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Home My WebLink About194879 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 155108 Page 1 of 1 ONE CIVIC SQUARE INDIANA SECT AWWA CHECK AMOUNT: $400.00 CARMEL, INDIANA 46032 ATTN MARY JANE MILLER PO BOX 534 CHECK NUMBER: 194879 NASHVILLE IN 47448 CHECK DATE: 2/1612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 400.00 EMPLOYEE PEN BENEFI 103rd Annua Mee ting I �7LC HO A WWA Marriott Hotel Indianapolis, IN Februar W-24,2011 U T I L I T Y l 0 P E R A T 0 R 1 G 0 V E R N M E N T NAME: Last FirSi (only one name per form) AiNWA MEMBER L {nipaf TITLE: ��VA i �p �n o ORGANIZATION: t f f_f l eA- ADDRESS: CITY I STATE I ZIP: OFFICE TELEPHONE: �8 s'�~ FAX: i EMAIL: V 4 iu b er r FF C !/'e e_ 1 REGISTRATION FEES Employees of Companies holding a service Provider membership qualify for the Member rates. Tile DEADLINE registratio Full conference member' Advance: $125 On -site: $185 F eb 4 Full conference non member' Advance: $175 On -site: $185 One day member' ,k�Advance: $100 On -site: $135 Day: P-1 12 A a 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. CONTLP4ENIARY 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 $15 T W Amount Enclosed: Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFTJND�CY RETURN COED FORM PLEASE Every reasonable effort will be You can recover y ur pre -pay FORM TO: Photocopy the registration made to accommodate special ment by written re post- Indiana Section AWWA form for use by others needs. Please contact Mary marked no later t an Feb. 7, Attn: Mary Jane Miller or go to our web site Jane Miller at (866) 213 -2796 or 2011, to Mary J ne Miller. P.O. Box 534 for additional forms. mj inawwa @att.net Request for refund made after Nashville, IN 47448 www.inawwa.org with your request.- O that date cannot a fionored. Office: (866) 213 -2796 FAX: '(866) 215 -5966 103rd Annual Meeting NDLAN SECTION A Marriott Hotel Indianapolis, N February 22-24,2011 U T I L I T Y 1 0 P E R A T 0 R 1 G 0 V E R N M E N T NAME: G L i e,Q� J9 (only one name per form) A A MEMBER M a Lasl Firs! TITLE: �A ,$J� Initial ORGANIZATION: 61 CAR z ADDRESS: 2 CITY STATE I ZIP: OFFICE TELEPHONE: I) 33 L 8 i'J� FAX; �U 1 EMAIL: n REGISTRATION FEES Employees of companies holding a Service Provider membership quality for the Member rates. The DEADLINE for AD VANCE Full conference member" Advance: $125 On -site: $185 F eb Full conference non member Advance: $175 On -site: $185 One day member' Advance: $100 On site: $135 Day: e_( Ac'&-- One day non member* Advance: $125 E) On -site: $135 Day:_ *A $10.00 fee will be charged for all on site name changes on pre registration name badges, COMPLIMENTARY REGISTRATIONS e El Student, full -time Retired (AWWA members only) Guest (Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday, Feb. 21, 5:30 9:00 pm, 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 f rm with payment to the address below. •v4heck made payable to Indiana Section AWWA is enclosed. (Check no.: Please charge to my: Visa MasterCard American Express Disco er Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND LILY RETURN COMPLETED PORN, PLEASE! Every reasonable effort will be You can recovery ur pre pay FORM TO: Photocopy the registration made to accommodate special ment by written re uest, post- Indiana Section AWWA form for use by others needs. Please contact Mary marked no later t an Feb. 7, Attn: Mary Jane Miller or go to our web site Jane Miller at (866) 213 -2796 or 2011, to Mary J ne Miller. P.O. Box 534 for additionsl forms. m) inawwa @att.net Request for refund made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot a honored. Office: (866) 213 -2796 FAX: (866) 215 -5966 103rd Annual Meeffi16 MA SIECTIO A WWA Marriott Hotel Indianapolis, IN Februar 22-24,2011 O U TI L I T Y I O P E RAT 0 RIG O V E R N M E N T NAME: I L ast Initlal q M A (only one name per form) AWWA MEMBER M L Firs TITLE: b� C�pP"fA�,E ORGANIZATION: C L ADDRESS: J U L I s S CITY 1 STATE 1 ZIP: CA PM -e- rj J p '7 y OFFICE TELEPHONE: 22_73- 2 9 