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Home My WebLink About205895 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 155108 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA SECT AWWA CHECK AMOUNT: $500.00 CARMEL, INDIANA 46032 ATTN MARY JANE MILLER PO BOX 534 CHECK NUMBER: 205895 NASHVILLE IN 47448 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 500.00 OTHER EXPENSES 104th A nnual Meeting MLANA SECTION AWWA Marriott Hotel Indianapolis, IN Febr 2 2012 n� p 2 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: 5 /D/[ /'Z S �T'k G/L (only one name perform) AWWA MEMBER Last First Initial 40 TITLE: ORGANIZATION: C i �'�?Jf�(, 4 �,O t ADDRESS: _3 y 5 Ui 13 CITY I STATE ZIP: �e, c ltJ 1 6 d 7 7 OFFICE TELEPHONE: (-3-1-7 7 3 3 Z F� S FAX:( 3 17 EMAIL: �_5 c A ✓L M rcL 4/ 60 V REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates. The DEADLINE for reg istration Full conference member* Advance: $125 On -site: $185 Full conference non member* Advance: $175 On -site: $185 One day member* X Advance: $100 On -site: $135 Day: .2 D Z 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 El 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. X '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 SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM, PLEASE 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 or go to our web site Jane Miller at (866) 213 -2796 or 2012, to Mary Jane Miller. P.O. Box 534 Nashville, IN 47448 for additional forms. mj- inawwa @att.net Request for refunds made after Office: (866) 213 -2796 www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966 Indiana Section A PRSRT. FIRST CLASS US POSTAGE P.O. Box 534 P A I D INDIANA Nashville, IN 47448 Indianapolis IN SECTION Permit No. 5677 Ill „Ii1,�,1 VII ,I *****AUTO* *3 -DIGIT 460 *3 *S 1009 )ar_k Spears City Of Carmel Utilities 3450 W 131st St Carmel, IN 46074 -8267 104th Annual Meeti INDIANA SECTION AWWA Marriott Hotel Indianapolis, IN I NDIANA Feb,.ar 21-23,2012 SECTION with special guest Josh Bleill keij note speaker N 104th Annual Meeting MLANA S AWWA Marriott Hotel Indianapolis, IN February 21-23,2012 EGITT10 N F U T I L I T Y/ 0 P E R A T 0 R/ G 0 V E R N M E NN T T NAME: A� A (only one name per form) AWWA MEMBER Last First Initial TITLE:� rr`C.a� ��'tJp'P./' tJ• fc ORGANIZATION: C� ADDRESS: 34R) 1 I CITY/STATE/ZIP: &1 OFFICE TELEPHONE: 2 733' AS J J FAX: 6j_ EMAIL: ho I of A 9 C'9 r m iIIII t REGISTRATION PEES Employees of Companies holding a Service Provider membership qualify for the Member rates. ANCE Full conference member* El Advance: $125 On -site: $185 Full conference non member* Advance: $175 On -site: $185 One day member* .Advance: $100 On -site: $135 Day: v 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 T. tal 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 COMMID1 FORM, PLEASE 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 or go to our web site Jane Miller at (866) 213 -2796 or 2012, to Mary Jane Miller. P.O. Box 534 Nashville, IN 47448 for additional forms. mj- inawwa @att.net Request for refunds made after Office: (866) 213 -2796 www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966 104th-Annual Meetin6 INDIANA SE(N 110N AWWA Marriott Hotel Indianapolis, IN February T-23,2012 E G I S T R A T 1 O N F O U T I L I T Y I O P E R A T O RIG O V E R N M E N T NAME: J ,J Z ^lS D A 0 I �i I (only one name perform) AWWA MEMBER Q qS 9( p La t First Initial TITLE: A •'�1 _C A C'°e r` u tc!'Y1�t ORGANIZATION: ADDRESS: Ll y Li I -2 CITY STATE I ZIP: (—,P A_A 7 OFFICE TELEPHONE: (3►7 d 8d J FAX: 2 S? 0 6 X V EMAIL: _c. n Li ji C9cm e 1- LL1_— 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* 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 TooW 