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Home My WebLink About203895 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 00351464 Page 1 of 1 ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC CHECK AMOUNT: $310.00 CARMEL, INDIANA 46032 Po aox sus NASHVILLE IN 58559 CHECK NUMBER: 203895 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 310.00 OTHER EXPENSES i f y 12 ,y.� �j J� f a,' fit REGISTRATION FORM IRWA Water Institute Dec. 5 -7, 2011 Please print or type one form for EACH ATTENDEE! First time attendee? Attendee Information Billing Information: Name 0l-,/I Company Name: Af Me LjATe r y Title I `5r; �t� ��i i� Billing Contact I�Ef r %Rg Z L Guest's name; if attending Address Address 3 4-Q 13r” �i S7h-el City (a4 A; h 4 S Zi �wle St t T1/ Zip Cit C ✓e t V� p y�0 p s /7l Y Tele hone�� 3S Telephone 3i 'ASS Fax 3' 7 733 Z6S� Fax 7� 7 73- 20 y I E mail �'4�0�� h�� -r✓�+K ��i� J E -mail invoice Il e� C�� armej i 'd I Please print clearly I will be submitting contact hours for Water L Wastewater 13 well Drillers /Pump Installers Purchase Order Engineer PDHs None MONDAY SESSIONS IRWA Member Non- Member Well Drillers Pump Installers# (8:30a 4:00p) $40.00 $80.00 IDEM DWB "Catch All" (8:30a�- Noon) $25.00 $50.00 Water Wastewater Math (�:00p 5:00p) $25.00 $50.00 Wastewater Technical Sessions (1:00p 5:00p) $25.00 $50.00 TUESDAY WEDNESDAY SESSIONS IRWA Member Non Member Tuesday Wednesday $50.00 $90.00 General /Technical Sessions Board /Mgmt Utility Business Forum M Tuesday ONLY k $80.00 'o General /Technical Ses sions C1 Board /Mgmt 11 Utility Business Forum M Wednesday ONLY $25.00 $50.00 General /Technical Sessions u d v MEALS Monday Lunch Tuesday Lunch Tuesday Reception Attendee $16.00 Attendee $16.00 Attendee No Fee Spouse $16.00 Spouse $16.00 Spouse No Fee One BOARD MEMBER or MAYOR per system is NO CHARGE Please check if planning to attend! entitled to (1) COMPLIMENTARY Tuesday Lunch MARILYN GAMBOLD EDUCATION FUND DONATION (MGEF) Mon Tues /WJ Lunch -FT MGEF Y40. IX Mail IRWA PO Box 679 FAX 855 202 -7298 gill us Enclosed Credit Card Nashville, IN 47448 (toll free) G v We welcome registrations on -site. Visa MC Discover pi Amer Exp Please submit cancellation Exp.: requests in writing. No refunds after December 1, 2011. NAME ON CARD: Security: Questions SIGNATURE Billing Zip Code: I MaryJane Miller Telephone: 866- 895 -4792 E -mail: mjmmiller@attnet REGISTRATION FORM IRWA Water Institute Dec. 5 -7, 2011 Please print or type one form for EACH ATTENDEE! First time attendee? Attende Informatio Billing Information: V Name Company Name: C a'( 0 s Title I nnl--, Billing Contact ZLA Guest's name; if attending 3 L) 1 5b 22 fir' Address L -r r Addr 3 Jy City C3 St U Zip City l�(0f�(�c►�� St Telephone 317- SS TeIephone 317 1'33•ag 5 5 F x 3l1 Z33 -9053 Fax 3 a 5 E -mail E -mail invoice 0 0V tr T mal I will be submitting contact Flours for Please pn It clearly Water Wastewater Well Drillers /Pump Installers Engineer PDHs Non j Purchase Order MONDAY SESSIONS IRWA Member Non- Member Well Drillers