YJ FAX: EMAIL: It t 1Q P3 d L) REGISTRATION FEES Employees of companies holding a Service Provider membership quality for the Member rates. The DEADLINE for ADVANCE registration is Full conference member' Advance: $125 1:1 On-site: $185 F e b 4, i Full conference non-member' Advance: $175 On -site: $185 One day member* Advance: $100 On -site: $135 Day: NUJ f 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 El 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 Mefangton $25 Wednesday, Feb. 23, 12 -noon: Awards luncheon $25 Thursday, Feb. 24, 7:30 a.m Breakfast $15 ToW Amount Enclosed: Return this completed form with payment to the address below. I�Xheck made payable to Indiana Section AWWA is enclosed. (Check no.: 0 Please charge to my: 0 Visa o MasterCard o American Express e1 Disc ver Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PIER SPECIAL NEEDS REFUND P RETURN COMPLERD FORM, PLEASEt Every reasonable effort will be you can recover our pre -pay- FORM TO. Photocopy the registration made to accommodate special I ment by written r quest, post- Indiana Section AWWA form for use by others needs. Please contact Mary marked no later an Feb. 7, Attn: Mary Jane Miller or go to our web site ,lane Miller at (866) 213 -2796 or 2011, to Mary J ne Miller. PO. Box 534 for additional forms. mi inawwa @att.net Request for refun s made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot qe honored. Office: (866) 213 -2796 FAX: (866) 215 -5966 103rd A nnua l Meet%ng MM SECHO AWWA Marriott Hotel Indianapolis, IN Februar W-24,2011 O U T I L 1 T Y 1 0 P E R A T 0 R 1 G 0 V E R N M E N T NAME. �'A s ��U� e i� (only one name perform) A A L l First Inipy MEMBER c as i TITLE: 'r4 1 o S j /'r� •A.�J ORGANIZATION: C'_.� �f C/ ADDRESS: V Q CITY 1 STATE 1 ZIP: A O-t- OFFICE TELEPHONE: G? 2 F4 FAX: EMAIL: REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates. The DEADLINE for ADVANCE registration is Full conference member* Advance: $125 On -site: $185 F Full conference non member* Advance: $175 On -site: $185 One day member* Advance: $100 On -site: $135 Day: W rJ Q I One day non member* Advance: $125 C3 On -site: $135 Day: *A $10.00 fee will be charged for all on site name changes on pre registration name badges. COMPL2 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. NEALS-.. Tickets required Tuesday, Feb. 22, 12 -noon: Keynote luncheon with Allison Melangton $25 Wednesday, Feb. 23, 12 -nob"n: Awards luncheon $25 Thursday, Feb. 24, 7:30 a.m Breakfast $15 Total Amount Enclosed: Return this completed brim with payment to the address below. ,Q),check made payable to Indiana Section AWWA is enclosed. (Check no.: Please charge to my: m Visa o MasterCard o American Express Disc ver Name as it appears on card: Billing address: Card number: Exp. date: Signature ONLY ONE NAME PER SPECIAL NEEDS REI'[JND I ICY RBI CpD FORK PLEASE! Every reasonable effort will be You can recoverToour pre -pay- FORM TO: Photocopy the registration made to accommodate special ment by written r quest, post- Indiana Section AWWA form for use by others needs. Please contact Mary marked no later han Feb. 7, Attn: Mary Jane Miller or go to our web site Jane Miller at (866) 213 -2796 or I 2011, to Mary Jane Miller. P .O. Box 534 for additional forms. mi- inawwa @att.net Request for refunds made after Nashville, IN 47448 www.inawwa.org with your request. that date cannot a honored. Office: (866) 213 -2796 FAX (866) 215 -5966 VOUCHER 104056 WARRANT ALLOWED T1100 W,,q� IN SUM OF AWW <IN ECTION THREE�IVERS FILTRATION PLA 1100 GRISWOLD AVE FORT WAYNE, IN 46805 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 22211 01- 6040 -03 $400.00 Voucher Total $400.00 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 T1100 AWWA IN SECTION Purchase Order No. THREE RIVERS FILTRATION PLANT Terms 1100 GRISWOLD AVE Due Date 2/8/2011 FORT WAYNE, IN 46805 Invoice Invoice Description Date Numbe (or note attached invoice(s) or bill(s)) Amount 2/8/2011 22211 $400.00 1 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 21)1111 Date Officer