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Home My WebLink About205499 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 155109 Page 1 of 1 ONE CIVIC SQUARE INDIANA SECT AWWA OPERATOR SCHNk i GFECK AMOUNT: $350.00 CARMEL, INDIANA 46032 C/0 MARY JANE MILLER PO BOX 534 CHECK NUMBER: 205499 NASHVILLE IN 46448 CHECK DATE: 1/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 22211 350.00 OTHER EXPENSES IV'tth 1An11ual lvleeLlnB INDIAN S AWWA Marriott Hotel Indianapolis, IN Feb, .ary 21-23,2012 U T I L I T Y/ 0 R E R A T 0 R 1 G 0 V E R N M E N T 9 NAME: �«_J r (only one name per form) AWWA MEMBER Last rst Inih TITLE: ADDRESS: ��Q—---------- CITY I STATE/ ZIP: OFFICE TELEPHONE: (.�2_ -J j FAX: EMAIL: REGISTR.ATTON FEES Employees of Companies holding a Service Provider membership qualify for the Member rates. Full conference member* Advance: $125 On -site: $185 Full conference non member* Advance: $175 On -site: $185 One day member* Advance: $100 On -site: $135 Day:__ One day non member* Advance: $125 On -site: $135 Day:__-- COMPLIMENTARY REGISTRATIONS Student, full-time Retired (AWWA members only) Guest (Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday, Feb. 20, 5:00 8:00 p.m. MEALS Tickets required Tuesday, Feb. 21, 12 -noon: Keynote luncheon with Joshua Bliell $25 Wednesday, Feb. 22, 12 -noon: Awards luncheon $25 ❑Thursday, Feb. 23, 7:30 a.m.: Breakfast $15 Total lAmountEnclosed: t�J j— Return this completed form payment to below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM, PLEASE j Every reasonable effort will be You can recover your pre -pay- FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Mary marked no later than Feb. 3, Attn: Mary Jane Miller g Jane Miller at (866) 213 -2796 or 2012, to Mary Jane Miller. i P.O. Box 534 or o to our web site Nashville, IN 47448 for additional forms. mj- inawwa @att.net Request for refunds made after Office: (866) 213-2796 www.inawwa.org I with your request. that date cannot be honored. FAX: (866) 215 -5966 I Y 1 MIN 2 Y 104th A nnual Meetin6' INDIANA SIECUON A Marriott Hotel Indianapolis, IN Februarij 21-23,2012 U T I L I T Y 1 0 P E R A T 0 R 1 G 0 V E R N M E N T NAME: _D-1 -I (jl (only one name perform) AWWA MEMBER Last First 4 TITLE: ORGANIZATION: ADDRESS: rn^ 1 y CITY /STATE /ZIP:. 4` _Y.._Y_l 1� lQ U7 �f OFFICE TELEPHONE: I� 5 FAX: (5 t?) 3-3 EMAIL: REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates. Full conference member* Advance: $125 On -site: $185 Full conference non member* Advance: $175 On -site: $185 One day member* XAdvance: $100 On -site: $135 Day: One day non member* Advance: $125 On -site: $135 Day: COMPLIMENTARY REGISTRATIONS Student, full -time Retired (AWWA members only) Guest (Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday, Feb. 20, 5:00 8:00 p.m. MEALS Tickets required ❑Tuesday, Feb. 21, 12 -noon: Keynote luncheon with Joshua Bliell $25 Wednesday, Feb. 22, 12 -noon: Awards luncheon $25 Thursday, Feb. 23, 7:30 a.m.: Breakfast $15 Total Amount Enclosed: Return this completed form with payment to the address below. tK'C heck made payable to Indiana Section AWWA is enclosed. (Check no.: Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER I SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM, PLEASE Every reasonable effort will be You can recover your pre pay FORM TO: Photocopy the registration j made to accommodate special ment by written request, post I Indiana Section AWWA form for use by others I needs. Please contact Mary marked no later than Feb. 3, Attn: Mary Jane Miller P.O. Box or go to our web site I Jane Miller at (866) 213 -2796 or 2012, to Mary Jane Miller. Nashville, IN 47 47448 for additional forms. mj- inawwa @att.net Request for refunds made after Office: (866) 213 -2796 www.inawwa.org I with your request. i that date cannot be honored. I FAX: (866) 215 -5966 i x 104th Annual Meeting INDIANA SECTION A Marriott Hotel Indianapolis, IN Februar 21-25,2012 I S T R A T I 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:_ /_l PSd h1 Q�? perform) t� (only one name AWWA MEMBER �Q Q J G Last First Initial TITLE: _b- 7 ORGANIZATION: C r Z Lj Iq T ADDRESS: CITY STATE ZIP: i� T e T, �%6 0 7 �l OFFICE TELEPHONE: P 7 