178717 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 356436 Page 1 of 1
ONE CIVIC SQUARE HOOSIER HEARTLAND RC &D
)a CARMEL, INDIANA 46032 6041 LAKESIDE BLVD CHECK AMOUNT: $20.00
INDIANAPOLIS IN 46278 -1989
CHECK NUMBER: 178717
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
601 5023990 190 20.00 OTHER EXPENSES
�q,p HOOSIER HEARTLAND RC &D I nvoice
r 6041 Lakeside Blvd
p z INDIANAPOLIS, IN 46278 -1989 Date Invoice
s a
1 0/5/2009 190
Bill To
.laimie Foreman
City of Carmel Water Utilities
3450 W. 131st St.
Westfield, IN 46074
P.0 :No. Terms Project
Upon Receipt
Quantity Description Rate Amount
Registration Groundwater Workshop Sept. 14, 21 28 2009 20.00 20.00
Please Make Check to Hoosier Heartland RC &D Thank you!
Total $20.00
4
Registration
Location
1-1 00 (GreeICIl1 ner the �11�To
P zeta s d •th St D
LL �o
(Please Print) L� M
Name: I� t�eS a Groundwater Rssues in
Co
4V L /Cn S: i
a
mpany: p
Address: 16th St I I D Orod1y lLJ an- RedeL'�ek)ru C
City: 7 Z
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State: Zip Code: i wit s I w N
Phone:
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F E rrtn s, '4
Fax:
w l -rth s! I r t7 CL
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Email• i i i Z
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Pre registration is required for all registrants no S.. �i o 16
by September 9, 2009 wi i x r' T i i x a
n
CL
No Refund after September 9, 2009 a 7 a
Class size is limited to 50 registrants on a
c rbd
first -come, first -serve basis. e,
Marion County Public Library Services Center is e
located at 2450 N. Meridian Street, Indianapolis, c n
am re i Yes No IN 46208. Phone number: (317) 275-4075 p�0 3 Z
r
Cost for CEUs $20 fee for each applicant Parking is available at the site; access is from W.
tinuing or
Units. 24 St., mid -block between Meridian and Illinois
Streets.
Make Checks Payable to:
Hoosier Heartland RCBD Council Inc.
Payment Type: Check VISA MasterCard Sp
onsors :x eptember 14, 21, 28 2009
Marion Count w Cor t ��k83mir afternoons 2:30 4:30 .m.
Cardholder Name: It eV/Pinrs on curd- P1rnsc print) y ellfield Education 'I �y
i
Veoha Water Company, Indianapolis
Credit Card !t: `trion County Public Library
Exp. Date: mm /yy 3 -digit security code Christopher B. Burke Engineering Services Center
Signature: City of Indianapolis:
as It n,glens pr. Curd) City
Division of Economic Development 2450 N. Meridian Street
Address: Office of Sustainability Indianapolis, IN 46205
ld1110 rq oddr ess u(unrlNnldaq A
Y
Lip code: (Regidrrtd) Date: EMHftT Engineering c
o
Mail completed registration form with n check or Hoosier Heartland RCrtD Council, Inc., i Presented Bv:
credit card information to: Urban Committee z v D o 0
Hoosier Heartland RCBD Councillnc, �r O =1 1`.7tiAo t4countyNX Education Coraoration
Soil Et Water Conservation Districts in Boone, A NU'i na +rt�7YV Soil Water Cousenat+on District (SWCD)
6041 Lakeside Boulevard Brown, Hamilton, Hendricks, Hancock, Johnson,
Indianapolis, IN 46278 -1989 Yrca ilia Water Company, tndianalxrlis
p
os Marion, Monroe, Morgan and Shelby Counties tio n,si": kl uAtnd Resource conservation Development
RegistradonS paid with credit cards can be faxed to I 1$d $z9�) tlttmcil I nc. (llrhan Comm uec)
(317) 290 -3150 USDA Natural Resources Conservation Service 1
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUC
CITY OF CARMEL
An invoice or bill to be properly itemized must shomi, kind of service, where y
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc. �J
Payee
THEART
HOOSIER HEARTLAND RC &D COUNCIL INC Purchase Order No.
6041 LAKESIDE BLVD Terms
INDIANAPOLIS, IN 46278 -1989 Due Date 10120/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/20/2005 190 $20.00
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
/0 3 t l /K eun
Date Officer
VOUCHER 093371 WARRANT ALLOWED
THEART IN SUM OF
HOOSIER HEARTLAND RC &D CR
6041 LAKESIDE BLVD
INDIANAPOLIS, IN 46278 -1989 I c
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
190 01- 6040 -03 $20.00
Voucher Total $20.00
Cost distribution ledger classification if
claim paid under vehicle highway fund