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Home My WebLink About193805 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 155108 Page 1 of 1 ONE CIVIC SQUARE INDIANA SECTION AWWA CARMEL, INDIANA 46032 ATTN, MARY JANE MILLER CHECK AMOUNT: $450.00 '4,� �y•r PO BOX 534 CHECK NUMBER: 193805 NASHVILLE IN 47448 CHECK DATE: 1119/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 22211 450.00 EMPLOYEE PEN BENEFI MMA 103rc1 Annual Muting S ECIRO N Marriott Hotel Indianapolis, IN Febnlari 'Z2-24,2011 ,RRE STRATo0N FORM U T I L I T Y 0 P E R A T O R I G O V E RN M E N T NAME:��fc_L� 4e, S Gk J_• (only one name perform) A WWA MEMBER Last First Initial TITLE: ORGANIZATION: 2 wl ADDRESS: 3 L 50 Li CITY 1 STATE 1 ZIP: C A, V1, rL �f �r o 7 y OFFICE TELEPHONE: S 1 7 3 3 5 FAX: 3 1 7 7 g D 53 EMAIL �n_C�1✓ Imr,,L. Z/v• GoU REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates. The DEADLINE for ADVANCE reg istration Full conference member* Advance: $125 On -site: $185 Feb.4, 2011 Full conference non member Advance: $175 On -site: $185 One day member' K Advance: $100 On -site: $135 Day: 2 QO l I One day non- member Advance: $125 On -site: $135 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, Feb. 21, 5:30 9:00 p.m, MEALS —Tickets required Tuesday, Feb. 22, 12 -noon: Keynote luncheon with Allison Melangton $25 Wednesday, Feb. 23, 12 -noon: Awards luncheon $25 Thursday, Feb. 24, 7:30 a.m.: Breakfast $15 Total Amount Enclosed: Return this completed form with payment to the address below. d eck made payable to Indiana Section AWWA is enclosed. (Check no.: 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 Mary marked no later than Feb. 7, Attn: Mary Jane Miller or go to our web site Jane Miller at (866) 213 -2796 or 2011, to Mary Jane Miller. P.O. Box 534 Nashville, IN 47448 for additional forms. mj- inawwa @att.net Request for refunds made after Office: (866) 213 -2796 www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966 103rd Annlral Meetin6 INDLAN SECTION AWWA Marriott Hotel Indi:anapolis, IN February 22-24,2011 REG" STG'AT ON F0RM 1 E N G I N E E R S 1 S A L E S/ S E R V I C E NAME, �'iG/I�7'T�/� (only one name perform) AWWA MEMBER g!,) Last First Initial �1 TITLE:_ �i 6��T/O., ORGANIZATION: �iylss,G lUTi ,i X ADDRESS: 24e5_0 Z d CITY I STATE I ZIP: f /J "z OFFICE TELEPHONE: 317 733-- 7_0 FAX: (3/ 7 3 3 719 _5 EMAIL: REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates. TheDEADLINE for ADVANCE Full conference member* kAdvance: $125 On -site: $185 F6b I Full conference non member* Advance: $175 On -site: $185 One day member* Advance: $100 On -site: $135 Day: One day non member* Advance: $125 On -site: $135 Day: I G A *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, Feb. 21, 5:30 9:00 p.m. MEALS Tickets required Tuesday, Feb. 22, 12 -noon: Keynote luncheon with Allison Melangton $25 Wednesday, Feb. 23, 12 -noon: Awards luncheon $25 Thursday, Feb. 24, 7:30 a.m.: Breakfast $15 Total Amount Enclosed: Return this completed form with payment to the address below. 'heck made payable to Indiana Section AWWA is enclosed. (Check no.: 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 FOAM, 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 Mary marked no later than Feb. 7, Attn: Mary Jane Miller or go to our web site Jane Miller at (866) 213 -2796 or 2011, to Mary Jane Miller. P.O. Box 534 Nashville, IN 47448 for additional forms. mj- inawwa @att.net Request for refunds made after Office: (866) 213 -2796 www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966 103rd Annual Meeti16 MLkN SECTION AWW Marriott I4otel Indianapolis, IN R Febr�.iar C22-24,2011 11'6 E" N 2 T R Q T� 0 II 0 Ifs M U T I L I T Y O P P E R A T O R I G O V E RN M E N T NAME: r a 5L4 r Ok), 1 4 (only one name per form) AWWA MEMBER d Z7 39 U/ last First Initial TITLE: 7 i peG4Dr ORGANIZATION: C (�Gr✓u2� t'✓�`� ADDRESS: 3 q6_ W 13 f S_ CITY 1 STATE 1 ZIP: 4-(1&d 77 OFFICE TELEPHONE: 31`7 '73 3—aqSe5!S;_ FAX: 3 I 1 7 Z o s3 EMAIL: MLcSCQ Ltc/'lvv I. ca✓ REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates. The DEADLINE for ADVANCEregistration is Full conference member* Advance: $125 On -site: $185 Full conference non member* Advance: $175 On -site: $185 One day member* Advance: $100 On -site: $135 Day:! One day non member* Advance: $125 On -site: $135 Day: N P_ r't *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) �4 Guest (Admittance to receptions only) Name: L t`5¢ f a EARLY BIRD REGISTRATION Monday, Feb. 