HomeMy WebLinkAbout181261 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 362435 Page 1 of 1
4 f, ONE CIVIC SQUARE INDIANA SECTION AWA CHECK AMOUNT: $1,115.00
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CARMEL, INDIANA 46032 PO BOX 534
w, c o ATTN: ALAN WISEMAN CHECK NUMBER: 181261
NASHVILLE IN 47448
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09083 1,115.00 CONF
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Marriott Hotel Indianapolis, IN
Februar 16 -18, 2010 F`;
U T I L I T Y/ 0 P E RAT 0 R G O V E R N M E N T
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NAME: Ali (Q S AWWA MEMBER 6 c� 62
Last First Initial
TITLE: ,�_l. L�iGJIS_O_K- ORGANIZATION: 1 CO a
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I ADDRESS: a if 5 b la 3 5 f 5 L, 4
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CITY I STATE I ZIP: _ks f
OFFICE TELEPHONE: 3 17 73 3 2 3 FAX: 3 7 7 3 3 lO3
EMAIL:
REGISTRATION FEES'
to ees of Utilities holding a Utility membership The 'DEADLINE for ADVANCE re istration is
Employees g
Full conference •member ❑Advance: $90 On site: $175 Feb. 1 0
p y g y p qualify for Member rates.
201
Full conference non member Advance: $155 o On site: $175
One day member Advance: $65 On -site: $135 Day: 1 �6 q O 10
One day non member o Advance: $95 0 On -site: $135 Day:
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for, a
period of (5) or more years.
Student, full -time Retired (AWWA members only)
Guest (Admittance to receptions only) Name:
EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
O Wednesday, Feb. 17, 12 -noon: Awards luncheon $25
o Thursday, Feb. 18, 7:30 a.m.: Breakfast $15
Total Amount Enclosed: t /a 5 Return this completed form with payment to the address below.
Check made payable to Indiana Section AWWA is enclosed. (Check no.:
'Purchase Order No.: �C) 9 G j 3
Please charge to my: Visa MasterCard American Express Discover
Name as it appears on card:
Billing address:
Card number: Exp. date: Signature:
ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED 0
FORM, PLEASE Every reasonable effort will be You can recover your pre pay FORM TO:
Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA
form for use by others needs. Please contact Alan marked no later than Feb. 5, Attn: Alan Wiseman
or go to our web site Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman. P.O. Box 534
Nashville, IN 47448
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796
www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966
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102 d A
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Marriott Hotel Indianapolis, IN 4
February 16 -18 2010
U T I L I T Y/ O P E R A T O RIG O V E R N M E N T ,‘,1c*:,..
NAME: /74$(4r' To AWWA MEMBER O 2 f 3 ci
Last First Initial
1 TITLE: T r`' i a r- ORGANIZATION: e A re/ e L. LJ AT Q i
3 Y.- D L.) r ..T -e e 1.
1 ADDRESS: 3
CITY 1 STATE I ZIP: es C e L J L-7 U q
OFFICE TELEPHONE: (31 7 3_ 2 a'ST FAX: (3 7 3? -2 3---
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EMAIL:
t ,i5.:_k.S;.K ifYttltk. 7AFiLri{ X.'*. SC tH�ii 'MC'+riYE1iI�Mi:Rrn1i4•:'.'. S.rM,
REGISTRATION FEES°
The:DEADLINE •foraADVANCEnr istration is
i Employees of Utilities holding a Utility membership qualify for Member rates. g
Full conference memberQdvance: $90 On -site: $175 Feb,1, 2010
Full conference non member Advance: $155 On -site: $175
One day member Advance: $65 On -site: $135 Day:
One day non member Advance: $95 On -site: $135 Day:
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
period of (5) or more years.
Student, full -time Retired (AWWA members only)
Guest (Admittance to receptions only) Name:
EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
Wednesday, Feb. 17, 12 noon: Awards luncheon $25
Thursday, Feb. 18, 7:30 a.m.: Breakfast $15 ak
Total Amount Enclosed: e> C C Return this completed form with payment to the address below.
