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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: $1,115.00 W CARMEL, INDIANA 46032 PO BOX 534 w, c o ATTN: ALAN WISEMAN CHECK NUMBER: 181261 NASHVILLE IN 47448 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 W09083 1,115.00 CONF 'Y' yam` ',C,'''', h. F `��F 4w r`���,°� 1 `':A��'� rc`,� �I. „�IS �s a y X *5. y r q. F P i t 4, n tll4:k f g a a t X# .:S::C i,iiI�. t iii :41,,e 4'$ y s R 102 d A M��t�ng e I 10 AI A rx VI n nnual a 1 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 r Q NAME: Ali (Q S AWWA MEMBER 6 c� 62 Last First Initial TITLE: ,�_l. L�iGJIS_O_K- ORGANIZATION: 1 CO a y 1 I ADDRESS: a if 5 b la 3 5 f 5 L, 4 U, lr. �C6- 4 O 7 y 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 L r 4 'F 4 u '0 it G $Pi #'lj. t R. ?t. :r�'b a 102 d A r a N '1, A 1 A i i A 1 1 fl Annual Meetin6 -1 1 L i, 1.,. Li S.1..1 A. ‘j' C i 1,. d L i i. 1 A. 1. A' Marriott Hotel Indianapolis, IN 4 February 16 -18 2010 U T I L I T Y/ O P E R A T O RIG O V E R N M E N T ,‘,1c*:,.. NAME: /74$(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--- i 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 A bCa c 4 x r. a ,p y i ,vc 'K ..,x t '''''":"‘?•°,1- k ri t �:zia I' t a 4 k`A' rk.:- i c A sa t o 0 *1 i a .n 3� c+ r n n �y,'� p k e y 3�� z r;` H 4 t .���y.. s K +,��.r• rj.��� Via. a fi t"" 102 cl Annual .ti I1 1111L1c M��tl�g t 1 I N i a Ii r• y I 1 4, t rl i1 r k k 1 Marriott Hotel Indianapolis IN 1 February 16 2010 t a G S� A, I O C: R 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 ice U aY sq .•s. ti x,. r t o 8 N x`' a Y' Y 9: �t `x e t r 2 ,wsl t V n 'w. i m r; ,,..t k a. 4 �R 114E e f 2 +S 4' z' J 4' a 4 d n t x u e s f uy L '"'",,i',"2" ''#u. K r a x 3, s .ax a L.«, m �L 7` n s 1 s ..,;f. .,7,:i,4-47,i-4,.. J s, w'a u r A u- °r'i'' t li. i; K ''s 4 t $d� 1 ,s, y .+'SV Ni 3' i c d w!c ku a P C _b s. l° 1. ..,ins._ w i.E.,, r 102nc1 Annual Meeting i-. t-S IND IANA SECTION A A p M Marriott Hotel Indianapolis, IN 4 Februar>_� 16 -18, 2010 "a F'EG ST ATIO FORT U T I L I T Y 1 0 P E RAT 0 R 1 G 0 V E R N M E N T rt' NAME: _l AWWA MEMBER `-I La First Initial TITLE: �('l. j ORGANIZAT U� sy I, ADDRESS: _3Qjfl_ CITY 1 STATE 1 ZIP:_l_O .1.. -_.q b ,5 OFF TE LEPHONE: 317 17 J_ SS FAX: 1 I 73._ EMAIL: Y..._.;,�,- ;,....,.:..'x n:., a- »r,'�v+nl >_rn. w.. rk Nr.. r�.... v c. aB« c rti.^ ss. 65..,.. s? :�.mw..aw, .z.:_Zra tti ...Si r.:'ws... ,,.!.....c:. >..a «,+."�•x.atu..