HomeMy WebLinkAbout194241 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 00351464 Page 1 of 1
ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC CHECK AMOUNT: $350.00
CARMEL, INDIANA 46032 PO BOX 879
4 .off i�o NASHVILLE IN 58559 CHECK NUMBER: 194241
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 996482 350.00 EMPLOYEE PEN BENEFI
Indiana Dural Water Association
5ern4Wpro1essrona& in the svaterindustry since 1968
Main Ofce
P. O. Box 679; Nashville, IN 47448
812 -988 -6631 Office; 812- 988 -6961 Fax
www. indianaruralwaler. org
MEMBERSHIP INVOICE
Invoice #996482
Date: January 12, 2011
Amount Due: $350
To: Jaimie Foreman
City of Carmel For Period: 2/17/2011 to 2 /17/ 20 12
760 3rd Avenue SW; Prior payment: Date: 2/17/2010
Carmel, IN 46032 VJ Ck 182400
Amt. Paid: $350
From: Odetta Cadwell, Executive Director
Indiana Rural Water Association
Enclosed you will find information regarding membership. Please make changes as necessary to the information listed
below and return with membership dues.
--i
NOTE -ALL MEMBERS: If others
Company Name: City of Carmel r
from your organization would
Contact: Jaimie Foreman like to receive information on r
r
E -Mail: jforeman @carmel.in.gov IRWA events, please indicate
Website: t names and e-mail addresses on
Addressl: 760 3rd Avenue SW the back.
r r
Address2:
City, St, Zip: Carmel, IN 46032 NOTE ASSOCIATE MEMBERS: i
Please include a brief company
Office Telephone: 317- 571 -2443 description on the back. In
Cell: r addition to your company's web r
Office Fax: 317- 571 -2265 link, we will include your
i description on IRWA's website. t
of Meters or Population Served): r f
Thank you for your membership! You and your organization are an important part of the Indiana Rural Water
Association and we look forward to your continued support!
ANNUAL MEMBERSHIP DUES Paying by check, please remit to
Water Wastewater Utilities IRWA
Number of Meters in operation Non Community Water systems $60 PO Box 679
(or approximate population served) Nashville, iN 47448
1- 300 meters 60 Associate Members (Vendors) $250
(approx. 3 to 750 population) Fax: 812- 988 -6961
301- 600 meters 90 Combined Membership $600
(approx. 75.1 to 1500population) Paying by Credit Card
601 1000 meters i40 corporate with Multiple Facilities
Call IRWA office to check applicability
(approx. 1501- 2500 population) Visa MC Discover Amer Exp
1001 1500 meters 200
(approx. 2501— 3750 population)
1501- 3000 meters 250
(approx. 3751 7500 population) Exp.: Security:
3001 meters and above 350
(approx. 7501 population and above) NAME ON CARD:
SIGNATURE:
VOUCHER 103922 WARRANT ALLOWED
351464 IN SUM OF
INDIANA RURAL WATER ASSOCIATIO
P.O. Box 679
Nashville, IN 47448
WA`TM—
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
996482 01- 6040 -03 $350.00
Voucher Total $350.00
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 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
351464
INDIANA RURAL_ WATER ASSOCIATION Purchase Order No.
P.O. Box 679 Terms
Nashville, IN 47448 Due Date 1/25/2011
Invoice I nvoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2011 996482 $350.00
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
1 2, elll
Date Officer