163874 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 219300 Page 1 of 1
0 ONE CIVIC SQUARE NATIONAL GROUND WATER ASSOCIATL%CK AMOUNT: $290.00
to CARMEL, INDIANA 46032 DIRECTORY PROGRAM
P 0 BOX 73124 CHECK NUMBER: 163874
CLEVELAND OH 44196
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
`601 5023990 3171672 290.00 OTHER EXPENSES
08/20/08 1 of 1 gr ound Water Final Notice
Invoice Date Due Upon Receipt association MEMBERSHIP INVOICE
c (If you have already sent us your dues renewal,
PART :1.:= ::Veil Your-lnformat on thank you, and please disregard this notice.)
3171672
NGWA Membership Number Four easy ways to renew:
1 Mail this invoice with payment to National Ground Water
Association, P.O. Box 73124, Cleveland, OH 44193
2• Visit www.NGWA.org and click on the "Join or Renew" button.
3 Call the member, service center at 800 551.7379
Robert Lovell 4 Fax this form to 614 898.7786 (credit card payments only)
Plant Manager
Carmel City Water NGWA occasionally makes members' postal addresses (not e-mail) available to
3450 W 131St St vendor partners who supply products and services to the ground water com-
munity. If you prefer not to be included on these lists, please contact NGWA
Westfield IN 46074 customer service at 800 551.7379 or e -mail customerservice @ngwo.org with
your request.
Please make any necessary corrections /additions to your information
Phone Number: (317) 733 -2855 that appears on the left:
Fax Number: (317) 733 -2053
Email Address: riovell @carmel.in.gov
�.^;.%*;;.w:..,..- p'. r,...,. -,*.a.�-tr���.� -:a y T,j° :ir,'�f °--x• .-e
_ART "Anna" e
ompany $2§'O
0 0'
Annual bucs r..
Mike_corrections or add Additional Memberships at $85.00 each in the space
provided.
1. .AGWSE.Primary 3171671 Robert Lovell $0.00
2. AGWSE Employee 3172605 John A Mascari $0.00
3
4.
5
6.
7.
8.
9.
10.
11.
12
13.
14.
15.
U_
$290.00
Total..................................................:............
PART 3:- Pa ment.inforM.ation
S
._..a ......�.r. n•. +,i- «a_..�..::,L_>���.+.r,..+.. ..�..._i_ N �......_�...w.e.. r-. �t.+_ ww .......,._�.f�....s..- ......s. .s..�..e .tea ..rt_....'C:�.
Payment: 'R Check Money Order Check /M.O. 4 Check/M.O. Date
Visa MasterCard Discover American Express
I
Exp. Date Card Number Signature
All payments must be in U.S. funds. International members add $25 fee for bank transfer.
PART 4 Please =Turn Qverfo Gom Ieteali�e.Final Ste s:� �p<
Return the top part of this form or a copy along with your payment for proper credit to your account. Keep this portion for your records.
National Ground Water Association
Robert Lovell 3171672 �1
Member Name Membership Amount Paid Date
Method of Payment: Check Credit Card Money Order
*Membership dues in the NGWA are not deductible as a charitable donation. However, dues may be tax deductible as ordinary and necessary
business expenses to the extent not allocated to lobbying expenditures. The estimated non deductible portion of your duBA%
*Donations to the NGWA Research and Educational Foundation are tax deductible to the fullest extent of the law.
I
VOUCHER 082932 WARRANT ALLOWED
2 -9300
IN SUM OF
`NATL GROUND WATER ASSOC4xg
DEPARTMENT 481 I CA
COLUMBUS, OH 43265 -0481 0
K�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3 %L) 3171672 01- 6750 -02 $290.00
i
w� Voucher Total $290.00
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
219300
NATL GROUND WATER ASSOC Purchase Order No.
DEPARTMENT 481 Terms
COLUMBUS, OH 43265 -0481 Due Date 9/10/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/10/2008 3171672 $290.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and At
correct and I have audited same in accordance with IC 11- 10 -1.6
9�2/v 2 a `V"
Date Officer.