«..xx.LSt.:a: REGISTRAT FEES' x x �s�a 1 l ar�-� �r� a a C h v �-a� V ��f} c�,2� ZOO 1 Employees of Utilities holding a Utility membership qualify for Member rates. r TheD E ADLINE for A regtstration,is fi x �S 9 e',' alt h 4 <*$A,y 7 4 Full conference member Advance: $90 El O -site: $175 is F f pi' [$M t d y 6 7 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 i rte L. Name as it appears on card: k Billing address: 3 µP Card number: Exp. date: Signature: sn r e x•; nr <a'. r xr -a.. a_.. x... aFa.... v_ 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 ice n t r ;''y 4, -tom ,,y 1 tI.Y it a 4.. n .c s'Z K 4' 'r p f; g? 41''''''':' >.1�' �k �t f� y .i r'�,' a,.. -�8 wv�. d 3+ v §S, w �Y�' ,`p.�'.:,i+' a a t i :e y ,1 ti a Z k s .4,.,o- ,i: 74 s ,L, k i t s a f- fit^ `w 4 a 1 C '"fx' r y t +s x.� ^��.Y° t ytT h' A 4� s k °°'t t 6 fi t e t It r t tY• F N k x f r it i 7 z #417. y .y 4 e 'a 7 `ai4_ 6 ,-*4 „iA r •:a fit' 't k. ,t.5.".44. z .r -at -42 :44'Af.4 t t",', A Y,.- ,...i.. k`�'+"k't'i:va` Pti i kiA A„m ift ..+44. -44 +kl aii itaLi, x .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 ':.,..f''Y'.,',1:.;77.7,' '-iic,..fit 'r 4 Z;'... 7 -:,-"'*,..e.ti-i: ii.:,:, c fp,14.. 5z --1•'‘ .4.',1 1 %Yort., •1 -,1!....:'.., :lAtr,; ,,;4:. -,,),.y. 4 t-..,...t, .v, i: 0 :C 3:' :it :=";;Z`,. I' 'k:' Plialt:'..i= 4' .e,',i.:''g;':':.1 i'','1 1 71 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 .-1, CITY STATE 1 Z )3 c Gt_. 1- a qL,0±---1 4 _r....,:„...... Q-c 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„: WWW.inawwa.org i with your request. 1 that date cannot be honored. 1 FAX (866) 215-5966 -4 7, 'W `C$ 1. IP Cil :7,+:1•4i:.7 r ..„'t ,...x::,.... 3; Iv 'c, r.,05iiI., ,s,&.,`,,,,t,,,...,,,,z',,r.‘:,,,,:ii,--.i.;,,,:',,,,:,., '''''''''''''''''''4: 12'.4.''''''' "1"' "'41 :;407:4:44.7; .:::)..T 0- --WiF;*4:fAitiPr,.'",:::-W4e2a4.V,til-','::::.:.,,';;-::A'sf•:*ig4itatg15.5:P.;',',WMI,Z:t'..:t1;Alie",', ct:'0',07;iitr 1 4 6 ';:f'S:.:,3#4. 102nd Annual Meetin6 tiiitt -,,A ECTI N Ay:', i ,:e..i.,.„, ...4*' vit.,..2 i t'c',.02..i Marriott Hotel Indianapolis, IN t4:::,,•,:ia ,..4( ?..?:.:."....4 1 4 Februarg 16-18. 2010 04.1.4,10,, :•.,fft:..!, ;eirti RE( FORM 0-F414,4:: UTILITY/OPERATOR/GOVERNMENT 4t4ii NAME: -Thyli AWWA MEMBER a,_ ,,,,i,o, r LaSt Nat l Inl an, --I' 70 j i ;:t I TITLE* C"\ ORGANIZATION; fl v.e f te.)(1....W r. .1, 1 r C_ 1 ,tx.: ADDRESS: 3 45 0 LI) t 1 r' ,,,::.:,5 -k.. ,r,„ 1 iii4fliN CITY I STATE I ZIP: (jat C_1 4:). ....,..N.,._,...., 141- ..,1,4,4„...,,,eAti,: tkft,:;;,:.. Ortv*.oki OFFICE TELEPHONE: 317 7I .-2-g55 FAX: (3 a I 733 5 F.* vtop.Rp ;',.;4i440.14:4 EMAIL: -..vproar#1 REGISTRATION FEES* P.A.0 3 v ,..."''ft, ,itrkim, woerwogivkiNgjorApvApc,kregtstrattoNis Employees of Utilities holding a Utility membership qualify for Member rates. ;z:- tg,,o,t:rr..ivifmgflr,'?tvtorwtg ,E..,:4-it Full conference -member member o Advance: S90 E On-site: $175 tt.iffiti.4 ...,..