3 3 Z BSS' FAX: 2 S� 3 EMAIL: Si%'. So N a r� T. e c9 o y REGISTRATION FEES Employees of Companies holding a Service Provider membership quality for the Member rates. registratio n Feb.3, 2012 Full conference member* Advance: $125 On -site: $185 Full conference non member* Advance: $175 On -site: $185 One day member* Advance: $100 On -site: $135 Day:__ One day non member* Advance: $125 On -site: $135 Day:____ 2_ COMPLIMENTARY REGISTRATIONS Student, full -time Retired (AWWA members only) Guest (Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday, Feb. 20, 5:00 8:00 p.m. MEALS Tickets required Tuesday, Feb. 21, 12 -noon: Keynote luncheon with Joshua Bliell $25 Wednesday, Feb. 22, 12 -noon: Awards luncheon $25 Thursday, Feb. 23, 7:30 a.m.: Breakfast $15 Total Amount Enclosed: Return this completed form with payment to the address below. Check made payable to Indiana Section AWWA is enclosed. (Check no.: Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: Billing address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM, PLEASE Every reasonable effort will be I You can recover your pre pay FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Mary marked no later than Feb. 3, I Attn: Mary Jane Miller or go to our web site Jane Miller at (866) 213 -2796 or 2012, to Mary Jane Miller. I P.O. Box 534 for additional forms. iI mj- inawwa @att.net I Request for refunds made after Nashville, IN 47448 www.inawwa.org I with your request. that date cannot be honored. i Office: (866) 213 -2796 FAX: (866) 215 -5966 104th A nnual M eetin8 INDIANA SECTION A Marriott Hotel Indianapolis, W February 21-23,2012 REG ISTRATIO 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 NAM E: P 1-' (only one name perform) AWWA MEMBER Last First Initial TITLE: c V\_4 -Y".; aJ- ORGANIZATION: ADDRESS- NN) X31 5_ SV CITY/ STATE /ZIP: CQ -e L OFFICE TELEPHONE: 11) 33- a Ss FAX: I V I �0�3 EMAIL: T REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates. The DEADLINE for ADVANCE'r6gistrMion is Full conference member* Advance: $125 On -site: $185 Feb. 3, 2012 Full conference non member* Advance: $175 On -site: $185 One day member* Advance: $100 On -site: $135 Day: One day non member* Advance: $125 On -site: $135 Day:_ COMPLIMENTARY REGISTRATIONS Student, full -time Retired (AWWA members only) Guest (Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday, Feb. 20, 5:00 8:00 p.m. MEALS Tickets required Tuesday, Feb. 21, 12 -noon: Keynote luncheon with Joshua Bliell $25 Wednesday, Feb. 22, 12 -noon: Awards luncheon $25 Thursday, Feb. 23, 7:30 a.m.: Breakfast $15 y---------------------------- Total Amount Enclosed Return this completed form with payment to the address below. C heck made payable to Indiana Section AWWA is enclosed. (Check no.: Please charge to my: Visa MasterCard American Express Discover Name as it appears on card: gillirg address: Card number: Exp. date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM, PLEASE Every reasonable effort will be j You can recover your pre -pay- I FORM TO: Photocopy the registration made to accommodate special ment by written request, post- Indiana Section AWWA form for use by others needs. Please contact Mary marked no later than Feb. 3, Attn: Mary Jane Miller or go to our web site Jane Miller at (866) 213 -2796 or 2012, to Mary Jane Miller. P.O. Box Nashville, IN 47 47448 for additional forms. mj- inawwa @att.net Request for refunds made after it Office: (866) 213 -2796 www.inawwa.org with your request. that date cannot be honored. I FAX: (866) 215 -5966 I t 11 MAO �x I INS Win: 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 T1100 AWWA IN SECTION Purchase Order No. THREE RIVERS FILTRATION PLANT Terms 1100 GRISWOLD AVE Due Date 1/10/2012 FORT WAYNE, IN 46805 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/10/2012 22211 $350.00 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 VOUCHER 113416 WARRANT ALLOWED T1100 V� IN SUM OF AWWA IN SECTION THREE RIVERS FILTRATION PLANT 1100 GRISWOLD AVE FORT WAYNE, IN 46805 oPi� EATI Rs Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 22211 01- 6040 -05 $350.00 Voucher Total $350.00 Cost distribution ledger classification if claim paid under vehicle highway fund