Check made payable to Indiana Section AWWA is enclosed. (Check no.:
Purchase Order No.:—Ls-C c L c_3
Please charge to my: Visa MasterCard American Express Discover
Name as it appears on card:
Billing address:
Card number: Exp. date: Signature:
....e r` 4': i.'".'. �J" s' S: Y32k' iiM7�` 3P.i �iF+ a.' tY.` 1;.+! 4K. RiR94 :'R::3!!xPl6hffi2'�LM��([:i`i:G: eA 21•.i:. Y±3+x lx M:. "•'9.':f•• °u J" 4"..! E. rWL1 _"'1:`3CVp_xaL',?"+,fSfi'.fAT .,{5: •J
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 Alan marked no later than Feb. 5, Attn: Alan Wiseman
or go to our web site Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman. P.O. Box 534
Nashville, IN 47448
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796
www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966
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Marriott Hotel Indianapolis IN 1
February 16 2010 t
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U T 1 L I T Y 1® P E RAT RIG Q V E R N M E N T
NAME: 4CPrAJ Ter Te CP AWWA MEMBER d 2' 3 9 (7
Last First Initial
TITLE: Seel ar- ORGANIZATION: k t LOCk-±-iC i"-
ADDRESS: 3 �/5 O W «l S t ST c2 e r`
5 CITY 1 STATE 1 ZIP: PST r e I d 1 160 7 c
OFFICE TELEPHONE: 71 7 73 .1-2 9.5,E FAX: 7 7 3.3 2 -1-- 3
EMAIL:
REGISTRATION PEES'
I The DEADLINE?forADVANCEGre tstration ts�
Employees of Utilities holding a Utility membership qualify for Member rates. g
1' 20 1+0' t
Full conference member Advance: $90 El On-site: $175 F C'� .L.
Full conference non member Advance: $155 On -site: $175
One day member ,Advance: $65 10 ,P On -site: $135 Day: cjed l
One day non member Advance: $95 On -site: $135 Day:
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
period of (5) or more years.
Student, full -time Retired (AWWA members only)
Guest (Admittance to receptions only) Name:
EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
Wednesday, Feb. 17, 12 -noon: Awards luncheon $25
❑Thursday, Feb. 18, 7:30 a.m.: Breakfast $15
Total Amount Enclosed: r5 =C) c Return this completed form with payment to the address below.
'heck made payable to Indiana Section AWWA is enclosed. (Check no.:
Purchase Order No.: —V-S
Please charge to my: 0 Visa 0 MasterCard American Express Discover
Name as it appears on card:
Billing address:
Card number: Exp. date: Signature:
ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED
FORM, PLEASE! Every reasonable effort will be You can recover your pre pay FORM TO:
Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA
form for use by others needs. Please contact Alan marked no later than Feb. 5, Attn: Alan Wiseman
or go to our web site Wiseman at (317) 639-7159 or 2010, to Alan Wiseman. P.O. Box 534
Nashville, IN 47448
for additional forms. alan,wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796 t
www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966
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102nc1 Annual Meeting
i-. t-S IND IANA SECTION A A
p M Marriott Hotel Indianapolis, IN
4 Februar>_� 16 -18, 2010 "a
F'EG ST ATIO FORT
U T I L I T Y 1 0 P E RAT 0 R 1 G 0 V E R N M E N T rt'
NAME: _l AWWA MEMBER `-I
La First Initial
TITLE: �('l. j ORGANIZAT U�
sy
I,
ADDRESS: _3Qjfl_
CITY 1 STATE 1 ZIP:_l_O .1.. -_.q b ,5
OFF TE LEPHONE: 317 17 J_ SS FAX: 1 I 73._
EMAIL:
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REGISTRAT FEES' x
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Employees of Utilities holding a Utility membership qualify for Member rates. r TheD E ADLINE for A regtstration,is fi x
�S 9 e',' alt h 4 <*$A,y 7 4
Full conference member Advance: $90 El O -site: $175 is F
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s, k.,.4,6 `:A). "S s °ek ate. z
i.:,‘ Full conference -non- member ❑Advance: $155 ti On -site: $175 �.F
One day member Advance: $65 On -site: $135 Day:
.a,. One day non- member Li Advance: $95 On -site: $135 Day: u s 'O „...r:..:
f COMPLIMENTARY REGISTRATIONS
*0 Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for
R� period of (5) or more years.
