HomeMy WebLinkAbout228579 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 00351464 Page 1 of 1
ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC CHECK AMOUNT: $350.00
CARMEL, INDIANA 46032 PO BOX 679
y;roN co NASHVILLE IN 47448 CHECK NUMBER: 228579
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 14028 350 . 00 OTHER EXPENSES
Indiana Rural Water Association
Serving professionals in the water industry since 1968
Main Office
P.O.Box 679;Nashville./N 47448
866-895-4792-Office;855-202-7298-Fax
www.indianaruralwater.org
MEMBERSHIP INVOICE
Invoice#14028
Date: Jan.1,2014 Amount Due: $350
To: Jaimie Foreman For Period: 2/17/2014 2/17/2015
Carmel Water Dept. Prior payment: Date: 1/29/2013
3450 W 131st St.; Ck#: 216751
Carmel, IN 46074
� 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.
--------------------I
Company Name: Carmel Water Dept. i NOTE-ALL MEMBERS: If others i
from your organization would
Contact: Jaimie Foreman i like to receive information on
i
E-Mail: jforeman@carmel.in.gov IRWA events,please indicate ,
Website: I names and e-mail addresses on '
Addressl: 3450 W 131st St. the back.
Addressl: '
City,St,Zip: Carmel,IN 46074NOTE-ASSOCIATE MEMBERS:
� Please include a brief company �
Office Telephone: 317-733-2855 description on the back. In
Cell: 317-571-2451 addition to your company's web
Office Fax: 317-733-2053 link,we will include your
i 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 Paying by check,please remit to:
Water&Wastewater Utilities IRWA
Number of Meters in operation Non-Community Water Systems$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) CPaying by Credit Card:
601-1000 meters 140 • Corporate with Multiple Facilities-
(approx.1501-2500 population) all IRWA office to check applicability Visa_ MC Discover_ Amer Exp
1001-1500 meters 200
(approx.2501—3750 population) #
1501-3000 meters 250
(approx.3 751-7500 population) Exp.:_-_ Security:
3001 meters and above 350
(approx.7501 population and.above)_- NAME ON CARD:
SIGNATURE:
VOUCHER # 133877 WARRANT # ALLOWED
351464 IN SUM OF $
INDIANA RURAL WATER ASSOCIATIO 1
P.O. Box 679
Nashville, IN 47448
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
14028 01-6750-08 $350.00
Voucher Total $350.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 1/18/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/18/2014 14028 $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
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Date Officer