3lstSt Carmel, IN 46074-8267 • • •• • •� �. • •� ' ► 1 •• •- • • • • • • •, - • • • .•- • • - of • •• • - • . • e •- • • . -• • R E G I S T E R TO D AY ! CEUS—Awaiting IDEM contact hour approval on water and wastewater sessions, and also exhibit hall presentations.We anticipate a maximum of 13.5 technical water hours. PRE REGISTRATION—Take advantage of the discount! It will save you time at the registration desk and will help us plan more accurately for conference events.The deadline for pre-registration is January 12,2018. REQSIRA'ITONBADGE—Your registration badge is required for admittance to all functions, including the social events. MONDAY-Early Bird Regtstrntion340PM-7.00PML TUESDAYEVEMNG—PULLERAWARDRECEPTION&WATER�.FOR-PEOPLESUJNTAUCTION—To honor the Fuller Award recipient,a festive reception and celebration is planned for Tuesday evening, immediately following the sessions. WEDNESDAYEVENING—COMPEITITONRECEPTION—Featuring Meter Madness a festive competition.of district winners, including last year's Section winner,on who can assemble a meter the fastest.Also during our reception will be the finals of our new Hydrant Hysteria Competition,which is similar to Meter Madness, but on a bigger scale,where teams compete to assemble a fire hydrant.The winners of the competitions will go to ACE18 in Las Vegas to compete against Section winners from across the country,with travel and lodging expenses to ACE18 for the Section winner to be covered by the Indiana Section. SPOUSE/GUESTREGISTRATION—Spouse or guest must be registered. Please indicate this on the form on opposite side. (Admittance to receptions only.) Additional Registration Forms can be printed by going to www.inawwa.org 110th Annual Conference INDIANA SECTION AWWA Marriott Hotel—Indianapolis,IN January 22-25,2018 R E G I S T R A T 1 0 N F 0 R M A L L A T T E N D E E S 0'Utility ❑ Service Provider NAME: N ott;R►n�n�L _ (only one name perform) AWWA MEMBER#: oA L g G g9 Last First � Initial TITLE: _ ORGANIZATION: ADDRESS: 14S-6 V 131 CITY I STATE I ZIP: C p m_194— Z DLJ OFFICE TELEPHONE: (3 I Z) 7 3 3 —a ?5-,C FAX: (31-1 EMAIL: IIOLLA,o.tD�t/L 60 48IZ44 o✓ REGISTRATION FEES The DEADLINE for ADVANCE registration is Full conference-member* ❑ Advance:$125 ❑ On-site:$185 Januartj 12, 2018 Full conference-non-member* ❑Advance:$215 ❑ On-site:$265 One day-member* El Advance:$100 ❑ On-site:$135 Day: W Cf DA-1 " 106 One day-non-member* ❑ Advance:$195 ❑ On-site:$230 Day: *A$10.00 fee wi11 be charged for all on-site name changes on pre-registration name badges.(Service Providers Only) COMPLD4ENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired (AWWA members only) ❑ Guest(Admittance to receptions only) Name: ❑ First time attendee I Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) EARLY BIRD REGISTRATION Tuesday,January 12,3:00-7:00 p.m. MEALS—Tickets required ❑Tuesday,January 23, 12-noon: Keynote luncheon-$30 ❑Wednesday,January 24, 12-noon:Awards luncheon-$30 ❑Thursday,January 25,7:30 a.m.:Breakfast-$20 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed:$ �p i rm- cko Return this completed form with payment to the address below. deck made payable to Indiana Section AWWA is enclosed. (Check no.: ) ❑ Pay via Credit Card:A secure link will be sent to the email listed above. ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY REfURNCOMPI.EfED 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 "'7) form for use by others needs. Please contact marked no later than Jan. 8, 2680 East Main Street,#106 or go to our web site Dawn Keyler at(866)213-2796 2018,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: 215-5966 dawn.keyleryler@inawwa.org 110th Annural Conference INDLANA SECTION AWWA Marriott Hotel-Indianapolis,IN J,n.,,,j 22-25,2018 R E G I S T R A T 1 0 N F 0 R M A L L A T T E N D E E S vurility 0 Service Provider NAME:_6,jy.j�* 5 (only one name per form) AWWA MEMBER Inii,T, --- TITLE:—j50ig��J_A-Aj ORGANIZATION: ADDRESS: W 4-6 CITY/STATE/ZIP: if qfzm);�,t- OFFICE TELEPHONE: -7 FAX: 0 EMAIL: p j44,jg,__,j�L REGISMATION FM The DEADLINE for ADVANCE registration is Full conference-member 1:1 Advance:$125 0 On-site: $185 Januarij 12, 2018 Full conference-non-member* E-I Advance:$215 El On-site:$265 One day-member X Advance: $100 L1 On-site:$135 Day: j,-_23- ao)'s One day-non-member* 1:1 Advance:$195 rj 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) CONELD4ENTARY REGISTRATIONS 0 Student,full-time El Retired(AWWA members only) Ej Guest(Admittance to receptions only) Name: El First time attendee/Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) EARLY BIRD REGISTRATION Tuesday,January 12,3:00-7:00 p.m. NIEALS—Tickets required o Tuesday,January 23, 12-noon:Keynote luncheon-$30 E3 Wednesday,January 24, 12-noon:Awards luncheon-$30 o Thursday,January 25,7:30 a.m.:Breakfast-$20 --------------------------------------------------------------------------------------------------------- Total Amount Enclosea.