160236 06/10/2008 i-
CITY OF CARMEL, INDIANA VENDOR: T361391 Page 1 of 1
ONE CIVIC SQUARE AMERICAN WATER WORKS ASSOCIATI AMOUNT: $819.00
CARMEL, INDIANA 46032 C/O MARY JANE MILLER
P O BOX 534 CHECK NUMBER: 160236
NASHVILLE IN 47448
1 CHECK DATE: 6/10/2008
DEPARTMENT 'ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D
601 5023990 60408 819.00 OTHER EXPENSES
i
a
American Water Works Association `D
Indiana Section Operator School Registration/Book Order Form for 2008
CHECK ONE W W
Registering before June 30'h_
Fill out the class registration and book order section of this form and remit one check for both tuition and books to
IN Section AWWA Operator School c/o Mary Jane Miller P.O. Box 534 Nashville, Indiana 47448
Registering after June 30'
Only fill out the class registration portion of this form and remit a $300.00 check for tuition only to
IN Section AWWA Operator School c/o. Mary Jane Miller P.O. Box 534 Nashville, Indiana 47448.
Contact Caroline Lang at clang @awwa.org or call 1- 800 926 -7337 to order books. Remit a separate check for books to
AWWA Bookstore c/o Caroline Lang 6666 W. Quincy Ave. Denver, CO. 80235
CLASS REGISTRATION
Course Location you wish to attend 11 i Rf 4 D 6V
f If
Student's Name
Utility /Company C A a I —1 L✓A i le
Student's Address i I CA S S Co. 61 e 0
City State T kDPLS �Tw
ZIP Code 1 1 1n
Home Phone Number 31 7
Work Phone Number (30 •73, T 0 E S S
Fax Number 1 33 ;ty S
e -mail address
BOOK ORDER
By After
Check the applicable items July 1 July 1
x Required tuition for the 12 -week course $275 $300
K Required WSO Textbook Series (wso txt) $296 $444*
X Required Operator Certification Study Guide(20517) 50 75*
K) Optional Basic Science Concepts Workbook(] 954) 40 60*
K Optional Water Treatment Workbook(1966) 30 45*
k] Optional Water Quality Workbook(] 968) 30 45*
k; Optional Water Distribution Handbook(20428) 49 74*
X Optional Water Treatment Handbook(20481) 49 74*
9
00
�7
Payment Enclosed PURCHASE ORDERS OR CREDIT CARDS WILL NOT BE PROCESSED
This registration form is used to register students for class as well as take their book order. The committee chair will order
the books for all students who return this registration/book order form by June 30` One check can be written for the both
the tuition and the books only if this form is received by June 30th. The students using this form and returning it by June 30`
will have their books delivered to them on the first day of class and they will receive a discount on their books and their
tuition.
Students missing the June 30` deadline can still sign up for class, however, they will not receive a discount on their books or
their tuition and they cannot use one check to pay for both their tuition and books. They must pay The Indiana section
AWWA for their tuition by mailing it to Mary Jane Miller P.O. Box 534 Nashville, Indiana 47448. Then they must order
T �CHER 081980 WARRANT ALLOWED
IN SUM OF
351668
AWWA -IN SECTION -OPER/ TRAII
P.O. BOX 534 X
NASHVILLE, IN 47448 I
r' 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
60408 01- 6040 -03 $819.00
Voucher Total $819.00
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, rakes 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 6/4/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2008 60408 $819.00
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