*:".p!':iyA.44-14:.;•, 11 ;p &y w t tii mifr k, :Me5 04741 Y Full conference non-member E Advance: Si 5 On-site: $175 t er,- r] kt.V.f..r4 One day member i'Advance: $65 E On-site: $135 Day: 13 eA- r4 ,;:roRhg 41.Z.hit One day non-member Li Advance: $95 t::: On-site: $135 Day: "r .ili. •;M":4 1 COMPLIMENTARYREGISTRATIONS 1444;4° v i ID Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a PARVW.,. *flivwx.,' period of (5) or more years. f.::■:''..4.':r.i.f: 4.. „Iv:ft 0 Student, full-time c] Retired (AWWA members only) D Guest (Admittance to receptions only) Name: EARLY BIRD REGISTRATION 0- Monday, Feb. 15, 5:30 9:00 p.m. MEALS— Tickets required .,1147i.14**ti ttiife,,':it,e ,N=i'il C] Tuesday, Feb. 16, 12-noon: Keynote luncheon with Vincent L. Griffin $25 0 Wednesday, Feb. 17, 12-noon: Awards luncheon $25 ..i(/'f".",,- fiF;;LAtt:::. El Thursday, Feb, 18, 7:30 a.m.: Breakfast $15 "tttorm...cepti Na" riEt4w.1"r T tal Amount Enclosed (/-1 5 -)--0 Return this completed form with payment to the address below, tliltiW r made payable to Indiana Section AVVVVA is enclosed. (Check no: ly-Purchase Order No: K4 .P'W.V.O'N......! 0 Please charge to my: 0 Visa 0 MasterCard 0 American Express ID Discover Name as it appears on card: AAN Billing address: Card number: Exp. date: Signature: !VV4iVili ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY I RETURN COMPLETED FORM, PLEASE! Every reasonable effort will be You can recover your pre-pay- FORM TO: i 1 :IttN06: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Alan marked no later than Feb. 5 Attn: Alan Wiseman iftlef P,O. Box 534 ,--..411,Fir:Af..., or go to our web site Wiseman at (317) 639-7159 or 2010, to Alan Wiseman. i 1 Nashville, IN 47448 1 Office (866) 213-2796 for additional forms. alan.wiseman@unitedwater.com Request for refunds made after 1 WWW, i n a ww a org with your request. that date cannot be honored. i FAX: (866) 215-5966 k.owyt,.. 7 .7.,.pv,,00"vy.: tazw rw ...w.-i:' e eloV. Pr.'. .0 .n .::,...4.0wi..*WV:v.S.a.."*.;,,,c.;tr-W141,07% *,7 0, 4 4 0 1144 t.Mli.:tlik.W*A7M'N■;.WaftlYr...:7.,..A :A0=:..i5::jilititr&IU...r2:Aj;,:,'$t.:;YV1Z.qa.rt4tgrt4 R q 4Yir� 1t 0 q tlt y "'j+ S' A';. d✓ ?;k „A 2, F y b .z.:; x+ L r N r ,,e d r t 1 1. c z a,� 4.i r al w 3 y pia '2 f.,d t a 7� 4 a ti- y am+., r .Z. 5. .:7,4,-,...,,,r4- b T� s U -e ,s^* 4 'F" a: p J -r $'1 S t :,rP :i E �3 z, 's.i4w' 4,7 1`.,44 x s.,z ..w., 1 6.a ss t 102nd An nual Meeting A IND 4-- w Marriott Hotel Indianapolis IN v t 'i February 16 -18, 20 10 w 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 ',,,,,k.:,-1:::-...., i s a NAME: B e l l C/J t) do m /4 AWWA MEMBER Z V �i t Last Firsl {nitfal y _t+ TITLE: f�)r -1 Pit 1 !6 ORGANIZATION: Go. 1 (,�In r .0 j ADDRESS: 3'156 W I3 1 •5 f fi s CITY 1 STATE 1 ZIP: ��a> r t c. _in t oo O� 7 OFFICE TELEPHONE: (3 3 3 a acs- FAX: EMAIL: T TM[. .