$ -0 0 - Return this completed form with payment to the address below. 14(check made payable to Indiana Section AWWA is enclosed. (Check no.: 11 Pay via Credit Card:A secure link will be sent to the email listed above. ONLY ONE NAW PER SPECIAL NEEDS i i i REFUND POLICY RETURNCONIPI= FORK PLEASE' Every reasonable effort will be I' 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.8, 2680 East Main Street,#106 or go to our web site Dawn Keyler at(866)213-2796 2018,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 dawn.keyler@inawwa.org 110th Annual Conference INDLANA SECTION AWWA Marriott Hotel-Indianapolis,IN Januar>j 22-25,2018 REGI S T R AT1GN FGRM A L L A T T E N D E E S KI Utility ❑ Service Provider NAME: 10 (p, (f �� f� _ _ M 7 M (only one name per form) AWWA MEMBER#: L.;) a Lf 15 9 Last First Initial TITLE:— pp1 -c,4-j % ---- --- ---- ---- ORGANIZATION: --- ADDRESS: 31110 w t 1 s t CITY/STATE/ZIP: I� Cof rn-e- 1— fN H607'4 OFFICE TELEPHONE:(3(7 ) '7 _3 3 g��__ FAX: EMAIL: 1M M t i-ITc C,2. --- REGISTRATION FEES Full conference-member* L-t Advance:$125 ❑ On-site:$185The DEADLINE for ADVANCE registration is' Full conference•non-member* ❑ Advance:$215 ❑ On-site:$265 Jailuarij 18 One day•member* %0 Advance:$100 ❑ On-site:$135 Day:_�� 1._ ? ZLT —__- 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: ❑ First time attendee I Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) EARLY BIRD REGISTRATION Tuesday,January 12,3:00-7:00 p.m. MEALS—Tickets required Tuesday,January 23, 12-noon:Keynote luncheon-$30 ❑Wednesday,January 24, 12-noon:Awards luncheon-$30 ❑Thursday,January 25,7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- Total Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: ❑ Pay via Credit Card:A secure link will be sent to the email listed above. ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM,PLEASE i Every reasonable effort will be You can recover your pre-pay- FORM TO: obPhotocopy the registrationi 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.8, 2680 East Main Street,#106 or go to our web site Dawn Keyler at(866)213-2796 2018,to Dawn Keyler. Plainfield, IN 46168Office:(866)213-2796 for additional forms. or dawn.keyler@inawwa.org Request for refunds made after FAX:(866)2 13-27 6 www,inawwa.org with your request. that date cannot be honored. dawn.keyler@inawwa.org 110th Annual Conference INDLANA SECTION AWWA Marriott Hotel–Indianapolis,IN January 22-25,2018 REG IST ATION FORM A L L A T T E N D E E S p utility ❑ Service Pr vider � NAME: 00 kk S A (only one name per form) AWWA MEMBER M 0 Z_Tr3 q Lust _.First � �� Initial — --- TITLE: �✓ / r L�'��—�e�cl J e, cc- RGANIZATION: ADDRESS: 3 Sv s�- CITY 1 STATE I ZIP:-- ---�r n`�-�---7 —-7�� - .------------------- -------- -- OFFICE TELEPHONE: (3.17 )-- ?_33. Z_'� r--__—_-- FAX: 3-.-------- EMAIL: o�k e . Car e I'�t_ o✓_ REGISTRATION FEES The DEADLINE for ADVANCE registration is Full conference-member* ❑ Advance:$125 ❑ On-site:$185 Jailuarij 12, 2018 Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265 One day-member* Advance:$100 C.7 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: ❑ First time attendee I Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) EARLY BIRD REGISTRATION Tuesday,January 12,3:00-7:00 p.m. MEALS--Tickets required Tuesday,January 23, 12-noon: Keynote luncheon-$30 ❑Wednesday,January 24, 12-noon:Awards luncheon-$30 ❑Thursday,January 25,7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- rWAmount Enclosed:$ t.a_� -Q�2_—_ Return this completed form with payment to the address below. heck made payable to Indiana Section AWWA is enclosed. (Check no.: ❑ Pay via Credit Card:A secure link will be sent to the email listed above. 