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163450 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 361479 Page 1 of 1 .ONE CIVIC SQUARE WATERSMART INNOVATIONS CHECK AMOUNT: $660.00 %a. CARMEL, INDIANA 46032 ATTENDEE SERVICES 4 �0 2408 CHAPMAN DR CHECK NUMBER: 163450 LAS VEGAS NV 89104 -3455 CHECK DATE: 9/3/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION .SO1' 5023990 W08273 660.00 CONFERENCE. f :s sm Water Smart Innovations Conference "'Ex 0ct6b0e, 8 "10, 2008 Las Vegas Nevada .s e .a x r §4� v Authorization Code (if applicable) Contact Information First Name y Last Name Title VI &I04 a t e,4,eAps Ti '/t e5 Address A d Aug J IV City CA State _TN Country &V Zip Code Email -a�G7u ��y I") /'/�,t�/llel �N.40Y Attendee Type Attendee r Speaker r Sponsor r Partner r Exhibitor Registration Type Full Conference Registration Exhibits Only $75 Note: Authorization Code r $330 before July 11, $390 thereafter discounts will be applied manually if applicable Will you require a hotel room? Yes r No Attendee Company Type r, Lawn Landscape Professional r Landscape Architect Irrigation Professional General Building Contractor Property Manager r Construction /Land Development r Plumbing Golf Course Maintenance r Educational Facility Maintenance r Parks Recreation Maintenance f ,Municipality Maintenance Water Agency r Non Exhibiting Wholesaler Retailer /Merchandiser /Buyer Lawn Garden Center r Exhibitor- Supplier r Non Exhibiting Manufacturer /Supplier r Student Educator r Press /Media Non Governmental Organization r Legislative /Regulatory Municipal /City /County Government r Dealer /Distributor /Manufacturer Engineering /Design /Architectural r Other Position in Company Owner /Manager /Executive r Supervisor r Technical /Professional r Public Affairs r Sales r Foreman r Crew r Booth Staff r Other Do you have purchasing authority at your company? Yes r No Please complete form and fax to 702.731.3580 watet :�mai'"t. Water's mart Innovations Conference Expo z ,i4 October <8 =1.0, 2008 Las Vegas, Nevada Hotel Information Arrival Date I d 1 dcd Departure Date r G Bed Preference Single (1 King) r Double (2 Doubles) Smoking Preference Smoking Non- Smoking Roommate Selection Roommate No Roommate Roommate First Name Roommate Last Name Additional Comments, Requests or Special Needs (if any) i.e. "No feather /down pillows Payment Information Conference Registration Payment Type r Credit Card I— Check fZ Purchase Order PO VU 0 3 Credit Card Information (Note: Credit card information is necessary to hold hotel reservation) Card Type K Visa r MasterCard r American Express r Discover 1 Name on Card ANNA M A ki Billing Address 130 0 0 e �oO La i j e Billing City me Billing State 1N Billing Zip W 3;� Card Number 0 d 13� 3 Zq Expiration Date 3 or 4 Digit Security Code Note: One night's room and tax deposit will be charged to your credit card by the South Point Hotel approximately 30 days prior to your arrival. Please use a credit card with an expiration date that falls after the date of September 30, 2008, or the South Point will not reserve your hotel room. Conference Cancellation Policy Note: Registrants who cancel before September 08, 2008, will receive a 75 percent refund on your conference registration (a 25 percent administrative fee will be charged). No refunds will be issued for any cancellations received after September 08, 2008. You must apply for refunds either in writing or via e-mail to info @watersmartinnovations.com. All refunds will be settled immediately afterthe conference. Registration fees can be transferred to another attendee, please contact registration @watersmartinnovations.com Hotel Cancellation Policy Changes and cancellations to your online registration must be received at least 72 hours prior to your arrival or your room deposit will be forfeited and may result in complete cancellation of your room. I agree to the cancellation policy. Please complete form and fax to 702.731.3580 t water I`n i° I:, WaterSrn' tkl nriovetioris Conference &Expo 3:Oc#6ber 2008 Las Vegas, Nevada Authorization Code (if applicable) Contact Information First Name S LA e, Last Name k► Title K Gi r oT C u Sf6YneP fb AMs¢ fdU -Opp C('� C a l c. I i(�� Address 7C p I rc� S W City aY_ State Country Zip Code L� O Email SMAI 0 Co rKy -lej a a y Attendee Type Attendee r Speaker Sponsor r, Partner r Exhibitor Registration Type ...