•a.. -i 2:, gar...ix .._ems...,. ..r?T ^:F'-.N 5., re. _.4:a.? -a. ...s;^t f ^se._.::r ire ..:e,- JF53. 'f� ,+r. a- r.+:...� zr�. r w'4 .r n.:71 k �'r511s •`4"y 'cii'.".."'�J S C °'i.' ,`"a t P r V REGISTRATION FE S a r, i g r y r 1 'i �r The ,DEADLINE�for ADVANCE registration,1,.; 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 Full conference -non- member ❑Advance: $155 On -s $175 y 't3 s 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 q Purchase Order No P fl Please charge to my: Vasa ❑MasterCard ❑American Express ❑Discover w t Name as it appears on card: Frei Billing address: r Card number Exp. date Signature: r a ,....rHr xv rw.. -rk�. n a ._.r r :±�az'e::.+ a'n r,,::r• .r, �.r.xc: ii4T1 �a •4 a a..r "nay r n!a"'�, aimcy.,_.. r,y._ fir.;; -.,;k, .,k.yx ONLY ONE NAME FM SPECIAL POLICY R EI URN COMFLE1E'D 1' SPECL4L NEEDS FORM, PLEASE/ Every reasonable effort will be You can recover your pre -pay- 1 FORM TO: A T 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, y e Z 4 t ^"�r3,4-Fay r4f 4 7'g6a •i''° 5'K T a ti� K J" a' t. 't n Y t a 5 wr w '*4 A s ,+t a z q x" .r �..r r r 3 j'�'yu g �s�t P t s ,.i, d x s s .k 4 .v��: .r a� .:.7Y l ,x r i ,�"zr,I; ai", 4 ,,,z.aa rte i S a a F f '!„.i. 4 r �,1 sH d.,�.�� s t P•• `s,td kg's k L na b k5 F ^'9 67 d., trejK N.Nr. "�rG a. `."4 :..rP. ar, 7 r k .6.g. )r VA tgAt k. t 61ri t c.fii' %W.t: ],tS;, �.tf:AI a :cf;`'e(^ 'rp' .(rv,,_�.a ran "r..a -n. 102nd Annual Meetin8 "r t 9a'afq R Marriott Hotel Indianapolis IN ,l Februar 16-18,2010 n 3�x i'-- n f MS Ca ro 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 try, f A WWA MEMBER 0 2 J NAME: T oCak/ BOA1.1 S �r Last First Initial ac.•, TITLE: EIKTI¢dci/L 5 v9c4 ti/56 ORGANIZATION: C 1 e.M L L kjAT ag S ()Vicki t O Sr• s. ADDRESS: r I\1 l ibel 7( CITY !STATE 1 ZIP: L t x OFFICE TELEPHONE: (3/ 7 3 3 2 J 7 5 FAX (317 733 Z 0 5 3 EMAIL t IC"- CA—re/6 t. i gi .7 or" CtaK r na 1 -ht� °"SFt 7^�.�'�Zk T�1 n� 7 L i a 3 REGISTRATION 1.1hekDEAD ADVANCE regis tration Is 'N' Employees of Utilities holding a Utility membership qualify for Member rates. 