Student, full -time Retired (AWWA members only)
Guest (Admittance to receptions only) Name:
f EARLY BIRD REGISTRATION ;1;
r Mon day, Feb. 15, 5:30 9:00 p.m. 'S`
n
MEALS required
Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
Wednesday, Feb. 17, 12 -noon: Awards luncheon $25
t Thursday, Feb. 18, 7:30 a.m.: Breakfast $15 r
t
Total Amount Enclosed: -S Return this completed form with payment to the address below. k
'i•Check made payable to Indiana Section AWWA is enclosed. (Check no.:
Purchase Order No. 1).� s
1:4 Please charge to my: Visa MasterCard American Express Discover
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L. Name as it appears on card:
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Card number: Exp. date: Signature:
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ONLY ONE NAME PER SPECIAL NEEDS 1 REFUND POLICY f I RETURN COMPLETED
FORM, PLEASE! Every reasonable effort will be j You can recover your pre -pay- i FORM TO:
Photocopy the registration j made to accommodate special 1 ment by written request, post- i Indiana Section AWWA
form for use by others needs. Please contact Alan marked no later than Feb. 5, Attn: Alan Wiseman
o or go to our web site Wiseman at (317) 639 -7159 or I 2010, to Alan Wiseman. P.O. Box 534
Nashville, IN 47448 ir,
for additional forms. alan.wiseman @unitedwater.com i Request for refunds made after Office: (866) 213 -2796
www.inawwa.org I with your request. i that date cannot be honored. 1 FAX (866) 215 -5966
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.4 102nd Annual Meeting 1
y f r
h l 0 t N l. ....i I r 1 a j y
C3
r Marriott Hotel Indianapolis, IN
q February 16-18,2010
E i T A T 1 FORM
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: S r' PSa Jo Ai AWWA MEMBER 0 Z 413 C
Last First Initial rr
TITLE: J 4 c. 'r o ORGANIZATION: y �i j l.)
ADDRESS: 3 C IS l.-.) 3 i s 5 i r
CITY I STATE I ZIP: W e.S r R e L c 1 4- 1' 60 7
OFFICE TELEPHONE: (3 r? 33 2 S'' Sr FAX: 7 3 -7 Zvi
EMAIL:
REGISTRATION FEES° i
The .DEADLIN for A DVANCE, registrationtts� i
Employees of Utilities holding a Utility membership qualify for Member rates 1
Full conference member Advance: $90 On site: $175 Feb.1,
Full conference non member Advance: $155 On -site: $175
One day member 1 Advance: $65 On -site: $135 Day: t o /6
One day non member 1:1 Advance: $95 On -site: $135 Day:
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
period of (5) or more years.
Student, full -time Retired (AWWA members only)
Guest (Admittance to receptions only) Name:
EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
❑Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
Wednesday, Feb. 17, 12 -noon: Awards luncheon $25
Thursday, Feb. 18, 7:30 a.m.: Breakfast $15
Total Amount Enclosed: (D_S —Cc) Return this completed form with payment to the address below.
*Check made payable to Indiana Section AWWA is enclosed. (Check no.:
9 9urchase Order No.: CLI 3
Please charge to my: Visa MasterCard American Express Discover
Name as it appears on card:
Billing address:
Card number: Exp. date: Signature:
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 Alan marked no later than Feb. 5, Attn: Alan Wiseman
or go to our web site Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman. P.O. Box 534
Nashville, IN 47448
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796
i
www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966
0a n.4 ,,,N ak 8 a n ,,'d 7 i p A 74 "4 i f r, .4. a 0'14' 4 K d'Ptt7 A',,,,;,
102nd Annual Meeting
INDIANA SECTION AWWA
Marriott Hotel Indianapolis, IN
Februar 16-18,2010
EO I A A N FO Tr
U T I L I T Y! O P E RAT O R 1 G O V E R N M E N T
NAME: lkxfsf r(-) (err AWWA MEMBER 0 2 4 :3 9 6
Last First Initial
TITLE: Z f'ec re r ORGANIZATION: C_�t f� a� t.0 0._.