-Full Conference Registration Note: Authorization Code $330 before July 11, $390 thereafter r Exhibits Only $75 discounts will be applied manually if applicable Will you require a hotel room? Xyes f-I No Attendee Company Type ri Lawn Landscape Professional r Landscape Architect F_; Irrigation Professional r General Building Contractor Property Manager ri Construction /Land Development r Plumbing r' Golf Course Maintenance r Educational Facility Maintenance Parks Recreation Maintenance Municipality Maintenance r; Water Agency r, Non Exhibiting Wholesaler Retailer /Merchandiser /Buyer Lawn &Garden Center r Exhibitor Supplier r Non Exhibiting Manufacturer /Supplier r Student r Educator r' Press /Media r Non- Governmental Organization r Leg islative /Regulatoryunicipal /City /County Government r Dealer /Distributor /Manufacturer r Engineering /Design /Architectural Other Position in Company r' Owner /Manager /Executive r, Supervisor r, Technical /Professional X blic Affairs r' Sales r Foreman r Crew r Booth Staff r Other Do y ou have purchasing authority at your company? r Yes No Please complete form and fax to 702.731.3580 �a 4 M 1 I s e water &Expo 0dob'er.8 =10; 2008,Las Vegas, Nevada r Hotel Information r} U 1 Arrival Date I O Departure Date I o 0 Bed Preference Single (1 King) ruble (2 Doubles) Smoking Preference r Smoking Non- Smoking Roommate Selection r Roommate* Roommate Roommate First Name Roommate Last Name Additional Comments, Requests or Special Needs (if any) i.e. "No feather /down pillows Payment Information Conference Registration Payment Type r Credit Card r Checkurchase Order PO Credit Card Information (Note: Credit card information is necessary to hold hotel reservation) Card Type K isa F MasterCard F American Express I— Discover Name on Card SI�Z,a I Billing Address Billing City Ca y-wid Billing State Billing Zip Card Number I q 7 a�, G o '3 3 ;CT I Expiration Date U 3 or 4 Digit Security Code Note: One night's room and tax deposit will be charged to your credit card by the South Point Hotel approximately 30 days prior to your arrival. Please use a credit card with an expiration date that falls after the date of September 30, 2008, or the South Point will not reserve your hotel room. Conference Cancellation Policy Note: Registrants who cancel before September 08, 2008, will receive a 75 percent refund on your conference registration (a 25 percent administrative fee will be charged). No refunds will be issued for any cancellations received after September 08, 2008. You must apply for refunds either in writing or via e-mail to info @watersmartinnovations.com. All refunds will be settled immediately after the conference. Registration fees can be transferred to another attendee, please contact registration @watersmartinnovations.com Hotel Cancellation Policy Changes and cancellations to your online registration must be received at least 72 hours prior to your arrival or your room deposit will be forfeited and may result in complete cancellation of your room. X I agree to the cancellation policy. Please complete form and fax to 702.731.3580 Prescribed by State Board of Accounts f� Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer Title Voucher No Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA Favor Of l/,4 e,2 TVIVO0A�ir'Ns 2 V08 07A p/Z ZAs Ue S N v 89/0 Total Amount of Voucher Deductions (q00 j �OuFF .dv O.�a o0 r Amount of Warrant NJ U Q Month of Yr Acct. VOUCHER RECORD No. Source of Suppl Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation-Maintenance Utility Plant in Service Materials U Custome n,?._a Allowe Board of Control Filed Official Title BOYCE FORMS SYSTEMS 1- 800- 382 -8702 325