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333104 12/11/18
CITY OF CARMEL, INDIANA VENDOR: 362435 c/ • ONE CIVIC SQUARE INDIANA SECTION AWWA CHECK AMOUNT: $*******525.00* ! CARMEL, INDIANA 46032 2680 EAST MAIN STREET#106 CHECK NUMBER: 333104 PLAINFIELD IN 46168 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 12219C 125.00 OTHER EXPENSES 601 5023990 12219CA 100.00 OTHER EXPENSES 601 5023990 12219H 100.00 OTHER EXPENSES 601 5023990 122195 100.00 OTHER EXPENSES 601 5023990 12219W 100.00 OTHER EXPENSES VOUCHER NO. 183502 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) - ALLOWED 20 Vendor # 362435 IN SUM of$ 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 525.00 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 12219-C 01-6040-05- $125.00 and received except 11/30/2018 12219-C $125.00 12219-CA 01-6040-05 $100.00 11/30/2018 12219-CA $100.00 12219-H 01-6040-05 $100.00 11/30/2018 12219-H $100.00 12219-S 01-6040-05 $100.00 11/30/2018 12219-5 $100.00 12219-W 01-6040-05 $100.00 11/30/2018 12219-W $].00.00 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 111th Annual Muting INDIA SECTION AWWA Marriott Hotel—Indianapolis,IN January 21-24,2019 R E G S T R A T ® N F 0 R U T I L I TY / OP E R A T O RIG O V E R N M ENT NAME: (,-0oA !�Tey P-- (only one name per form) AWWA MEMBER#: 30 500�i�5 Last First Initial TITLE: Li ATei, Dir. f l\c r. ORGANIZATION: 64,rt'et m er ADDRESS:3 L/s^C) i��ST ST CITY I STATE I ZIP: ` 4c e �� . y6 C 7 Z( OFFICE TELEPHONE: (3 1-7 FAX: ( 30 ) -7 33- zoo EMAIL: SCcxDk_ff) C SFr e e- , '/j , S o✓ REGISTRATION FEES The DEADLINE Employees of Companies holding a Utility membership qualify for the Member rates. ' Full conference-member* Advance:$125 El On-site:$185 19 Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265 One day-member* ❑ Advance:$100 ❑ On-site:$135 Day: A I I 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. CONTLIMENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired(AWWA members only) Guest(Admittance to receptions only) Name: ISE rAA iticvr e— EARLY BIRD REGISTRATION Monday,Jan.21, 3:00-7:00 p.m. NIEALS^-Tickets required ❑Tuesday,Jan.22, 12-noon:Keynote luncheon-$30 ❑Wednesday,Jan.23, 12-noon:Awards luncheon-$30 ❑Thursday,Jan.24,7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed.$ Return this completed form with payment to the address below or visit www.inawwa.org to register online. ❑ Check made payable to Indiana Section AWWA is enclosed. (Check no.: ) ❑ Pay via credit card: A secure link will be sent to email above. ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN= FORM,PLEASE Every reasonable effort will be You can recover your FORM TO: Photocopy the registration made to accommodate special pre-payment by written request, Indiana Section AWWA form for use by others or go to needs. Please contact postmarked no later than 2680 E. Main St.,#106 our web site for additional Dawn Keyler at(866)213-2796 Jan. 1,2019,to Dawn Keyler. Plainfield, IN 46168 forms or to register online. 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 1114,Annual Meeting INDLANA SECTION AWWA Marriott Hotel-Indianapolis,IN Januani 21-24,2019 U T I L I T Y / O P E R A T O R / G O V E R N M E N T NAME: �M t+� J ay 6' (only one name perform) AWWA MEMBER#:�Z�3 Last i First j�` Initial TITLE: � `� sfr;hv+►on ]-ore f"e-n ORGANIZATION: Carrrv\e-( k✓w+ee—Asf�' ADDRESS: '34 TO ty /7 1 ST- S� CITY 1 STATE 1 ZIP: G>�R�V✓1'�i L 7 7`y OFFICE TELEPHONE: (30 ) -73-5 - ,AS C_ FAX: EMAIL: J SM I CeAr r', Jul• 5dV V REGISTRATION FEES The DEADLINE for ADVANCE Employees of Companies holding a Utility membership qualify for the Member rates. ' 19 Full conference-member* ❑ Advance:$125 ❑ On-site:$185 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. COMPLIMENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired (AWWA members only) ❑ Guest(Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday,Jan.21,3:00-7:00 p.m. MEALS-Tickets required ❑Tuesday,Jan.22, 12-noon:Keynote luncheon-$30 ❑Wednesday,Jan.23, 12-noon:Awards luncheon-$30 ❑Thursday,Jan.24, 7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed:$ Return this completed form with payment to the address below or visit www.inawwa.org to register online. e5i�ieck made payable to Indiana Section AWWA is enclosed. (Check no.: ) ❑ Pay via credit card: A secure link will be sent to email above. ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM,PLEASE Every reasonable effort will be You can recover your FORM TO: Photocopy the registration made to accommodate special pre-payment by written request, Indiana Section AWWA form for use by others or go to needs. Please contact postmarked no later than 2680 E. Main St.,#106 our web site for additional Dawn Keyler at(866)213-2796 Jan. 1,2019,to Dawn Keyler. Plainfield, IN 46168 forms or to register online. 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 0 1114,Annual Meeting MLANA SECTION AWWA Marriott Hotel-Indianapolis,IN Januar,j 21-24,2019 TAT 0 N1 F U T I L I T Y 1 0 P E R AT 0 R I G 0 V E R N M E N T NAME: Cc,S�c.tleda r/ 1&,b r) C' (only one name perform) AWWA MEMBER M 10 _43q ' LastFirst Initial TITLE: ti�-F t Vt;un ev1_e,�^ n ORGANIZATION: ADDRESS: ly 13 1 S 5-1 CITY/STATE 1ZIP:L6 aim iciL :Z�/J 7&D 7`y OFFICE TELEPHONE: (3 1'7 ) -7 1 ' a►$S FAX: ( ) —7 5 EMAIL: REGISTRATION FEES The DEADLIN E for ADVANCE registration is Employees of Companies holding a Utility membership qualify for the Member rates. jall.117 2019 Full conference-member* ❑ Advance:$125 ❑ On-site:$185 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. COMPLIMENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired(AWWA members only) ❑ Guest(Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday,Jan.21,3:00-7:00 p.m. MEALS-Tickets required ❑Tuesday,Jan.22, 12-noon:Keynote luncheon-$30 ❑Wednesday,Jan.23, 12-noon:Awards luncheon-$30 ❑Thursday,Jan.24, 7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- Total Amount Enclosed-$ Return this completed form with payment to the address below o�visit www.inawwa.org to register online. Check made payable to Indiana Section AWWA is enclosed. (Check no.: ) ❑ Pay via credit card: A secure link will be sent to email above. ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM,PLEASE Every reasonable effort will be You can recover your FORM TO: Photocopy the registration made to accommodate special pre-payment by written request, Indiana Section AWWA form for use by others or go to needs. Please contact postmarked no later than 2680 E. Main St.,#106 our web site for additional Dawn Keyler at(866)213-2796 Jan. 1, 2019,to Dawn Keyler. Plainfield, IN 46168 forms or to register online. 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 111th A-plual Meetiiz$ INDIA SECTION AWWA Marriott Motel--Indianapolis,IN January 21-24,2019 REG I S TRAT � ON F 0 R UTILITY / OPE RAT 0 RIG O V E RN M ENT NAME: W F la I'`� ��n �• (only one name perform) AWWA MEMBER#: �4 3 q 6 LastFirst,,,,,.,(_ Initial TITLE: I�l�k rbu� ivn 6 ORGANIZATION: ADDRESS: J by r 3 ► s s� CITY I STATE I ZIP: G4(Lw L ��© 7 OFFICE TELEPHONE: (31-7 ) 7 3 ' a$S FAX: (3[- ) -7 Z� EMAIL: \A'h►+1 o L-) � C,,,r r �l . 