ADDRESS: 3 L is 0 L i 3! S r S'r (e e •r
CITY 1 STATE I ZIP: Li es rr- ..etc) 4?o 7
OFFICE TELEPHONE: 3') 7 33- Zq's FAX: (.3>''7 733 3
EMAIL:
REGISTRATION FEES`
Employees of Utilities holding a Utility membership qualify for Member rates. The DEADLINE f ADVANCE registratlon IS
Full conference member Advance: $90 El On-site: $175 .Feb. 010
Full conference non- member Advance: $155 On -site: $175
One day member Advance: $65 On -site: $135 Day: -'U e /6
One day non member Advance: $95 On -site: $135 Day:
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
period of (5) or more years.
Student, full -time Retired (AWWA members only)
Guest (Admittance to receptions only) Name:
EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
Wednesday, Feb. 17, 12 -noon: Awards luncheon $25
Thursday, Feb. 18, 7:30 a.m.: Breakfast $15
Total Amount Enclosed t2 a Return this completed form with payment to the address below.
`?Check made payable to Indiana Section AWWA is enclosed. (Check no.:
Purchase Order No.: kJb Q
Please charge to my: Visa MasterCard American Express Discover
Name as it appears on card:
Billing address:
Card number: Exp. date: Signature:
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 Alan marked no later than Feb. 5, Attn: Alan Wiseman
or go to our web site Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman. P.O. Box 5
Nashville, IN N 47 47448
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796
www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966
q 7
102nd Annual Meetin6
INDIANA SECTION AWWA
Marriott Hotel Indianapolis, IN
February 16 -18, 2010
EG S r ,ATIO F•R
U T I L I T Y I O P E R A T O RIG O V E R N M E N T
NAME: Te Li e AWWA MEMBER V Z 1 3 5
Last First Initial f l n
TITLE: t-J 4 of .1.);$1. i'"+5 r ORGANIZATION: Carru, p l�V l
ADDRESS: 3 41 S O Li i 3 j STepI t
CITY I STATE IZIP: (,)QS ,e l J TA), 460 7y
OFFICE TELEPHONE: )33. 2 S"j FAX: 1 33- 2o s 3
EMAIL:
REGISTRATION FEES'
Employees of Utilities holding a Utility membership qualify for Member rates. The DEADLINE for ADVANCE
is
Full conference member Advance: $90 On -site: $175 Feb, 1 2 10
Full conference non member Advance: $155 On site: $175
One day member ,advance: $65 On site: $135 Day: W e i
One day non-member Advance: $95 On site: $135 Day:
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
period of (5) or more years.
Student, full -time Retired (AWWA members only)
Guest (Admittance to receptions only) Name:
EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS'- Tickets required
❑Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
l Wednesday, Feb. 17, 12 -noon: Awards luncheon $25
Thursday, Feb. 18, 7:30 a.m.: Breakfast $15
Total Amount Enclosed: 6. 0 C-) Return this completed form with payment to the address below.
Check made payable to Indiana Section AWWA is enclosed. (Check no.:
Purchase Order No.:..ILS ti _(:)_g
Please charge to my: Visa MasterCard American Express Discover
Name as it appears on card:
Billing address:
Card number: Exp. date: Signature:
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 merit by written request, post- Indiana Section AWWA
form for use by others needs. Please contact Alan marked no later than Feb. 5, Attn: Alan Wiseman
P.O. Box 534
or go to our web site Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman.
Nashville, IN 47448
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796
www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966
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102nc1 Annual Meetin6
INDIANA. SECTION AWWA
Marriott Hotel Indianapolis, IN
Februart 16-18. 2010
1 N
*EGISTRATi•N F isi Pi\ IV
„I.,.