3 g h P q J 3 „1 �`a k a E 5. s, i 3� i Feb 1 2 010 ti IP Full conference member 0 Advance: $90 On site: $1753 s r ma c a Full conference non member Advance: $155 On -site: $175 3`.,„�n r N 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 '0::,: Free Registration for first time operator attendees or those operators who have not attended the Annual Section Meeting for a x. �F' period of (5) or more years, Student, full -time Retired (AWWA members only)s r:, Guest (Admittance to receptions only) Name: f 1:;, w EARLY BIRD REGISTRATION Monday, Feb. 15, 5:30 9:00 p.m. MEALS Tickets required Tuesday, Feb, 16, 12 Keynote luncheon with Vincent L. Griffin $25 t „l Wednesday, Feb, 17, 12 -noon: Awards luncheon $25 mo t' Thursday, Feb. 18, 7:30 a "m.: Breakfast $15 iy. 5 f i. 1 7 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 't?urchase Order No Please charge to my: Visa MasterCard American Express Discover s 1 c Name as it appears on card r Aq j Billing address: Card number: Exp. date: Signature: 1 ?'m�_5.:.:; yy: ?.f!ti., _A.fx�_�,. "_?:�.v',. T. 5.'.W'?6'..2:: »R};TSt....W i..'.CS3M1 .2Gi ..'n.v ;..ni:4C.': "C n Yvd[re:cF:'..fh. M�.d.u S"6:L+4. r ":9 ..,.PL'n..M �r"L" 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 r i a x .:e.. 'air_. =.w. kCt 1), :VT4.'.r sant1 fi '::.i'k. i •'Fk_∎ d',W Y.gt .,d.wa tkc;;;.., eysa °.t, 4y'iL9r� .tTSP.�w�"a'*"- b'- E�Y:� Ea hwuP x. k w •�'SiRaF sue. +..0 tv' r M x7vt I 1 31 �tu�" 1 t r n1 ?..i ,"s, -'"4 17, w h. :41,,,,,. x r 4 'i r_� Za _7 4 1 -aa' "�,,5tk vi' ii c t: '?rY w ^a":" M+c e ,:sni. `�s.+ L''.. 102nd Annual Meeting A. l IND A, SEC TION 1 x5, ��-t�' 7 i M Marriott Hotel Indianapolis, IN 3' F 16 2010 4 r 7 0 a 2 R 5i s 1 1^ti.. 1 Wes/ t9 i 'i t9�:t? w ..4", 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 a E L W cq -f f 1,,nn- L AWWA MEMBER 0 3 16 NAME ra r1 r to Fi Initial t TITLE: P1 by -e�-61' ORGANIZATION: e, -d� COSv►Ae-,i 'F R4, ADDRESS: `1 1123 ?oo F Wit;' CITY STATE f ZIP: /To Jt (v 4'. OFFICE TELEPHONE 31/ 733 2 V 's� FAX 31? 7 3 3 R 20 5 3 t j EMAIL t Ni av'lc�c 6 (f 0 ('a in c J ,,s: �a .�t...; -s `t- W-,2 Z: sa ri r5_a dr.1.. C,,., s_... •:x.� ,Mr—' .a r �z'- a. �t .s '.e.n.. r •s f. 3 ty� REGISTRATION 1J-ES •^S ,4 ,7- BT ari. Y ::i 5-t- :17 y y p i e r t 'S `'.,,Y3 a i t .-i -ice '.4. 2 "i 4^ r 0,.. Employees of Utilities holding a Utility membership qualify for Member rates. T,h DEADL INE fo AQVA NCE�regi trati n x is 'e.l 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 Full conference non member Advance: $155 On -site: $175 ',V "t -'s I 1 7 0 E u' 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. z MEALS Tickets required r ❑Tuesday, Feb. 16, 12-noon: Keynote luncheon with Vincent L. $25 t4: Hfi ❑Wednesday, Feb. 17, 12 -noon: Awards luncheon $25 '0. y` 0 Thursday Feb. 18, 7:30 a.m.: Breakfast $15 A e V. �r t y '4: Total Amount Enclosed: 5- El Retum this completed form with payment to the address below. 4, 4 heck made payable to Indiana Section AWWA is enclosed. (Check no.: 1 7 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. p r Card number Exp. date Signature .'G-:• ;µ:s ..:.4. c.,STrc'k. .n *'t,__aa+s...t+- .yuti:� _r_....r_:a:,rs�:nx^.., rr.