Pump Installers (8:30a 4:00p) $40.00 $80.00 IDEM DWB "Catch All" (8:30a No6 n) $25.00 $50.00 Water Wastewater Math (1:00p�- 5:00p) $25.00 $50.00 r Wastewater Technical Sessions (1'00p 5:00p) $25.00 13 TUESDAY WEDNESDAY SESSIONS IRWA Member Non Member Tuesday Wednesday $50.00 $90.00 General/Technical Sessions Board /Mgmt Utility Business Forum c M Tuesday ONLY 1♦ $40.00 $80.00 r 0 AK, General/Technical Sessions Board /Mgmt Utility Business Forum 10 Wednesday ONLY $25.00 $50.00 General /Technical Sessions v d i u MEALS Monday Lunch Tuesday Lunch Tuesday Reception Attendee $16.00 Attendee $16.00 Attendee No Fee Spouse $16.00 Spouse $16.00 Spouse I No Fee One BOARD MEMBER or MAYOR per system is NO CHARGE Please check if planning to attend! entitled to (1) COMPLIMENTARY Tuesday Lunch MARILYN GAMBOLD EDUCATION FUND DONATION (MGEF) Mon Tues /Wed b(� Lunch MGEF Mail IRWA PO Box 679 F X 855- 202 -7298 Bill us Enclosed Credit Card Nashville, IN 47448 (toll free) We welcome registrations on -site. Visa MC Discover Amer Exp Please submit cancellation re in writing No refunds after December 1, 2011. NAME ON CARD: Security: Questions SIGNATURE Billing Zip Code: MaVane Miller Telephone: 866 895 -4792 E -mail: mjmmiller @att.net i v _REGISTRATION FORM -IRWA Water Institute Dec. 5 -7, 2011 Please print or type one form for EAC ATTENDEE! First time attendee? 0 it Attendee Information: Billing Information: Name Sfi yP (r7ol� Company Name: l ArMie_ (.�/�TC E .I I Title Billing Contact e�/` r/e Z L 1� 1 Guest's name; if attending Address 3 SO 5Tree 1 Address .3 �3r S7rPPT City �,4re7eL St T1/ Zip CityC Ar r,,-,e C St w Zip y O l Telephone( s 7 7 3 Telephone 3 �3S' �'S� Fax 37 733 26S Fax t 7) -7 33 2D s y I E -mail s E -mail invoice 1 W [1 rl ;l Please print clearly I will be submitting contact hours for Water Wastewater Well Drillers/Pump Installers Purchase Order Engineer PDHs 1 None MONDAY SESSIONS ii IRWA Member Non- Member Well Drillers Pump Installers- (8:30a 4:00p) $40.00 $80.00 IDEM DWB "Catch All" (8:30a Noon) $25.00 $50.00 Water Wastewater Math (1:00p 5:00p) $25.00 $50.00 Wastewater Technical Sessions (1:00p 5:00p) $25.00 $50.00 TUESDAY WEDNESDAY SESSIONS IRWA Member Non Member ozr Tuesday Wednesday $50.00 $90.00 Sd C A General /Technical Sessions 11 Board /Mgmt El Utility BusineIss Forum M Tuesday ONLY $40.00 i C1 $80.00 T 11 General /Technical Sessions Board /Mgmt Utility Business Forum f° Wednesday ONL $25.001 $50.00 Y Y General /Technical Sessions v MEALS j Monday Lunch Tuesday Lunch Tuesday Reception Attendee $16.00 Attendee $16.00 Attendee No Fee Spouse $16.00 Spouse $16.00 Spouse No Fee One BOARD MEMBER or MAYOR per system is NO CHARGE Please check if planning to attend! entitled to (1) COMPLIMENTARY Tuesday Lunch MARILYN GAMBOLD EDUCATION FUND DONATION (MGEF) Mon Tues /We r '�1' �Q Lunch —a' MGEF Mail IRWA FAX 855- 202 -7298 PO Box 679 -Bill us Enclosed Credit Card Nashville, IN 47448 (toll free) I We welcome registrations on -site. Visa MC Discover Amer Exp I Please submit cancellation I' requests in writing. Exp.: No refunds after December 1, 2011. NAME ON CARD: Security: I a uestions SIGNATURE Billing Zip Code: MaryJane Miller tl Telephone: 866-895-4792 E -mail. mjmmiller@att.net i V� REGISTRATIO'N FORM IRWA Water Institute Dec. 5 -7, 2011 Please print art ype one form for EACH ATTENDEE! i First time attendee? Attendee Information: t Billing Information: y r Name G S Lic Y' /Z -rte .f Company Name L- A f M2l �ATC' r Title 1 !