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 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 or go to our web site Jane Miller at (866) 213 -2796 or 2012, to Mary Jane Miller. P.O. Box 534 Nashville, IN 47448 for additional forms. mj- inawwa @ad.net Request for refunds made after Office: (866) 213 -2796 www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966 ��l 1 1111 ill I illil 11111�� ;;�i ill I jllgj�lg� 104th An nual Meetin6 INDIAN SECTION AWWA Marriott Hotel Indianapolis, IN Februdq 2123, 2012 R E G I S T R AT 1 0. N F O R M 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: cj J �e (only one name per form) AWWA MEMBER b I 3 9 (P Last First Initial TITLE: _N AJ t J, 2_1 -IJ ORGANIZATION: c n"`e (..J A ADDRESS: -1 k-f W I J jft+ CITY C C_J OFFICE TELEPHONE: 0 Z 33 a �;,t S� FAX: s 7 a 6 y EMAIL: of C4rf -e-). i n -,goV REGISTRATION FEES The DEADLINE for ADVANCE registration is Employees of Companies holding a Service Provider membership qualify for the Member rates. Full conference member* Advance: $125 On -site: $185 Feb 3 Full conference non member* Advance: $175 On -site: $1.85 One day member* ,Advance: $100 On -site: $135 Day: ac> 1 One day non member* Advance: $125 On -site: $135 Day: COMPLID4ENTARY REGISTRATIONS Student full -time Retired (AWWA members only) Guest (Admittance to receptions only) Name: EARLY BIRD REGISTRATION Monday, Feb. 20, 5:00 8:00 p.m. MEAL$ -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. 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 SPECIAL NEEDS REFUND POLICY RERMN COMPLETED FORM, PLEASE 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 or go to our web site Jane Miller at (866) 213 -2796 or 2012, to Mary Jane Miller. P.O. Box 534 Nashville, IN 47448 for additional forms. I mj- inawwa @att.net Request for refunds made after Office: (866) 213 -2796 www.inawwa.org with your request. that date cannot be honored. FAX: (866) 215 -5966 104th Annual Meeting MIAN S A% Marriott Hotel Indianapolis, IN February 21-23,2012 R E G S T R A T 9 O N F O 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:-R k 0 (only one name per form) AWWA MEMBER I Last First Initial 1 TITLE: 4 '4 A �-.1 A S 'e 2 ORGANIZATION: CAA T -1f_) W A e-2 V ADDRESS: 3 g J o W. S 7k CITY STATE ZIP: C t A T- 6 a 7 OFFICE TELEPHONE: 31 1 1 33 J J FAX: 3 11 EMAIL: All` P) GC't I i N o') 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* (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 0Tuesday, 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 FORK YU.ME Every reasonable effort will be You can recover your pre pay FORM TO: na Section AWWA Indiana Q`notoCOpy the registration made to accommodate special ment by written request, post- I Atha Mary Jane Miller form for use by others needs. Please contact Mary marked no later than Feb. 3, P.O. Box 534 or go to our web site Jane Miller at (866) 213 -2796 or 2012, to Mary Jane Miller. Nashville, IN 47448 additional forms. mj inawwa @att.net I Request for refunds made after Office: (866) 213 2796 for additional for g with your request. that date cannot be honored. FAX: (866) 215 -5966 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 T9985 INDIANA SECTION AWWA Purchase Order No. ATTN:MARY JANE MILLER Terms PO BOX 534 Due Date 1/23/2012 NASHVILLE, IN 47448 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/23/2012 SPEARS $100.00 I 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 113492 WARRANT ALLOWED IN SUM OF INDIANA SECTION AWWA ATTN:MARY JANE MILLER WATER PO BOX 534 OPERAMNS NASHVILLE, IN 47448 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 'I SPEARS 01- 6040 -05 $100.00 i �01 �e�0 03 1 b0•Db i Clcud ��00•� Voucher Total 5 On Cost distribution ledger classification if claim paid under vehicle highway fund