UTILITY/OPERATOR/GOVERNMENT
tiLi'l 0 'Citi -e-(,),)rl O i-t 39 e 1
NAME._ AVVWA MEMBER L
Last First Initial
ORGANIZATION C
TITLE: C
CearC) j l L& CS Y.
ADDRESS
3 Li- t 5b_. L j i
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CITY STATE 1 Z )3 c Gt_. 1- a qL,0±---1 4
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s' t.; OFFICE TELEPHONE: (517 7' 0 FAX (3( .233 aoss
EMAIL:
REGISTRATION FEES 1...,,
is'i;:; 4;.,'
Employees of Utilities holding a Utility membership qualify for Member rates. 4.1. at
..„..r,..... I .b.„ conference member 0 Advance: $90 On-site: $175
Fu ,p
ll 0 .:.......,;-,Ii.,.14.'4, 7 e .czvivi)
2‘ Full conference non-member 0 Advance: $155 El On site $175 3.,..zue.ef:AP..,.........-2
One day member 74 Advance: $65 0 On-site: $135 Day: 6,) 9, F 2
One day non-member (.7 Advance: $95 o On site $135 Day:
-4 COMPLIMENTARY REGISTRATIONS
'VI: ii-A
4 0 Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
t.."
period of (5) or more years.
:s 0 Student, full-time 0 Retired (AWWA members only) .".'-t
0 Guest (Admittance to receptions only) Name:
EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS- Tickets required
D Tuesday, Feb. 16, 12-noon: Keynote luncheon with Vincent L. Griffin $25
0 VVednesday, Feb. 17, 12-noon: Awards luncheon $25 a^
o Thursday, Feb. 18, 7:30 a.m.: Breakfast $15
Total Amount Enc.losed:$ (9 5 -Ci. Return this completed form with payment to the address below.
''heck made payable to Indiana Section AVVWA is enclosed. (Check no.: .2.
-riburchase Order No...______LOA=2.9- 3
-70
'i''•
0 Please charge to my: 0 Visa 0 MasterCard 0 American Express 0 Discover
Name as it appears on card:
'f• Billing address:
Card number: Exp. date: Signature:
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:
Indiana Section AWWA
Photocopy the registration made to accommodate special ment by written request, post-
Alan Wiseman
form for use by others 1 needs. Please contact Alan marked no later than Feb. 5, Attn:
P.O. Box 534
or go to our web site I Wiseman at (317) 639-7159 or 1 2010, to Alan Wiseman. 1 Nashville, IN 47448
for additional forms. I alan.wiseman@unitedwater.com 1 Request for refunds made after 1 Office: (866) 213-2796 :•:ii„:
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ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY I RETURN COMPLETED
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form for use by others needs. Please contact Alan marked no later than Feb. 5 Attn: Alan Wiseman
iftlef P,O. Box 534 ,--..411,Fir:Af...,
or go to our web site Wiseman at (317) 639-7159 or 2010, to Alan Wiseman. i
1 Nashville, IN 47448 1
Office (866) 213-2796
for additional forms. alan.wiseman@unitedwater.com Request for refunds made after 1
WWW, i n a ww a org with your request. that date cannot be honored. i FAX: (866) 215-5966
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Employees of Utilities holding a Utility membership qualify for Member rates. ,I- �Rfi S y 1Z�, t y !x
Full conference member $90 O n site: $175 r; 4 T Fe 10 F r. t 7
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One day member E Advance: $65 On -site: $135 Day: fi 6 7 2 p 0
One day non member Advance: $95 On- site: $135 Day: 1 r
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
period of (5) or more years.