21, 5:30 9:00 p.m. MFALS Tickets required Tuesday, Feb. 22, 12 -noon: Keynote luncheon with Allison Melangton $25 Wednesday, Feb. 23, 12 -noon: Awards luncheon $25 Thursday, Feb. 24, 7:30 a.m.: Breakfast $15 Total Amount Enclosed: Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: 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 Mary marked no later than Feb. 7, Attn: Mary Jane Miller or go to our web site Jane Miller at (866) 213 -2796 or 2011, to Mary Jane Miller. P.O. Box 534 Nashville, IN 47448 for additional forms. mj- inawwa @att.net Request for refunds made after Office: (866) 213 -2796 www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966 103rd Anxiu ll Meetirn8 M IANA SECTI A WW A Marriott Hotel Indianapolis, IN Februar>_J 22-24,201 U T I L I T Y/ 0 P E R A T 0 R t G 0 V E R N M E N T NAME: 1 only one name per form) AWWA MEMBER D Lf S Last First l TITLE: r ORGANIZATION: n —,,,,,a] 1" ADDRESS: L j�� l CITY 1 STATE 1 ZIP: Coy' q OFFICE TELEPHONE: g 5 S FAX: f �I a C� 5 7S EMAIL: REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates.. Full conference member* Advance: $125 On -site: $185 Full conference non member* Advance: $175 On -site: $185 One day member* <Advance: $100 On -site: $135 Day: I One day non member* 0 Advance: $125 On -site: $135 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, Feb. 21, 5:30 9:00 p.m. MEALS —Tickets required 0 Tuesday, Feb. 22, 12 -noon: Keynote luncheon with Allison Melangton $25 Wednesday, Feb. 23, 12 -noon: Awards luncheon $25 Thursday, Feb. 24, 7:30 a.m.: Breakfast $15 Total Amount Enclosed: Return this completed form with payment to the address below. <H,"Check made payable to Indiana Section AWWA is enclosed. (Check no.: 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 Mary marked no later than Feb. 7, Attn: Mary Jane Miller or go to our web site Jane Miller at (866) 213 -2796 or 2011, to Mary Jane Miller. P.O. Box 534 Nashville, IN 47448 for additional forms. mj-inawwa@att.net Request for refunds made after Office: (866) 213-2796 www.inawwa.org with your request. I that date cannot be honored. FAX: (866) 215 -5966 mE F. 103rd Annual Meeting RNDLANA SECTION AWWA Marriott Hotel- Indianapolis, IN Februartj 22-24,2011 REG 1!3 E N IS I N E E R S 1 S A L E S S E R V I C E NAME: ffi 7 ye_1 (only one name per form) AWWA MEMBER o ?1e Last First Initial TITLE: ORGANIZATION: ADDRESS: CITY 1 STATE 1 ZIP: b OFFICE TELEPHONE: (L-T) 7 ?S a 5 5 FAX: r'I 7 Q EMAIL: REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates, Full conference member* Advance: $125 On -site: $185 Full conference- non member* Advance: $175 On -site: $185Y.' One day member* RAclvani $100 On -site: $135 Day: One day non member* Advance: $125 On -site: $135 Day: *A $10.00 fee will be charged for all on -site name changes on pre- registration name badges. CONII'LIMENTARY REGISTRATIONS Student, full -time Retired (AWWA members only) IF— Li Guest (Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday, Feb. 21, 5:30 9:00 p.m. NIF-LS Tickets required Tuesday, Feb. 22, 12 -noon: Keynote luncheon with Allison Melangton $25 Wednesday, Feb. 23, 12 -noon: Awards luncheon $25 Thursday, Feb. 24, 7:30 a.m.: Breakfast $15 Total Amount Enclosed: Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: 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 j SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM, PLEASE I 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 Mary marked no later than Feb. 7, Attn: Mary Jane Miller P.O. Box 534 or go to our web site Jane Miller at (866) 213 -2796 or 2011, to Mary Jane Miller. Nashville, IN 47448 for additional forms, mi- inawwa@att.net Request for refunds made after Office: (866) 213 -2796 www.inawwa.org with your request. that date cannot be honored. f FAX: (866) 215 -5966 r �z< VOUCHER 103808 WARRANT ALLOWED T1100 opkkF�S IN SUM OF AWWA IN SECTION F 4i% :Yr T �yL CI /CQC III TA�_TIl1 AI CI A T Ti i l��{ SC)� 53 I1Cishv i 0: N Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code+ 22211 01- 6040 -05 $450.00 Voucher Total $450.00 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CA'RMEL 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 T1100 AWWA IN SECTION Purchase Order No. THREE RIVERS FILTRATION PLANT Terms 1100 GRISWOLD AVE Due Date 1/11/2011 FORT WAYNE, IN 46805 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/11/2011 22211 $450.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5-11-10-1.6 f h 3 �i t A- Date Officer