HomeMy WebLinkAbout216751 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00351464 Page 1 of 1
ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC
i CHECK AMOUNT: $350.00
s��o CARMEL, INDIANA 46032 Po aox 679
NASHVILLE IN 47448 CHECK NUMBER: 216751
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 13027 350 . 00 MISC EXP—WATER TRMT—O
Indiana Rural Water Association
Serving professionals in the water industry since 19658
Main Office
P.O.Bar 679;Nashville,IN 47448
866-895-4792-Office;855-202-7298-Fax
www.indianaruralwater.org
MEMBERSHIP INVOICE
Invoice#13C$3550
Date: January 21,2013
Amount Du u:To: Jaimie Foreman �/1 Carmel Water Dept. For Period: o 2/17/2014
3450 W 131st St.; Prior payment: Date: 1/31/2012
Carmel,IN 46074 Ck#: 205894
Amt.Paid: $350
From: Odetta Cadwell, Executive Director
Indiana Rural Water Association
Enclosed you will find information regarding membership. Please make changes as necessary to the information listed
below and return with membership dues.
---------------------
NOTE-ALL MEMBERS: If others
Company Name: Carmel Water Dept. from your organization would
Contact: Jaimie Foreman like to receive information on
l
E-Mail: jforeman @carmel.in.gov IRWA events,please indicate l
Website: 6 names and e-mail addresses on
l
Addressl: 3450 W 131st St. the back. i
Address2: '
� NOTE-ASSOCIATE MEMBERS: �
City,St,Zip: Carmel, IN 46074
� Please include a brief company �
Office Telephone: 317-733-2855 description on the back. In
Cell: 317-571-2451 6 addition to your company's web
Office Fax: 317-733-2053 link,we will include your
6 description on IRWA's website.
#Of Meters(or Population Served): '
Thank you for your membership! You and your organization are an important part of the Indiana Rural Water
Association and we look forward to your continued support!
ANNUAL MEMBERSHIP DUES Paving by check,please remit to:
Water&Wastewater Utilities IRWA
Number of Meters in operation Non-CommunitV Water SVstems$60 PO Box 679
for approximate population served) Nashville,IN 47448
1-300 meters $60 Associate Members(Vendors) $250
(approx.3 to 750 population) Fax: 812-988-6961
301-600 meters 90 Combined Membership $600
(approx.751 to 1500 population) Paving by Credit Card:
601-1000 meters 140 Corporate with Multiple Facilities-
(approx.1501-1500 population) Call IRWA office to check applicability Visa_ MC_ Discover_ Amer Exp
1001-1500 meters 200
(approx.1501—3750 population) #
1501-3000 meters 250
(approx.3751-7500 population) Exp.:_ Security:
3001 meters and above 350
(approx.7501 population and above) NAME ON CARD:
SIGNATURE:
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 1/25/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2013 13027 $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
VIA, /1Ln
Date Officer
VOUCHER # 123411 WARRANT # ALLOWED
351464 IN SUM OF $
INDIANA RURAL WATER ASSOCIATIO
P.O. Box 679
Nashville, IN 47448
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
13027 01-6750-03 $350.00
Voucher Total $350.00
Cost distribution ledger classification if
claim paid under vehicle highway fund