1�( 5 v✓ REGISTRATION FEES The DEADLINE for ADVANCE Employees of Companies holding a Utility membership qualify for the Member rates. Jeui.lit , 19 Full conference-member* ❑ Advance:$125 ❑ On-site:$185 Full conference-non-member* ❑ Advance:$215 ❑ On-site: $265 One day-member* CAdvance:$100 ❑ On-site:$135 Day: J a 46 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. COMPLIMENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired(AWWA members only) ❑ Guest(Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday,Jan.21,3:00-7:00 p.m. MEALS—Tickets required ❑Tuesday,Jan.22, 12-noon:Keynote luncheon-$30 ❑Wednesday,Jan.23, 12-noon:Awards luncheon-$30 ❑Thursday,Jan.24, 7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- Z Amount Enclosed:$ Return this completed form with payment to the address below or visit www.inbwwa.org to register online. heck made payable to Indiana Section AWWA is enclosed. (Check no.: ) ❑ Pay via credit card: A secure link will be sent to email above. ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM,PLEASE Every reasonable effort will be You can recover your FORM TO: Photocopy the registration made to accommodate special pre-payment by written request, Indiana Section AWWA form for use by others or go to needs. Please contact postmarked no later than 2680 E. Main St.,#106 our web site for additional Dawn Keyler at(866)213-2796 Jan. 1, 2019,to Dawn Keyler. Plainfield, IN 46168 forms or to register online. 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 111th Annual Meeting MMA SECTION AWWA Marriott Hotel r Indianapolis,IN Januar>a 21-24,2019 S T R A T ® H F U T I L I T Y I O P E R A T O RIG O V E R N M ENT CrIa NAME: 4 SAN DUB- r 21r_Q (only one name perform) AWWA MEMBER M 1 Last First Initial TITLE: "fORGANIZATION: C_Aaj4jX,L IV14rkL ADDRESS: 3 S10 „.j jr S-7 13( -""7_ S� CITY I STATE I ZIP: J".4/Latif o5,t, 1 i, - �G 7 OFFICE TELEPHONE: ( 3 733 'oZ$ S FAX: ( ) EMAIL: b�a.E��N D/CJ'L �j�I�r1t.L r=�-,�, C-�D✓ REGISTRATION FEES The DEADLINE ADVANCE registration Employees of Companies holding a Utility membership qualify for the Member rates. ' 19 Full conference-member* ❑ Advance:$125 ❑ On-site:$185 Full conference-non-member* ❑ Advance:$215 ❑ On-site:$265 One da member* y- 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. COMPLIMENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired(AWWA members only) ❑ Guest(Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday,Jan.21,3:00-7:00 p.m. MEALS-Tickets required ❑Tuesday,Jan.22, 12-noon: Keynote luncheon-$30 ❑Wednesday,Jan.23, 12-noon:Awards luncheon-$30 ❑Thursday,Jan.24,7:30 a.m.: Breakfast-$20 --------------------------------------------------------------------------------------------------------- ZC=haude'pPa onnclo�olndiana $ Return this completed form with payment to the address below or visit www.inawwa.org to register online. yable Section AWWA is enclosed. (Check no.: ) ❑ Pay via credit card: A secure link will be sent to email above. ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM,PLEASE Every reasonable effort will be You can recover your FORM TO: Photocopy the registration made to accommodate special pre-payment by written request, Indiana Section AWWA form for use by others or go to needs. Please contact postmarked no later than 2680 E. Main St.,#106 our web site for additional Dawn Keyler at(866)213-2796 Jan..1, 2019,to Dawn Keyler. Plainfield, IN 46168 forms or to register online. 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 i Indiana Section;AWWA Invoice 14237 2680 East Main Street, Suite 106 " Plainfield, IN 46168 USt (866) 213-2796 BILL TO City of Carmel 3450 W. 131 st St. Carmel, IN. 46074 Please detach top portion and return with your payment. Rd%t%##it%Yt!#%}YR##},#Fi•#aYZ#tYf#%f#YY#t#}#}#%R#Z##1iYi#YYYi#Y###%i#!ZY##iY%#Y9t)#t)ifY)9#)iYYYf#)Rtf#)7Ya YY YY)tiaYlt)ttYi#Ytfaf#%#t)t)f aYb%R#Ya#lYFY%#tY tYtY)Y%YY YZ%Y t)a i ACTIVITY AMOUNT Indiana Section AWWA 111th Annual Conference January 21 -24,2019—Marriott Hotel, Downtown— _ Indianapolis, Indiana Full Conference-Steve Cook 125.00 Tuesday Only-Jerry Smith,Aldwin Castaneda, Sean Whitlow 300.00 Wednesday Only-Greg Hollander 100.00 Wednesday Only-Hydrant Hysteria-Shawn Cooksey, Michael Luper, Matt McNulty 0.00 Guest: Deborah Moore TOTAL�DUE $525.00 THANK YOU. i i