�.�:.r xka..,.;ap r pppp//••.., .^'a..'..ca..._ p���� 77/�•�� j��.'r��p��/-�/-�'�pr� �a wtj SPECIAL NEEDS i REFUND POLICY 1 f •El RIN COM L I ED 4 t F ONLY ONE NAME PER ti''` s, FORM. P .EASP1 Every FORM TO: 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 www.inawwa.org i Y s m y.', rz y. a.c 7uT 2 .A 3 .+7 X "�'x 2'' l r y r 5 3 mS i s �a p r 4 a t a ,,n ;6.1. t 3a4 'nr 4 z ,Fr si 6 pa<? kmk x i 'k f x a. .�".�7;5..'a:.■.i +v.:sv,.r k Ysi;�i`-2�.2r a.... .nx..n. a',x'i.' 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 r: �i,r e y FW va f b.} R i. E sa yM li '`K r 1 F 'SR M =r,5;'' S F x 1 5 E v rlr x Z i y. va, k `i c p+ i T n' J K sr Wr 7 .z Y re r „i. q y«e. rt r a P t r i i a 51° Y'i "'^5 J� tiy"� ^.w- F k c r* SN3 r 6 'r`,� a z n d' v'' d jf .M :t^a io•ii _.5�� _'ra f. t..xs,226405+- 'i 7 n .,.-r `43t w ib".14;: 'f r q..:., 1 s% 102 dAn M n nual Meting t 1 11: A' 1® d ;y� Ric4. I` M arriott Hotel r Indianapolis, IN ,1w� February 1 6 -18, 2010k� e pypp/�.1�jf A r R '6� �'w� it Je SLY y 1 LC x U T! L l T Y l O P E Ft A T O R I G O 1/ E R N I E N T s NAME:, .1 e .-./r..-5' /20.t R AWWA MEMBER 0 Li? 7.6 Last First Initial 4 TITLE: n G ORGANIZATION: t' '%r c' 1. e z 4 A ADDRESS: 3 4 /S'O 4 3/ r' 5 o f CITY I STATE !ZIP: :.v f /r e, 5 z/60 .7 r' i 4/. OFFICE TELEPHONE: 7 '7 31 ��'s t FAX 1/ 7 7 7 7 15, t EMAIL: ri -.::r z a;-- :kra_, .1a.,+,rs.s r Zf-:�. ":1,e .cw s�...- a.r .ni:ar. /11 k r ,,n? '3 atr,tr, r r- rthc•...,. m �,w 5 r l:� REGISTRATION FOPS The DEADLINEtfor ADVANCE registratiatidS Employees of Utilities holding a Utility membership qua for Member rates. y 4, y". 1y, :rR R z 1 r E yea 4 4 44 th inn N.t" f 3 x�( 1 s t. 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 B address: 0 J Card number: Exp. date: Sig nature: :;z z:t ^,:;',?s .:�vr. �K,.. :a...- u3a^: �s n:rs ;a:'ar.::.:_:r_W,.. .,rr.. d...c.. +'s.w•_k.,,:4.._,. -treu .x;. x�,. t.,a. N•r 1 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 v^ -c -rr.v 4{. 74- y%3'4A 4 e”: `A ="2"SSt r 03a p !:31 k: r ''u t+e =k', 1 1; :1 A0 .15g �,..kC .tad j n &,t x ti& T ",'ctt+ °j :4,: fi 4 .r lk—1 ii67i i' r 5e 1 Y"" r?'? TS '1 ti $F �n"?w �wi' >w 4i R.d �:ii 'iF C fiy,. �e i +�f t'�� C fFr�`i .k. n `s¢ L N- s -4 ns YJ }n .a, i� �^''�'�`4 v9 t+l„h �:"u o�•!'3R'�'�F �.,�w' ��'r .,'°�ik.,. tin r.Ft��.. m� .R�: S> ia u ..e .l..N tr- ',t.,�:- r'...i.- _�_e..- �,'�N.�.. ate. �+'i'.,:� r 7 E i .7r A,,a.. 1-'>=. ,1' A n r"4 cz ^t. x'B T4' f{ w 4 i h +C, JY 3 S r r r 7 r r, f '•7g Y lxf ro f 1 r a. r• tv r :'t j c t° i A ?,w4 x aty..,s w w uaz z ]r" :.5., 'Srn;we 41 r.,? I 41 �`s S J il .c. k.' t 'Y .E t •r g i ?S ;V!... 