157248 03/05/2008 a
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CITY OF CARMEL, INDIANA VENDOR: 00350034 Page 1 of 1
10J� ONE CIVIC SQUARE DONALD R SIMPSON CHECK AMOUNT: $7.00
CARMEL, INDIANA 46032 633 E QUAIL RIDGE DR
WESTFIELD IN 46074 CHECK NUMBER: 157248
CHECK DATE: 3/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7.00 OTHER EXPENSES
s
I
i Hr'I S 7 J
fiJ
„ice: G•t'- r.. c,l
a Se 100th .An
ANA Meetin6
'S ECTION IN
IDL AVWA
Marriott Hotel ana 1 IN
�ntli po s, i
Februar 19 -21, 2M
�ater,nro�� REGISTRATION F0Rlid
U T I L I T Y O P E R A T O R G O V E R N M E N T
NAME Q( /D
�.w F AWWA MEMBER Q
TITLE: m�eer
ORGANIZATION:
ADDRESS:
CITY/ STATE /ZIP: Q° w -566 2 J
OFFICE TELEPHONE: Fax, 3 'Y
EMAIL: U 1 2� 0 S
REGS'IRAnON FEES*
Employees of utilities holding a Utility membership Iffy for Member rates. The DEADLINE Full conference member
Advance: $90 On -site: $175
Full conference non member Advance: $155 On -site: $175
One day member Advance: $65 On -site: $135 Day:
One day non member Advance: $95 On site: $135 Day:
„__COMPLIMENTARY REGISTRATIONS
b Free Registration for first time operator attendees or those operators who have not
'Indiana's Drinking Water. Safe, Reliable, Secure', an 11
attended since the Annual Section Meeting moved to the Marriott Hotel five years ago. minute DVD provides an excellent overview of the drinking
Student, full -time Retired (AWWA members only)
water industry and our role in the protection of public
C1 Guest (Admittance to receptions only) Name.
EAR LY BIRD 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
MEALS Tickets required safe and plentiful drinking watersupplies. Orderyours nowl
Tuesday, Feb. 19, 12 -noon: Keynote luncheon with Jack Hoffbuhr $20 $25 m (p s kup on site at the operator Registration Des
Wednesday, Feb. 20, 12 -noon: Awards luncheon $20 k)
Thursday, Feb_ 21.7_30 a.m.: Breakfast $10 $35.00 (mailed to the address above)
otelAmeau�tEaclased:$
Return this completed form with payment to the address below.
X`Check made payable to Indiana Section AWWA is enclosed. (Check no.:
Purchase Order N6.
Please charge to my: Visa MasterCard 0 American Express Discover
Name as it appears on card:
Billing address:
Card number:
Exp. date: Signature:
ONLY ONE NAME PER -VW NEEDS REFL
FORK P.EASEI Every reasonable effort will be i M pOLi'CY RETURN CONpLF M
Photocopy the registration made to accommodates Jecial You can recover your pre pay FORM TO:
form for use by others I needs. Please contact eff ment by written request, post- Indiana Section AWWA
or go to our web site marked no later than Feb. 8, Attn: Jeff Peters
Peters at (317) 788 -4800 or j 2008, to Jeff Peters.
for additional forms. i jeffpetm@mdwessler.com q P.O. Box 534
www,inawwa.org with your request. Re Request for refunds made after
that date cannot be honored, Nashville, IN 47448
1 d ?f1 I HM 11W>114 1 n4, r r anna a:7 0 sp
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
T0716
SIMPSON, DON Purchase Order No.
CARMEL WATER Terms
Due Date 2/22/2008.
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/22/2008 022208 $7.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 074874 WARRANT ALLOWED
.._<T0716 IN SUM OF
SIMPSON, DON
CARMEL WATER
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
022208 01- 6040 -05 $7.00
Voucher Total $7.00
Cost distribution ledger classification if
claim paid under vehicle highway fund