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Home My WebLink About320723 01/11/18 1y�..�,q,,f. CITY OF CARMEL, INDIANA VENDOR: 362436 '4 ® ONE CIVIC SQUARE INDIANA SECTION AWWA CHECK AMOUNT: $*******780.00` r i° CARMEL, INDIANA 46032 2680 EAST MAIN STREET#106 CHECK NUMBER: 320723 9'�'lroN_6�� PLAINFIELD IN 46168 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 12896 780.00 OTHER EXPENSES VOUCHER NO. 173784 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 362435 IN SUM OF$ 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 780.00 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 12896 01-6040-03 $780.00 and received except 1/3/2018 12896 $780.00 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 Page 1 of 1 Indiana Section,AWWA Invoice 12896 2680 East Main Street,Suite 106 Plainfield, IN 46168 US (866)213-2796 DATE • D,UDATE 01/02/2018 :o 02101/201'8'' .............................i— BILL TO City of Carmel 3450 W. 131 st St. Carmel,IN. 46074 Please detach top.portion and return with your payment. ................................... P.O.NUMBER ONLINE ORDER# ....._. _...... ACTIVITY AMOUNT Indiana Section,AWWA 110th Annual Conference,January 22-25,2018 in Indianapolis, IN One Day Only-Wednesday-Kole Bassett,Jacen Rayle, 600.00 Matthew Bickel,Brian Tolan,William Bell,Jerry Cloud Meals:Tuesday Lunch();Wednesday Lunch(6);Thursday 180.00 Breakfast() TOTAL DUE $780.00 THANK YOU. V� https:Hconnect.intuit.com/portal/module/pdfDoc/template/printfram... 1/2/2018 110th Annuc l Conference INDLkNA SECTI®N AWWA` Marriott Hotel-Indianapolis,IN January 22-25,2018 A L L A T T E N D E E S ❑ Utility ❑ Service Provider NAME: 6A S Se �J (only one name perform) AWWA MEMBER#: Last First Initial TITLE: 0 p� r A+n/L ORGANIZATION: 0P ADDRESS: j g j U U) 121 ss C + CITY 1 STATE 1 ZIP: C Q ►'�-� ✓, L�lT D7' OFFICE TELEPHONE: (ID—) 72 3 3 — a sj FAX: 733 9- J EMAIL: r f S IE i+Pi C /� p i rd a ncJ REGISTRATION FEES The DEADLINE for ADVANCE registration is Full conference member* ❑ Advance:$125 ❑ On-site:$185 Jcin-uanj 12,2018 Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265 One day-member* Advance:$100 ❑ On-site:$135 Day: W J ro,-S �ky ;Wt, t, 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) COMPLE4ENTARY 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 Tuesday,January 12,3:00-7:00 p.m. MEALS^-Tickets required ❑Tuesday,January 23, 12-noon:Keynote luncheon-$30 XWednesday,January 24, 12-noon:Awards luncheon-$30 ❑Thursday,January 25,7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed:$ 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.keyler@inawwa.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 110th Annual Conference INDLAI®IA SECTION AWWA Marriott Hotel-Indianapolis,IN Januan]22-25,2018 A L L A T T E N D E E S Uti lty ❑ Service Provider r NAME: R� I ke— 3A 6_0 (only one name perform) AWWA MEMBER#: a `� Last First Initial TITLE: ILA�otL ORGANIZATION: C , �y OF C' AR^,e ADDRESS: CITY I STATE I ZIP: Q 1L 1 rte! g 60 7 q OFFICE TELEPHONE: (3 17 ) :733 -23 -f5- FAx:( 3)) ) EMAIL: r A,e—, I'A Q ixt REGISTRATION FEES The DEADLINE for ADVANCE registration is Full conference-member* ❑ Advance:$125 ❑ On-site:$185 Januarij 12,2018 Full conference-non-member* ❑ Advance:$215 ❑ On-site: $265 One day-member* .KAdvance:$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: ❑ 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 )XWednesday,January 24, 12-noon:Awards luncheon-$30 ❑Thursday,January 25,7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------- Total Amount Enclosed:$ 5Q -'Pn 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.keyler@inawwa.org Request for refunds made after Office:(866)213-2796FAX: (866)215-5966 www.inawwa.org with your request. that date cannot be honored. dawn.keyler@inawwa.org 110tH Annual Conference INDIANA SECTI®N AWWA Marriott Hotel-Indianapolis,IN January 22-25,2018 A L L A T T E N D E E B tility ❑ Service Provider NAME:R i C ke 1 ft\,44kyw G (only one name perform) AWWA MEMBER#: Last First Initial t TITLE: ��p r