/��ne�t�� t Billing Contact 7�P�/` �/e�+ L L Guest's name; if attendi Addres 0 Address 3`/ PST City (�4rr-leL St T1/ Zip U7 City� v�eC St ;v Zip y�C' �`7� Telephones 3 Telephone 31 Fax 3'7._733 2&5-��- Fax(3� 7 .3i 20 S 4� E -mail J /hCtS(,ttri 1�0 r "j E -mail invoice 7� ca�\ �rn Please print t C7� 1( nt c arty I will be submitting contact hours for Water Wastewater Well Drillers /Pump Installers purchase Order Engineer PDHs iNone 13 MONDAY SESSIONS i IRWA Member Non- Member Well Drillers Pump nstallers 8:30a 4:00p) 0 p 40.00 IDEM DWB "Catch All" (8:30a i Noon) $25.00 $50.00 Water Wastewater Math (1,00P 5 $25.00 11 $50.00 Wastewater Technical Sessions,- (1:00p 5:00p) $25.00 $50.00 I TUESDAY WEDNESDAY SESSIONS IRWA Member Non Member D V Tuesday Wednesdav I$( $50.00 El $90.00 SU. o General /Technical Sessions Board /Mgmt Utility Business Forum C CL Tuesday ONLY O $40.00 $80.00 0 General/Technical Sessions 11 Board /Mgmt 11 Utility Business Forum 1° Wednesday ONLY 1 $25.00 $50.00 Genera I/Technical Sessions U d u MEALS Monday Lunch Tuesday Lunch Tuesday Reception Attendee $16.00 Attendee $16.00 Attendee No Fee Spouse $16.00 Spouse $16.00 Spouse No Fee One BOARD MEMBER or MAYOR per system is NO CHARGE Please check if planning to attend! entitled to (1) COMPLIMENTARY Tuesday Lunch MARILYN GAMBOLD EDUCATION FUND DONATION (MGEF) Mon Tues /Wed Lunch a' MGEF I Mail IRWA FAX 855-202 -7298 PO Box 679 Bill us Enclosed Credit Card Nashville, IN 474481 (toll free) j We welcome registrations on -site. Visa MC Discover{ Amer Exp Please submit cancellation requests in writing. E Exp.: No refunds after December 1, 2011. NAME ON CARD: Security: Questions SIGNATURE 91 Billing Zip Code: I MaryJane Miller Telephone: 866- 895 -4792 E -mail. mjmmiller@att.net i v� _REGISTRATION FORM IRWA Water Institute Dec. 5 -7, 2011 il Please print or type one form for EACH ATTENDEE First time attendee? Attendee Information: Billing Information: Name �i�TT' iz s Company Name: f) Mel LJ q re f Title s ir s ter. 1�i/•es �t Y Billing Contact Key/` r Z/ Guest's name; if attending Address cc.l� Address 3 `/'6 v� 13rsril S7r PST City (r rele L St T-✓ Zip _14� City ✓'r L St. U�" Zip y O )41 Telephone '�J 1 1 3/)- 33 )i Telephone ��'�S Fax 733 ZbS Fax 3i 7 33 S s E -mail �AS>�� 'o id a E -mail invoice li Please pn arly I will be submitting contact hours for Water Wastewater Well Drillers /Pump Installers Purchase Order Engineer PDHs None Iu MONDAY SESSIONS iI IRWA Member Non- Member Well Drillers Pump Installers;- (8:30a 4 Fk5L$40.00 $80.00 9 IDEM DWB "Catch All" (8:30a Noon) $25.00 $50.00 Water Wastewater Math (1:00p 5:00p) $25.00 $50.00 Wastewater Technical Sessions (1:00p 5:00p) $25.00 11$50.00 TUESDAY WEDNESDAY SESSIONS IRWA Member Non Member Tuesday Wednesday JW $50.00 $90.00 p o General /Technical Sessions Board /Mgmt Utility Business Forum CL Tuesday ONLY $40.00 $80.00 o General /Technical Sessions Board /Mgmt Utility Business Forum Wednesday ONLY $25.00 $50.00 m General /Technical Sessions U v MEALS Monday Lunch Tuesday Lunch tuesday Reception Attendee $16.00 Attendee $16.00 i Attendee X No Fee Spouse $16.00 Spouse $16.00 Spouse No Fee One BOARD MEMBER or MAYOR per system is NO CHARGE Please check if planning to attend! entitled to (1) COMPLIMENTARY Tuesday Lunch MARILYN GAMBOLD EDUCATIO FUND DONATION (MGEF) J' Mon Tues /Weil $5CLIM Lunch MGEF i Mail IRWA FAX 855 202 -7298 PO Box 679 .�ll ds Enclosed Credit Card Nashville, IN 47448 (toll free) We welcome registrations on -site. Visa MC Discover 1 1 Amer Exp Please submit cancellation Exp.: requests in writing. No refunds after December 1, 2011. NAME ON CARD: Security: Questions SIGNATURE Billing Zip Code: MaryJane Miller Telephone: 866-895-4792 I E -mail. mjmmiller@att.net !I MONDAY, becernbmr5 2011 7:30u-7:00p REGISTRATION for all sessions CONTACT HOURS: Ho|idomo w Water ww Wastewate applied as noted on each session. Final approval, once received, will be posted on our website and announced at the Conference. 9:00a-1 1:00a EXHIBIT SET-UP (East Door) wu~ Well Drillers /pi~ Pump motan.� ap ^.I,wm 6:00p'8:00p EXHIBIT SET-UP (East Door) s"nm°°n (approval approval) lt""WOkK5H0'P, WA uefre,hmo^ts courtesy of our su|s Service Companies! 0 Refreshments courtesy of our Sales a s,,,im Companies! Q REGISTRATION FEE: Member $25; Non-Member $50 REGISTRATION FEE: Member $40; Non-Member $80 This workshop is approved for both Well Driller u Pump Installer 1:00p'5:00p Water Wastewater Math continuing education hours vw'5.5/vrw'3o Pat Cummings, Town of New Carlisle 8:30'815a Morning Session—Part vm-3.0 vvo&p\ Overview &Update This workshop will cover basic math functions for water and wm/p|n.o Indiana Water Resources wastewater operators, including, Dosage Formulas, Volumes, Water Well Web Viewer Flows, Areas, Filtration Rates, and Detention Times. Environmentally Restrictive Ordinance ucovonants Attendees are requested to bring to this workshop: Mark Basch, Monique Riggs, Jerrywmrremer, u Randy Maier, /omR Calculator Nancy Dollar, msm A note pad wnon'1:00p Lunch 'pov|sidp (ticket required) 4 A pen or pencil 1:00-4o0p Afternoon Session—Part z wx'3.0 Groundwater Rule, Public Water Supply wm/p|n.o Requirements Division uf Water Program Updates Peristaltic Pumps, Installation, a/zmo Tmumonxm�no(Hanu�on) Refreshments courtesy vf our Sales aService Companies! 