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Home My WebLink About175821 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 219300 Page 1 of 1 ONE CIVIC SQUARE NATIONAL GROUND WATER ASSOCIAT�D�L .f CHECK AMOUNT: $300.00 i•� CARMEL, INDIANA 46032 DIRECTORY PROGRAM P 0 BOX 73124 CHECK NUMBER: 175821 CLEVELAND OH 44196 CHECK DATE: 8/6/2009 DEPARTMENT. ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION 601 5023990 3171672 300.00 OTHER EXPENSES 1 of 1 ground water Invoice Dat 07/08/09 Due Upon Receipt associ ation® MEMBERSHIP INVOICE PART t Verify Your I NGWA Membership Number 3171672 Four easy ways to renew: 1 Mail this invoice with payment to National Ground Water Expiration Date: 09/30/09 Association, P.O. Box 73124, Cleveland, OH 44193 2 Visit www.NGWA.org and click on the "Join or Renew" button. 3 Call the member service center at 800 551.7379 4 Fax this form to 614 898.7786 (credit card payments only) z Robert Lovell NGWA occasionally makes members' postal addresses (not e -mail) available to Plant Manager vendor partners who supply products and services to the ground water com- Carmel City Water munity. If you prefer not to be included on these lists, please contact NGWA 3450 W 131St St customer service at 800 551.7379 or e -mail customerservice @ngwo.org with Westfield IN 46074 your request. Please make any necessary corrections /additions to your information that appears on the left: Phone Number: (317) 733 -2855 Fax Number: (317) 733 -2053 Email Address: rlovell @carmel.in.gov PART 2 Annual Dues Annual Dues AGWSE Comp $300.00 Make corrections or add Additional Memberships at $90.00 each in the space provided. 1. AGWSE Primary 3171671 Robert Lovell $0.00 2. AGWSE Employee 3172605 John A Mascari $0.00 3. 4. 5. 6. 7. 9. 10. 11. 14. 15. Total PART 3 Payment Information I s 3 c 06 Payment: Check Money Order Check /M.O. Check /M.O. Date Visa MasterCard Discover American Express Exp. Date Card Number Signature All payments must be in U.S. funds. International members add $25 fee for bank transfer. PART 4 Ple ase Turn Over to Complete t he Fin Steps: 0 0 0 0 �0 0 0 i Tell us more about you This is the final step. To allow NGWA to better serve you, please complete the following. What is the name of the chief executive of your employer? `4 Is the location listed for your membership your employer's main location, a branch, or your home address? Circle one, please: Main location Branch location My home address Full Service Contractor (1A) Local Government Agency (4A) Utility and /or Mining Operations (4H) Pump Contractor (1 B) State Government Agency (413) Laboratory (41) Drilling Contractor (1C) Federal Government Agency (4C) Legal Practice (4J) Monitoring Contractor (1 D) Academic /Research Institute (4D) Chemical Industry (4K) Water Treatment Equipment Installer (1 E) Engineering Consulting Firm (4E) Petroleum Industry (4L) Full Service Ground Water Supplier (2A) Private Eng. Hydro Consulting Firm (4 Solid /Hazardous Waste (4M) Supplier of Some Ground Water Lines (26) Private Eng Geologic Consulting Firm (4G) Student Manufacturer (3A) Other Services aft 0 I N Administration /business service (ABS) GW development/management (GWD Pumping tests (PUT) Air rotary drilling (ARD) G identification /c aracterization (GWI Pumps (PUM) All pumps (ALP) Hea related issues (HRI) Recovery wells (REW) All services (ALS) Heat pumps (HEP) Research /technical development (RTD) All well types (AWT Heavy equipment, rigs, etc. (HEQ) Reverse circulation drilling (RCD) Aq uifer rehabilitation (AQ Horizontal drilling (HGD) Rig components (RIG) Auger drilling (AUD) Hydraulic push /direct push (HPD) Sample acquisition (SAA) Borehole geophysics (BOG) Impact assessment (IMA) Screen (SCR) Cable tool drilling (CTD) Irrigation wells (IRW) Software and other information (S01) Casing (CAS) Jet pump installation /service (JPI) Statistics (STA) Casing /pipe /screen (CPS) Jetted well construction (JWC) Submersible pump installation (SPI) Chemical analysis (CHE) Legal issues (LEI) Tracing (TRA) Comm /industrial wells (CIW) Livestock wells (LIW) Vertical line /shaft /pump installation (VLS) Contaminant control engineering (CCE) Mfg /geophysical instruments (MGI) Waste manag (WAM) Contaminant surveys (COS) Mfrs. representatives (MRP) m ater treatment/conservation (WTC Domestic wells (DOW) Modeling /software development (MSD) Water systems accessories (WSA) Downhole TV inspection (DTV) Monitoring wells (MOW) Water conditioning /treatment (WCT) Driven well construction (DWC) Monitoring (MON) Water quality testing (WQT) Economics (ECO) Mud rotary drilling (MRD) Well rehabilitation (WER) Environmental projects (ENP) Municipal wells (MUW) Well completion /delivery services (WCD) Expert witness (EXW) Piezometer installation (PIE) Well construction products (WCP) Fishing (FIS) Pipe and accessories (PIA) Water yield enhancement (WYE) Forei n roducts FOP) Professional ethic /business practice (PEB) Well construction /inspect services (WCI) Geophysical surveys (GES) Pump motors, motor protection (PMM) Well design (WED) 00 MaRNM On afto og f@ moQ =BREA I o F @=A Id Affiliate States Interest Group Oversight Publishing Oversight Awards Membership Regulatory Officials Convention Policy Bylaws Rural Water Districts Credentials Professional Designations (Certification) Safety DOT /OSHA Professional Development (Education) Standard Bearers GW Protection Management Public Awareness Standards Development Are you interested in helping to promote Ground Water Awareness Week? Yes o Interested in joining an NGWA Interest Group? Please indicate which group. Aquifer Protection Geothermal Energy High Capacity Pumps and Wells Regulators Deep Ground Water Investigations Ground Water Availability Horizontal Wells Transboundary Ground Water Developing Countries Ground Water Law Internet Ground Water Data Economics of Ground Water Ground Water Modeling Microbial Ground Water Quality 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, r price per unit, etc. Payee 219300 NATL GROUND WATER ASSOC Purchase Order No. DEPARTMENT 481 Terms COLUMBUS, OH 43265 -0481 Due Date 7/28/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/28/2009 3171672 $300.00 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 092488 .WARRANT ALLOWED 219300 IN SUM OF GROUND WATER ASSOC, 189 f NATL DEPARTMENT 481 TV OLUMBUS, OH 43265 -0481 �t(r� N Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 3171672 01- 6750 -02 $300.00 Voucher Total $300.00 Cost distribution ledger classification if claim paid under vehicle highway fund