fo 2 ORGANIZATION: C t y OF ADDRESS:_ ^0 W 13 I a sf. CITY/STATE I ZIP: C A AA--�2\ 1-0 6 d 7 OFFICE TELEPHONE: (3 )7 ) DD- 244-5— FAX: (?D) V? ? EMAIL: pA Vp C a/`M� 1 N q a✓ REGISTRATION FEES The DEADLINE for ADVANCE registration is Full conference-member* ❑ Advance:$125 ❑ On-site:$185 Januarij 12,2018 Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265 One day-member* X Advance:$100 ❑ On-site:$135 Day: UJto�vU 2S j A y a 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) 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 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-$20 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed:$ 6 3 t> 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.keyler@inawwa.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 110tH Annual Conference INDIANA SECTI®N AWWA Marriott Hotel-Indianapolis,IN Januaq 22-25,2018 A L L A T T E N D E E S tility ❑ Service Provider NAME: I p,Iq 6 r A s (only one name per form) AWWA MEMBER#: 3 3 4-7 Lf Last First Initial TITLE: l t C r CA( S 00wr V i o2 ORGANIZATION: F C ,&t M e ADDRESS: 7 y 0 W, 131 rf S i L. CITY I STATE 1 ZIP:H A 2/`-,e 1 g b O 7 7 OFFICE TELEPHONE: ( (�_) 7 ��J —FAX:( 0 ) 7 3 3 -A UJ 3 EMAIL: k+n),a yj M e ri , g®v REGISTRATION FM The DEADLINE for ADVANCE registration is Full conference-member* ❑ Advance:$125 ❑ On-site:$185 Januarij 12,2018 Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265 \\ �/ d � �/ One day-member* f$Advance:$100 ElDa On-site:$135 Y: � N a1 A—�r�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) 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 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-$20 ----------------------------------------------------------------------------------------------------- Total Amount Enclosed:$ 1 ',"b - CX_2 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.keyler@inawwa.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 110tH Annual Conference INDLA,NA SECTI®N AWWA Marriott Hotel-Indianapolis,IN Januartj 22-25,2018 A L L A T T E N D E E S tints ❑ Service Provider q NAME: 00,) � Uj t ( l j A t-\ A. (only one name per form) AMA MEMBER#: LastFirst Initial TITLE: M l4W rVV,6,3 �--p/ /aORGANIZATION: ADDRESS: 3 j 0 W 17 1 '`7 S f CITY 1 STATE 1 ZIP: C A Q M ( -XA b b * y OFFICE TELEPHONE: (3_-7 ) ) 33 -A 9 1C FAX:( 31 �73 3—Xo -? EMAIL: r, y Int �e 11� LcI 1PM I , i n c F 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 'e One day-member* X Advance:$100 ElDa On-site:$135 Y: � �Nedcls•/ aq 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 ,KWednesday,January 24, 12-noon:Awards luncheon-$30 ❑Thursday,January 25,7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- Total Amount Enclose&$ 13T 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 6168 or go to our web site Dawn Keyler at(866)213-2796 2018,to Dawn Keyler. Plainfield, IN 3-27 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 110tH Anrludl C011Ierence INDIANA SECTION AWWA Marriott Hotel—Indianapolis,IN January 22-25,2018 T A L L A T T E N D E E S rtililil ty ❑ Service Providerrye NAME: .�C�,®()Q 'e p_0 A (only one name perform) AWWA MEMBER#: `C/V k �y Last First Initial � TITLE: PIA-4t5 j&r—xJ= S o/` ORGANIZATION: C�l `� 6t` CA �'�"� ADDRESS: ?V _ W , 131 -'.r C+ CITY 1 STATE 1 ZIP: C_n P AkP_1 T.A r L4160_75/ OFFICE TELEPHONE:(3 0 ) _133 - US-S- FAX: ( ?l 7 EMAIL: /1•. 1 , ' YL, C4 REGISTRATION FEES The DEADLINE for ADVANCE registration is Full conference-member* ❑ Advance:$125 ❑ On-site:$185 Jalivary 12,2018 Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265 One day-member* ,Advance:$100 ❑ On-site:$135 Day: W e eSd�y vZ 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 1 Haven't Attended in At Least 5 Years (UTILITY REGISTRANTS ONLY) F 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-$20 --------------------------- ------------------------------------------ Total Amount Enclosed:$—,, --2�0-Q� 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.keyler@inawwa.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