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 marked no later than Jan.8, 2680 East Main Street,#106 or go to our web site i Dawn Keyler at(866)213-2796 2018,to Dawn Keyler. Plainfield, IN 46168 _f for additional forms. dawn.keyler@inawwa.org Office:(866)213-2796 or dawn.ke y @ g Request for refunds made after FAX: (866)215-5966 www.inawwa.org with your request. that date cannot be honored. dawn.keyler@inawwa.org i 110th Annual Conference fNDLANA SEOTION AWWA %..OJ. JL Marriott Hotel-IndiandpOliS,N J,n.,,,j 22-25,2018 REG I S" TRATIO N F 0 R M ef"Utility A L L A T T E N D E E S El Service Provider NAME: -3-e-j-r,j G (only one name perform) AWWA MEMBER#: (00 I I Firsi Inifial TITLE: —,0,4 ORGANIZATION: ADDRESS: 3q 5-0 W- /31 5-f S1- CITY/STATE/ZIP: -7 OFFICE TELEPHONE: FAX: (-DLL-L) -7 3 —,9 5-3 EMAIL: C-r tJ UGISMATION ff-B Full conference-member* Li Advance:$125 11 On-site:$185 The DEADLINE for ADVANCE registration is Full conference-non-member* 0 Advance:$215 0 On-site: $265 January 12, 2018 One day-member* D Advance: $100 Ei On-site: $135 Day: 02 Jig I-,u One day-non-member* El Advance:$195 Ei 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) COWLMENTARY REGISTRATIONS El Student,full-time 0 Retired (AWWA members only) N�_+er El Guest(Admittance to receptions only) Name: cl-'e"t-plo, ld El First time attendee/Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) EARLY BIRD REGISTRATION Tuesday,January 12,3:00-7:00 p.m. NMALS—Tickets required ci Tuesday,January 23, 12-noon:Keynote luncheon-$30 Ei Wednesday,January 24, 12-noon:Awards luncheon-$30 Ei Thursday,January 25,7:30 a.m.:Breakfast-$20 ------------------------------- ----- - --------------------------------------------------------------- Total Ainount Enclose&$ Return this completed form with payment to the address below. 13 Check made payable to Indiana Section AWWA is enclosed. (Check no.: 11 Pay via Credit Card:A secure link will be sent to the email listed above. ONLY ONE NANE PER SPECIAL NEEDS REFUND P011CY RETURNCOMPLErED FORK PLEASE' Every reasonable effort will be I 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.8, 2680 East Main Street,#106 or go to our web site Dawn Keyler at(866)213-2796 awn Keyler. Plainfield, IN 46168 2018,to D Office:(866)213-2796 for additional forms. or dawn.keyler@inawwa.org Request for refunds made after FAX:(866)215-5966 www.inawwa.org with your request. that date cannot be honored. dawn.keyler@inawwa.org I - M I 110th Annual Conference MLA.NA SECTION AWWA Marriott Hotel—Indianapolis,IN January W-25,2018 REG I STRATION F O R M iutilityA L L A T T E N D E E S -❑ Service Provider NAME: (?AS_1_AA+/_bA LV/A/ C (only one name per form) AWWA MEMBER#: 9 Last First Initial TITLE: f-t!(Pic�Ms}!►/ ORGANIZATION: CA-RNIc-Z G()AT rg ADDRESS: 3c/ G✓. 1314T 5�', CITY 1 STATE 1 ZIP: (, je c:z l IA/, c/G 07 OFFICE TELEPHONE: (317 ) 3.3 v?SSS— FAX: (31-7 7 3 —_1_0 5 3 EMAIL: REGISTRATION ffB Full conference-member' ❑ Advance:$125 ❑ On-site:$185The DEADLINE for ADVANCE registration is, Full conference-non-member' ❑ Advance:$215 11 On-site:$265 18 One day-member' Advance:$100 ❑ On-site:$135 Day: fiyt 0iJCS-AA4 y 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) CONTL504TARY REGISTRATIONS Comp Full Registration+ ❑ Student,full-time ❑ Retired(AWWA members only) Full meals ❑ Guest(Admittance to receptions only) Name: District Meeting Winner ❑ First time attendee 1 Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) EARLY BIRD REGISTRATION Tuesday,January 12,3:00-7:00 p.m. MEALS—Tickets required ❑Tuesday,January 23,12-noon: Keynote luncheon-$30 ❑Wednesday,January 24, 12-noon:Awards luncheon-$30 ❑Thursday,January 25,7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed: COMP$ Return this completed form with payment to the address below. ❑Check made payable to Indiana Section AWWA is enclosed. (Check no.: } ❑ Pay via Credit Card:A secure link will be sent to the email listed above. 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 marked no later than Jan.8, 2680 East Main Street,#106 or go to our web site Dawn Keyler at(866)213-2796 2018,to Dawn Keyler. Plainfield,IN 46168 for additional forms. or dawn.keylerginawwa.org Request for refunds made after Office: (866)213-2796 FAX: (866)215-5966 www.inawwa.org with your request. that date cannot be honored. dawn.keyler@inawwa.org D