'ir a».,` s'+ "t r W. e M•r 6„ 7•$ =m+ .s„ `3 -t i•I' t+L ...:e.:r O .'max a k z' r `.f 102nd Annu Fleeting 4' L v A SECTION AWWA r s,[e �j� pmt; v. M arriott I Indianapolis I 4 ,ix: Februar 16 -18, 2 010 r (per (N��Gpp �[pp7 {pp��y� eggr f`�` s tl U E ms.✓ tl If t IY�'"+ '"a k O i e B O t C 4{ 4�- U T I L I T Y I O P E R A T O R I G O V E R N Ni E N T f4�,i r-r$ r I N AME: C k: j J t ee y A WWA MEMBER 0 t I 9 t Last First Initial l n t,�r TITLE: pi A•0f SuP -e/' �A'e P o)erJ ORGANIZATION: C l C7(` c /Q F 7 ADDRESS: 3'f J U (,l 13 S I ti s 0 7 f 1c) �6 7 CITY I STATE I ZIP: l )•-1c- S 1 •e OFFICE TELEPHONE: (g(1 723 Pyq I i FAX: 311 ,0 EMAIL: tr ,::�u, :.N..i. >s., cs r. .rt y,.,,. ...,r:a_, ,..e.3 ..:,x.T '.x:•7 ;,a�^ .tr., mr z- 7:•::s a r REGISTRATION FEES ;9 TheDEADLINE, ADVAN reglstratlon r=s y Employees of Utilities holding a Utility membership qua fy for Member rates. Full conference member zrR 4 k irr� L r Advance: $90 On -site: $175 141 F 1 GV IO J y -'.A,- v S ly „•1 ,i x ,-o r 4 z Full conference -non- member ❑Advance: $155 On site: $175 /W One day member Advance: $65 On -site: $135 Day: :5P:,. :t One day non member CI Advance: $95 O n -site: $135 Day: t COMPLIMENTARY REGISTRATIONS Y g i V,;i *El Free Registration for first time operator atten or those operators who have not attended the Annual Section Meeting for a 1 v a1yq period of (5) or more years. Student, full -time Retired (AWWA members only) r Guest (Admittance to receptions only) Name: No 4i. 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,,,... 15 1 Total Amount Enclosed: l C:)' 0 Retum this completed form with payment to the address below. �e y x f:. SYC heck made payable to Indiana Section AVVWA is enclosed. (Check no Y 1SPurchase Order No.: 0 Please charge to my: 0 Visa MasterCard American Express Discover Name as it appears on card: p.:11,,,,..,..:4; 1. n t Billing address: Card number Exp. date Signature �v_ 1:.:.;;::..' i,.. 2^. t.:'.".. et.•,'--',:- �3;MYC.: "'..n,,.t- .vy.7' -:._'H yJ.:�1u._z..+r -L,��y ..,......rv.; .,r i. �r A ri .'1f.T.lh::'?°:'NUi+.? i 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 •Cr• x r T; s 47,1 -"y^ 30 e 43. :14, 9 i p r F k i'./2 b`K'AJ 1' ti .3 F S r S ti 1 k F J 4': Y" r iii.. r y G "fi 4 0', -.n �3 e -t: t y 1?. e.t, k g i 1 q .rr r l^ r. -c^,' 4, 0 •v of i .,s v. l m Et 1 t x 2 t x fix• 1 1 rr N 7`! e f fd V k ;',<''',;-:7 t r 1 y r t m ,44,-,4-4'---.,,. y 1 s X ,04. r5i..7 -p e.: ,f f r u .4 -i rf'. 4 :r: ;t. im x ..,..x5i i;,; ..a ;'.;..,.M ,{.l :_,n.�r a.�S ,.s... v.,. 4 -.«rr R... v- �.3 e_, ry ��Lck.'. .�s .,ai it�'.i�.'. 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