❑Student, full -time 0 Retired (AWWA members only) ,I
Guest (Admittance to receptions only) Name: •4
..,..i.,-,,,,,:v,:, a
EARLY BIRD REGISTRATION t
Monday, Feb. 15, 530 9 :00 p.m, �V., .4
MEALS Tickets required
Tuesday, Feb. 16,12 -noon: Keynote luncheon with Vincent L. Griffin $25
t h
y J Wednesday, Feb. 17, 12 -noon: Awards luncheon $25 kfi
❑Thursday, Feb. 18, 7 :30 a,m,: Breakfast $15 r
Total Amount Enclosed; b 4 3< Co Retum this completed form with payment to the address below.
F} 1 It Check made payable to Indiana Section AWWA is enclosed. (Check no $y x
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Indiana Section WWA
Photocopy the registration made to accommodate spec ment by written request, post- su
Attn: Alan Wiseman
f orm for use by others needs. Please contact Alan marked no later than Feb. 5, P.O Box 534 =ti" r`'
or go to our web site Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman. Nashville, IN 47448 ...,z,...,—;:-.467:t
for additional forms. alan.wiseman @unitedwater.com j Request for refunds made after Office: (866) 213 -2796 kk r
www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966 x :r,
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Februar 16-18,2010
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One day member 'dvance: $65 On -site: $135 Day: r e 4 /6 2 di /0 Ak s
One day non-member Advance: $95 On site: $135 Day: r ;e
COMPLIMENTARY REGISTRATIONS
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Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a x.
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Student, full -time Retired (AWWA members only)s
r:, Guest (Admittance to receptions only) Name: f
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EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
Tuesday, Feb, 16,
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„l Wednesday, Feb, 17, 12 -noon: Awards luncheon $25 mo t'
Thursday, Feb. 18, 7:30 a "m.: Breakfast $15 iy.
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Total Amount Enclosed CC Retum this completed form with payment to the address below
Check made payable to Indiana Section AWWA is endosed. (Check no
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Name as it appears on card
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ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED
FOB P Eve reasonable effort will be You can recover your pre -pay- FORM 10
Photocopy the registration f made to accommodate special ment by written request, post Indian Section AWWA w
Attn: Alan Wiseman
form for use by others needs" Please contact Alan marked no later than Feb. 5, P.O. Box 534
or go to our web site Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman. E Nashville, IN 47448
for additional forms. alan,wiseman @unitedwater.com Request for refunds made after I Office: (866) 213 -2796 a
www"inawwa.org with your request. that date cannot be honored, i FAX (866) 215 -5966 -A}r
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IND A, SEC TION
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Marriott Hotel Indianapolis, IN 3'
F 16 2010 4 r
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UTILITY/OPERATOR/GOVERNMENT I L I T Y I O P E R A T O R 1 G 0 V E R N Ni N T
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NAME ra r1
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Feb ,10 W Ab "P F 1 01 r
Full conference member Advance: $90 On -site: $175 I�: 7 �n i w e �s i 4
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One day member Advance: $65 On -site: $135 Day: r 7 v r b
s One day non- member Advance: $95 0 On -site: $135 Day:
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a,l- r
period of (5) or more years. 4'
Student, full -time Retired (AWWA members only)
g Guest (Admittance to receptions only) Name:
Wi:4
r
EARLY BIRDREGISTRATION
Monday, Feb. 15, 530 9:00 p.m.
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MEALS Tickets required
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❑Tuesday, Feb. 16, 12-noon: Keynote luncheon with Vincent L. $25
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Total Amount Enclosed: 5- El Retum this completed form with payment to the address below. 4,
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FS urchase Order No Q b S.
0 Please charge to my: 0 Visa 0 MasterCard Amencan Express Discover t
Name as it appears on card:
Billing address ik.
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Card number Exp. date Signature
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Eve reasonable effort will be You can recover your pre -pay- n.
Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWAr
I needs. Please contact Alan marked no later than Feb. Attn: Nan Wiseman
5
form for use by o #hers P.O. Box 534
or go to our web site I Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman- Nashville, IN 47448 i. s-
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796
with your request. that date cannot be honored. FAX: (866) 215 -5966
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102nd Annual Meeting
IIN[IJIAJN!A SEC AA\WWA.