0 Liz Melvin, maw REGISTRATION FEE: Member $25; Non-Member $50 Mark Basch u Monique /omR David wvlina.ntenn*,Pumps 1:00'1:50p Grease Traps 1O1 vm+1 Bob Roudobvoh& Jason Lewin, Clay Township Regional Sewer Distric 1:50'25O Gm Infrastructure WA ly vmw1 Control &Management Miles Herbert, Refreshments courtesy of our su|o a sorv/m c"*pu"/ed 0 sM*«T Water Resources Division REGISTRATION FEE: Member $25; Non-Member $50 2:50'3:10 Break 0:30a'Noon \DEM Drinking Water Branch 3:104:00 |nduotha|Pmtneatmont Now wt-3.5 "Catch All" Wor vw*1 Streamlining Rules Other Facets of wd/pi3.5 Sherri Winters, Liz Melvin, and other Pretreatment 0JBN Drinking Water Branch staff Douglas Ralston, American 3hoo/umpoin/ This |DEM "Catch All" Workshop will cover o multitude oftopics 4:00'5:00 The Simple Things inLife; AVVootawator for water utilities for example: vm"1 Operator's Essential Toolbox F3ORooponaibi|iUo» Adam Downey, Weoole/Engineering Operator Certification and Certification Exams 5:00 Adjourn Compliance Issues 51O'Midnight v New Rules mopoouon |vsuuo HOSPITALITY UPPER TERRACE Site Sampling Courtesy of our Sales a Service Compan 0 Emergency Response Plans—Review Certification Food, Beverages, Cards, Games, Po,muo Visiting and Relaxi Applications Notification Inspections Mark your Calendar: w0\Comvoonoo and much more [RVVA Water Institute April 16-18, 2012 TUESDAY, December 6, 2011 LOCAL TIME Begins oi0:45a RBG|STRATK}N.Holidome 7:00a- 5:30p EXHIBITS OPEN! CONCURRENT SESSIONS Conference Center BOARDS, MANAGERS, AND CLERKS SEE NEXT PAGE Refreshments courtesy of our Sales Service Companies! 0 BOARD MANAGEMEN Preventing Fraud At Your Utility 7:45'8:05a YVo|oomo, Opening Ceremonies Managing Utilities During A Intro of Sales Service Persons! Recessionary Period 8:05'8:55 Locating Lines With W/O Tracer Wire Fire Hydrant Surcharges wt- 1/wxw 1 Steve Beale, C&SSobtionu Tax Exempt Status n:oo'e:us Break EXHIBITS opsm| UTILITY BUSINESS FORUM: 9:25-10:15 Predictive, Preventive Maintenance State Board of Accounts wt- 1/oxv 1 for Water Wastewater Facilities Get Organized wU/pi'I James Williams Jeff Hoohaw( Poorlouo'MYdweot,/no. 10:15'10:55 Break 'EXHIBITS oPsw| Roundtable Discussion 10:55-11:45 Pipeline Intervention—Options and wt-1/wxw1 Methods for Line Stopping Valve Insertion N&RUN12 CORPORAL JOSH OLIBUILL Ron Weston CulyConohootion 11:45'Noon Awards EXHIBITS OPEN! Marine Corporal Josh Bleill mpon'1:00p Lunch 'ppmsiuo graduated high school in 1:004:50 One Step otaTime Greenfield, Indiana, and wt 1 JouhBleill, Indianapolis Colts attended Purdue University. 1:50'2:30 Break EXHIBITS OPEN! He joined the Marine Corps Reserves in 2004 and was 2:30'3:20 Water Wastewater Personnel activated for a tour of duty in wt-1/wow 1 Fulfilling Security Needs inYour Iraq in 2006. Community Steve Pappas, In0aGard Corporal Bleill returned to D Indiana in August 2008 and x:oo~*mo Break EXHIBITS OPEN! was married to his wife, Nikki, 4:00'5:00 |DEM Agency Update in 2009. He built a home in Carmel, Indiana and Bruno Pigott Pat CennV has recently joined the Indianapolis Colts as the wd/pi-I Colts Community Spokesperson. One of his most 5:1e Adjourn 5:30 VENDOR RECEPTION POOLS|OE Time: A Young Marine's Story of Courage, The |RVYA Vendors cordially invite you m Hope, and a New Life in the NFL, which further attend their Complimentary Reception at details Josh's unique and inspiring story. Poo|uidn (Must have a name tag uobo »orvou| Check your registration form i, you wish maxendV Q:00'Midnight 6:30'0:00 HOSPITALITY UPPER TERRACE mu�o�vfm�su�,as"��eov�mm"s|0 0�� ~~,"~*.