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182127 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 354905 Page 1 of 1 `c ONE CIVIC SQUARE UPPER WHITE RIVER WATERSHED y CARMEL, INDIANA 46432 Po BOX 2065 CHECK AMOUNT: $400.00 a I NDIANAPOLIS IN 46206 CHECK NUMBER: 182127 more CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4357004 400.00 EXTERNAL INSTRUCT FEE Upper White River Watershed Alliance Event Registration Page 1 of 2 2010 Annual "Keep It Clean" Stormwater Workshop Event registration: Status Thank you for submitting your registration. It wild be finalized upon receipt of your payment. Below are your registration details. Event Event 2010 Annual "Keep It Clean" Stormwater Workshop Start February 10, 2010 End February 11, 2010 Location Indianapolis Marriott East 7202 East 21st Street, Indianapolis, IN 46219 Registration type A #4 Two Day Registration (MS4 /SWCD) $80.00 (USD) Guests (4) $3.DD�(iLS Total registration price�$4 (USD) Payment method Man au I 7,53 00 Payment instructions Mail -in- Payments, Invoice and Purchase Order Requests If you need to be invoiced or have e purchase order sent to you please refer above and select 'Manual'. Manual Mail -in- Payments Please makes checks payable to UWRWA and mail to: UWRWA PO Box 2065 Indianapolis, IN 46206 -2065 If payment is not received in advance,peyment will be due at upon checking in the day of the workshop. Event registration data First name John Last name Thomas Organization City of Carmel e -Mail jthomas. @carmel.in.gov Phone 317- 571 -2441 Badge Name if Different from Registration Name Vegetarian Lunch No Required May we share your No contact information? If registering for one day Does not apply please indicate which day you will be attending: Are You? Municipality Attendees list Include name in list of event attendees. Guest 1 First name Dan Last name Greskamp Organization City of Carmel e -Mail dgreskamp @carmel.in.gov Phone 317 -571 -2441 Badge Name if Different from Registration Name Vegetarian Lunch No Required May we share your No contact information? If registering for one day Does not apply please indicate which day http: /uwrwa. roundtablelive .org /Default.aspx ?pageld= 445227 &wstepNo= 1.0 &wctxId =ff 9... 1/25/2010 Upper White River Watershed Alliance Event Registration Page 2 of 2 you will be attending: Are You? Municipality Guest 2 First name Bob Last name Dykstra Organization City of Carmel e -Mail bdykstraa@carmel.in.gov Phone 317-571-2441. Badge Name if Different from Registration Name Vegetarian Lunch NO Required May we share your No contact information? If registering for one day Does not apply please indicate which day you will be attending: Are You? Municipality Guest 3 First name Fred Last name Glaser Organization City of Carmel e -Mail fglasercarmel.in gov Phone 317 571 -2441 Badge Name if Different from Registration Name Vegetarian Lunch No Required May we share your No contact information? If registering for one day Does not apply please indicate which day you will be attending: Are You? Municipality Guest 4 First name Dave Last name Barnes Organization City of Carmel e -Mail dbarnes ©carmel.in,gov Phone 317 -571 -2441 Badge Name if Different from Registration Name Vegetarian Lunch No Required May we share your No contact information? If registering for one day Does not apply please indicate which day you will be attending: Are You? Municipality http: /uwrwa. roundtablelive .org /Default_aspx ?pageId= 445227 &wstepNo= 10 &wctxld= ff99... 1/25/2010 Neville, Katie From: Thomas, John G Sent: Monday, January 25, 2010 8:39 AM To: Neville, Katie Subject: FW: Event registration received Payment pending Stormwater Workshop r• FYI Sincerely, John Thomas, CPESC Construction Inspector City of Carmel Engineering Department Cell: 317 -750 -1219 Fax: 317- 571 -2439 Email: ithomas(a carmeI in.gov A Please consider the environment before printing this e-mail From: Upper White River Watershed Alliance [mailto:UWRWA @roundtablelive.org] Sent: Monday, January 25, 2010 8:35 AM To: Thomas, John G Subject: Event registration received Payment pending Stormwater Workshop Dear John Thomas, Thank you for registering: 2010 Annual "Keep It Clean" Stormwater Workshop Februrary l 0th 1 l th Payment: $400.00 (USD) Payment, Mailing and Vendor Instructions: Payement Please makes checks payable to UWRWA and mail to: UWRWA PO Box 2065 Indianapolis, IN 46206 -2065 If payment is not received in advance, payment will be due at upon checking in the day of the workshop. Invoice or Purchase order Request If this print out does not suffice for an invoice or purchase order please forward this e -mail to klevengood u empowerresults.com requesting one. 1 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 service rendered, by y r f V&A.' f Fibril, j batlisfibbour, number of units, price per unit, etc. PO Box 2065 Payee Indianapolis, IN 46206 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/25/10 n/a 2010 Annual Stormwater Workshop $400.00 Dan, Fred, Dave, Bob, Johp Total $400.00 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. 20 Clerk- Treasurer u pper vvn Rive=i"vva ied ALLOWED 20 PO Box 2065 IN SUM OF Indianapolis, IN 46206 $400.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# INVOICE NO ACCT /TITLE AMOUNT hereby certify DEPEP T. I hereb certi that the attached invoice(s), or n/a n/a 2200- 4357004 $400.0Cbill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except ?4 o 20 Signature i\Af2 i Cost distribution ledger classification if Title claim paid motor vehicle highway fund