Marriott Hotel Indianapolis, IN
February 16 -18, 2010
RCGDS7RA7DON FOR
U T I L I T Y 1 O P E R A T O RIG O V E R N M E N T
NAME: t- c V e 11 /f 6 AWWA MEMBER 0. qj 9
Last First Initial
TITLE:.P /u MT M N ce y ,�r ORGANIZATION: y G 4 r rri e/
ADDRESS: 3 5 U c✓- 7 r S' Tr...'
CITY STATE I ZIP: Wes/field, I At 4 i 7 ti
OFFICE TELEPHONE: 7/7 '7 J 7 8' f 5 FAX: (3 /7 7' J 3 G S _7
EMAIL: /'ldVC// Carmmil, id/. goi/
REGISTRATION FEESe ADVANC
liGl9 DEADLINE Q17 Fp
Employees of Utilities holding a Utility membership qu or Member rates. E registration
Full conference member Advance: $90 On -site: $175 Feb., 2010
Full conference non member Advance: $155 On -site: $175
One day member Advance: $65 On -site: $135 Day:
One day non member Advance: $95 On -site: $135 Day:
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
period of (5) or more years.
Student, full -time Retired (AWWA members only)
Guest (Admittance to receptions only) Name:
EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
Wednesday, Feb. 17, 12 -noon: Awards luncheon $25
Thursday, Feb. 18, 7:30 a.m.: Breakfast $15
Total Amount Enclosed: ga Return this completed form with payment to the address below.
tCheck made payable to Indiana Section AWWA is enclosed. (Check no.:
Purchase Order No: O 90 8
Please charge to my: Visa MasterCard American Express Discover
Name as it appears on card:
Billing address:
Card number: Exp. date: Signature:
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 Alan marked no later than Feb. 5, Attn: Alan Wiseman
or go to our web site Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman. P.O. Box 534
Nashville, IN 47448
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796
www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966
O
102nd Annual Meeting
INDIANA SECTION AWWA
Marriott Hotel Indianapolis, IN
February 116 -18, 2010
REGDS'RA DON PORN
U T I L I T Y I O P E R A T O RIG O V E R N M E N T
NAME:_ AWWA MEMBER S
1 Fi st Initial
TITLE: l Only nej uff tee 1 ORGANIZATION: GW 2 i
ADDRESS: b.. 1 P ff A l A.
CITY I STATE IZIP: d )J. 40074
OFFICE TELEPHONE: (3 (1 15.5 c FAX: (0(1
EMAIL: 111 1 1 1. AO
REGISTRATION FEES' The DEADLINE for ADVANCE registration is
Employees of Utilities holding a Utility membership qualify for Member rates. 1
Full conference member Advance: $90 On -site: $175 Feb. 1 2010
Full conference non member Advance: $155 On -site: $175
One day member Advance: $65 On -site: $135 Day:�� te� 1
One day non member Advance: $95 On -site: $135 Day: sL
COMPLIMENTARY REGISTRATIONS
Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
period of (5) or more years.
Student, full -time Retired (AWWA members only)
Guest (Admittance to receptions only) Name:
EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
Wednesday, Feb. 17, 12 -noon: Awards luncheon $25
Thursday, Feb. 18, 7:30 a.m.: Breakfast $15
Total Amount Enclosed: b 0 Return this completed form with payment to the address below.
1rCheck made payable to Indiana Section AWWA is enclosed. (Check no.:
Purchase Order No: It v. 9 0
Please charge to my: Visa MasterCard American Express Discover
Name as it appears on card:
Billing address:
Card number: Exp. date: Signature:
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 Alan marked no later than Feb. 5, Attn: Alan Wiseman
or go to our web site Wiseman at (317) 639 -7159 or 2010, to Alan Wiseman. P.O.
