HomeMy WebLinkAbout157020 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 360921 Page 1 of 1
ONE CIVIC SQUARE JERRY CLOUD
O WINDWOOD PKWY CHECK AMOUNT: $10.00
CARMEL, INDIANA 46032 19560 NOBLESVILLE IN 46062
CHECK NUMBER: 157020
CHECK DATE: 3/5/2008
P. EPARTMENT A PO NUMBER INVOICE NUMBER AM OUN T DESCRIPTION
X 601 5023990 10.00 EMPLOYEE PEN BENEFI
I
I
a Se 100th Annuell Meeting
SECTION
AVWA
Marriott Hotel Indianapolis, W
Februar 19 -2L 2008
RE IST RAT IO FORM
U T I L I T Y /O P E R A T 0 R G O V E R N M E N T
NAME. -s Q
Lost Pint AWWA MEMBER
TITLE. Initial
ADDRESS; ORGANIZATION: �g C r ,p T�°
i
CITY 1 STATE I ZiP:
OFFICE TELEPHONE: FAX: 3 f
;0
EMAIL:
REGISTRATION FEES'
Employees of Ublilies holding a utility membership alify for Member rates. The DEADLINE for Full conference member ADV
Advance: $90 Cl On -site: $175 Feb. 1, 2008
Full conference non member O Advance: $155 On -site: $175
One day member Advance; $65 On -site: $135 Day:
One day non member Advance: $95 O On -site: $135 Day:
,,._COMPLIMENTARY REGLSTRATIONS
Free Registration for first time operator attendees or those operators who have not
attended since the Annual Section 9 an Meeting moved to the Marriott Hotel five ears a o. Indiana's Drinking water. safe, Reli secure', an 11
Student, full -time Retired (AYMA members only) minute DVD provides an excellent overview of the driniong
Guest (Admittance to receptions only) Name: water industry and our role in the protection of public
EAR LY BIRD REGISTRATION health.
This DVD was prepared to educate the general public
Monday, Feb: 18, 5:30 •9:00 p.m. regarding the important issues associated with providing
MEAI..S Tickets required safe and plentiful drinking water supplies. order yours novel
❑Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 $25.00 (pickup on site at the operator Registration
Wednesday, Feb. 20,12 -noon: Awards luncheon $20 Desk)
Thursday, Feb. 21, 7:30 a.m.: Breakfast $10 $35.00 mailed to the address above)
TotnlAmauatEndosed:$$-
Return this completed form with
X'Check made payable to Indiana Section AWWA is enclosed. (Check no.: payment to the address below.
Purchase Order N
a.
Please charge to my: Visa O MasterCard American Express Discover
Name as it appears on card:
Billing address
Card number:
Exp. date: Signature:
ONLY ONE NAME PER S MCI.AI. NEEDS RER
FO1 P EA3Et Every reasonable effort will be i �U RETURN COMpUM
p
Photocopy the registration made to accommodates ecial You can recover your pre- pay )(ARM M.
form for use by ment by written request, post- Indiana Section AWWA
y needs. Please contact Jeff i marked no later than Feb: 8,
or go to our web site Peters at (317) 788 -4800 or Attn: Jeff Peters
for additional forms. I jeffpeters@mdwessler.com I 2008, to Jeff Peters. P.O. Box 534
www,inawwa.org with your request. Request for refunds made after Nashville, IN 47448
be
that date cannot honored.
j °i M 1 HM 1 q W?IH1 n-6 T T nnn� a� as
l VOUCHER 074884 WARRANT ALLOWED
T0715 IN SUM OF
CLOUD, JERRY
Carmel Water
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
96089 01- 6040 -03 $5.00
5-00
IO.oc�
Voucher Total 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
T0715
CLOUD, JERRY Purchase Order No.
Carmel Water Terms
Due Date 2/27/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/27/2008 96089 $5.00
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