�v�� v xv«rt«ry vf our Sales a ae~/co c"mpumom 0 Food. Beverages, Cards, Games, ~n�- Visiting and Pe|ox/ny i Seca S+, A s TUESDAY, December 6, 2011 r CONCURRENT SESSIONS" Refreshments courtesy of our Sales Service Companies! O UTILITY BUSINESS FORUM BOARD/MANAGEMENT Bartholomew Room AV Room ILMCT credits awarded Submit to the ILMCT Education Chair IDEM Contact Hours awarded please have form stamped 8:00 -9:00a State Board of Accounts Agency Update 8:05 -8:55a Preventing Fraud At Your Utility Todd Austin, Charlie Pride, wt -1 /ww -1 Ben Foley, Sherman, Barber Mullikin IN State Board of Accounts 8:55 9:25 Break EXHIBITS OPEN! 9:00 -9:15 Break 9:25 -10:15 Managing Utilities During A 9:15 -10:15 Get Organized wt- 1 /ww -1 Recessionary Period Anita Schweisthal, Avery Eric Walsh, Umbaugh Associates 10:15 10:30 Break 10:15 10:55 Break EXHIBITS OPEN! 10:30 -11:30 Inhance 10:55 -11:45 Fire Hydrant Surcharges Jim valis wt- 1 /ww -1 Tax Exempt Status 11:50 -Noon Awards (in General Session Room) Buzz Krohn, O. W. Krohn Associates, EXHIBITS OPEN! 11:45 -Noon Awards (in General Session Room) L_ Noon -1:00p Lunch Poolside EXHIBITS OPEN! Join us in the General Session Room for =NtR 1:00 -1:50p One Step at a Time Please join us in the General Session Room w /ww- Josh Bleill, Indianapolis Colts for the afternoon program!! LL n 1:50 2:15 Break r 2:15 -3:15 Innoprise Donna Parker Gary Beresheim 3:15 -4:15 Roundtable Discussion Bring Your Issues and Challenges Dale Langferman Connie Armstrong, t Columbus Utilities WEDNESDAY, December 7, 2011 SESSIONS Refreshments courtesy of our Sales Service Companies! O tea LOCAL TIME 9:50- 10:40a Break EXHIBITS OPEN 7:30a Registration Last chance! 8:00 -8:50a TOC Removal Techniques for 10:40- 11:30a Tank Operation in Cold Weather wt -1 Potable Water Systems wt -1 Mike Polster, Utility Services Co., Inc. Brian Henry,• Hawkins Water Treatment Group 11:30- 11:40a BreakR,ti. 3:50 -9:00a Break 11:40- 12:30p Benefits to Filter Media Cleaning and wt -1 Filter Management vs. Filter Media t< i:00 9:50a Chlorine Dioxide Generation Replacement By Itself Mike Ricks, Water Solutions Unlimited' �t -1 Technologies Chrls ttienau, 12:30 ADJOURN PureLine Treatment Systems p URN `Y t 1 i Mm ftafts- 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 351464 INDIANA RURAL WATER ASSOCIATION Purchase Order No. P.O. Box 679 Terms Nashville, IN 47448 Due Date 11/15/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/15/201' 12511 $310.00 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 O r VOUCHER 112978 WARRANT ALLOWED 351464 IN SUM OF INDIANA RURAL WATER ASSOCIATIO P.O. Box 679 WATER Nashville, IN 47448 OPERATIONS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 12511 01- 6040 -05 $310.00 Voucher Total $310.00 Cost distribution ledger classification if claim paid under vehicle highway fund