Nashville, IN IN 47 47448
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796
www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966
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r l:� REGISTRATION FOPS The DEADLINEtfor ADVANCE registratiatidS
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Full conference member ❑Advance: $90 O n site: $175 4 �N. 4 j s Er
Full conference -non- member ❑Advance: $155 On -site: $175 r
One day member M $65 On -site: $135 Day: f a x
One day non-member Advance: $95 On site: $135 Day: .V
COMPLIMENTARY REGISTRATIONS
"b Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a
period of (5) or more years. 4-'
Student, full -time Retired (AWWA members only) .ts
Guest (Admittance to receptions only) Name: yR
EARLY BIRD REGISTRATION
.v Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25 zx� rt
Wednesday, Feb. 17, 12 -noon: Awards luncheon $25 is
k ❑Thursday, Feb. 18, 7:30 a.m.: Breakfast $15 w 5
Total Amount Enclosed 6 C- Return this completed form with payment to the address below. 71
Check made payable to Indiana Section AWWA is enclosed. (Check no N 4 J N la
P urchase Order No.: L ')tJ Q
0 Please charge to my: 0 Visa 0 MasterCard a American Express ❑Discover i,
Name as it appears on card: ,I
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nature:
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ONLY ONE NAME PPR SPECIAL NEEDS REFUND POLICY RETURN COMPLETED 7
FOR1'4 PLEASE! Every reasonable effort will be You can recover your pre -pay- 1 FORM TO: 1
Indiana Section AWWA
Photocopy the registration made to accommodate special ment by written request, post- I Attn: Alan Wiseman
form for use by others needs. Please contact Alan marked no later than Feb. 5, p.0. Box 534
or go to our web site W iseman at (317) 639 -7159 or 2010, to Alan Wiseman. Nashville, IN 47448 .�6`
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796 4 s
that date cannot be honored FAX 66
www tnawwa org with your request 215 -5966
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REGISTRATION FEES ;9 TheDEADLINE, ADVAN reglstratlon r=s y
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One day non member CI Advance: $95 O n -site: $135 Day: t
COMPLIMENTARY REGISTRATIONS Y g i V,;i
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period of (5) or more years.
Student, full -time Retired (AWWA members only) r
Guest (Admittance to receptions only) Name: No
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EARLY BIRD REGISTRATION
Monday, Feb. 15, 5:30 9:00 p.m.
MEALS Tickets required
❑Tuesday, Feb. 16, 12 -noon: Keynote luncheon with Vincent L. Griffin $25
❑Wednesday, Feb. 17, 12 -noon: Awards luncheon $25 r
Thursday, Feb. 18, 7:30 a.m.: Breakfast $15 :.'414f-f,,,...
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Total Amount Enclosed: l C:)' 0 Retum this completed form with payment to the address below. �e y
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heck made payable to Indiana Section AVVWA is enclosed. (Check no Y
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Billing address:
Card number Exp. date Signature
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ONLY ONE NAME PER SPECIAL NEEDS 1 REFUND POLICY RETURN COMPLETED
FORM PLEASE! Every reasonable effort will be You can recover your pre -pay- FORM TO n
1 made to accommodate special ment by written reques p ost- i Indiana Section AWWA ,t
Photocopy t he regist I Attn: Alan Wiseman r Z
form for use by others needs. Please contact Alan marked no later than Feb. 5, P Box 534
or go to our web site Wiseman at (317) 639 -7159 or i 2010, to Alan Wiseman. Nashville, IN 47448 }v
for additional forms. alan.wiseman @unitedwater.com Request for refunds made after Office: (866) 213 -2796 F s.
www.inawwa.org with your request- that date cannot be honored. FAX: (866) 215 5966 M1
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VOUCHER 094041 WARRANT ALLOWED
351668 1 (IL10°`-- .174/41,4' I N SUM OF
A A -IN SECTION -OPERA R)TRAII
P.O. BOX 534
NASHVILLE, IN 47448 ylG w
&15&'
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
10710 01- 6040 -03 $504.98
10710 01- 6040 -05 $610.02
Voucher Total $1,115.00
Cost distribution ledger classification if
2 claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351668
AWWA -IN SECTION- OPERATOR TRAIN Purchase Order No.
P.O. BOX 534 Terms
NASHVILLE, IN 47448 Due Date 1/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/7/2010 10710 $1,115.00
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
Date Officer