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Home My WebLink About228580 1/28/2014 �- »F CITY OF CARMEL, INDIANA VENDOR: 362435 Page 1 of 1 ONE CIVIC SQUARE INDIANA SECTION AWWA CHECK AMOUNT: $325.00 CARMEL, INDIANA 46032 5265 E 82ND STREET SUITE 310 INDIANAPOLIS IN 46250 CHECK NUMBER: 228580 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 7456' 325 . 00 OTHER EXPENSES Indiana Section,AWWA Invoice 5265 E. 82nd Street, Suite 310 Indianapolis,IN 46250 Date Invoice# 1/23/2014 7456 TELEPHONE: 866-213-2796 FAX: 866-215-59 1 Terms Due on receipt Bill To City of Carmel 3450 W. 131st St. Carmel, IN.46074 P.O. No. Description Amount AWWA, Indiana Section 106th Annual Conference,February I 1-13, 2014 in Indianapolis,IN Full Conference-Jaimie Foreman 125.00 One Day- Wednesday-Greg Hollander,Jack Spears 200.00 1/23/2014 E-mail to Kerri CREDIT CARD:Visa MC Discover American Express # Exp.: - NAME.ON CARD: Security: SIGNATURE Billing Zip Code: Total $325.00 106th Annual Meeting INDLANA SECTION w Marriott Hotel-Indianapolis,IN ati February 11-13,2014 U T I L I T Y / 0 P E R A T 0 R / G 0 V E R N M E N T NAME: 1< S -.._.... `1. --_.__.___` ..____._. (only one name perform) AWWA MEMBER#: Last First Initial TITLE: —^--_.—i_-- ORGANIZATION: G__.. .-- - ADDRESS: CITY!STATE I ZIP _:...__- -_.n._ _ .___ w y�O 7 / ..._. . OFFICE TELEPHONE-i,( 3 17 7 3 FAX: - S5� REGISf nbN FEFS k 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:$215 ❑ On-site:$265 One day-member JZ Advance:$100 ❑ On-site:$135 Day:..... a._'..l I_ . ......... ...... __..... One day-non-member ❑ Advance:$195 ❑ On-site:$230 Day:--,---- COMPLIMENTARY ay: _. -__COMPLIMENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired(AWWA members only) ❑ Guest(Admittance to receptions only) Name: ❑ First time attendee/Haven't Attended in At Least 5 Years i ��9 "•'eat i EARLY BIRD REGISTRATIONs< Monday,Feb. 10,3:00-8:00 p.m. MEALS—Tickets sequined ❑Tuesday,Feb.11, 12-noon:Keynote luncheon-$25 ❑Wednesday,Feb. 12, 12-noon:Awards luncheon-$25 ❑Thursday,Feb. 13,7:30 a.m.:Breakfast-$15 TotelAmount 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 1. 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. 1, 5265 E.82nd Street or o to our web site ane Peters at 866 213-2796 or ! 2014,to Ma Jane Peters. Suite 310 9 J ( ) ry j Indianapolis,IN 46250 for additional forms. mjmmiller@aft.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 106th Annual Meetin6 RiDMA SECTION Marriott Hotel-Indianapolis,IN February 11-13,2014 T R A T U T 1 L I T Y 1 0 P E R A T 0 R I G 0 V E R N M E N T it NAME: )M i f� �P'r r�4____—_ � (only one name per form) AWWA MEMBER#: -1 � Last First Initial TITLE: D }i c u r^e rr.aopera iz�_ ORGANIZATION: o f a r e-e'1 w(Jti -.r ADDRESS: — [ ;CITY 1 STATE 1 ZIP: ( ,_1 N `f!�a-1 i OFFICE TELEPHONE:(A 3 i 7 3 - �S� _ FAX: ( 3 i 7 ) 7 3-3~ S 3 _EMAILi, C_r r--e_( , i�l o v REGISTRATION FEES ��ayEmployees'.of Companies holding a Service Provider membership qualify for the Member rates. The DEADLINE for ADVANCE registration Fullconference-member ❑ Advance:$125 ❑ On-site:$185 Fullilconference•non-member El Advance:$215 ❑ On-site:$265 ��,Oneday" member Advance:$100 ❑ On-site:$135 Day:_ °Qne,day non member ❑ Advance $195 ❑ On-site:$230 Day: `COMPI IN1FNr.&YRE-ISTRATIONS Student,full,`,fime o}Rettreds(AWWA members only),. o Guest!(Admittance to recep,pps�only)� Name: yr ,Ftrstkttme attendee 1 Haven't Attended in At Least 5 Years �� h 4 �Yf BIRD REGISTRATION �--• '' Ymil '' ' Monday,rFeb` 10;3 00-8:00 P.M. ' �I41PAi S„,I lcrcets;required ] Elis 'of 6 T will be y $,ri Tuesday,Feb.11,12 noon:Keynote luncheon $25 Wednesday,Feb. 12, 12-noon:Awards luncheon-$25 ❑Thursday,Feb. 13,7:30 a.m.:Breakfast-$15 --------------------------------------------------------------------------------------------------------- Total Amount Enclosecl:$ 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: Gard number: Exp.date: Signature: ONLY ONE NAME PER SPECIAL NEEDS I REFUND POLICY 1 RETURN COW= FORM;PLEASE Every reasonable effort will be You can recover your pre-pay- I FORM TO: Photocopy the registration made to accommodate special I ment by written request, post- Indiana Section AWWA I 5265 E.82nd Street form for use by others needs. Please contact Mary marked no later than Feb. 1, or go to our web site j Jane Peters at(866)213-2796 or 2014,to MaryJane Peters. Suite 310 fq46250 r.additional forms. m mmiller att.net Request for refunds made after Indianapolis, IN ) °� � q Office:(866)213-22796796 Inawwa or 9 with our Y q FAX: (866)215-5966 request. that date cannot be honored. i 106th Annual Meeting INDIANA SECTION AWWA Marriott Hotel-Indianapolis,IN February 11-13,2014 U T I L I T Y / 0 P E R A T 0 R I G 0 V E R N M E N T NAME: �✓t--__� 7 (only one name perform) AWWA MEMBER#: ( `Q"L4l S Last First Initial TITLE: ,lORGANIZATION: , ,z m r_L ,,,,4r4/2_ 17�7-I ADDRESS: '54S-y_>) Lj % 3 1 5" Sr _ CITY/STATE I ZIP: OFFICE TELEPHONE: (3 r ) -7 3 ^ Z-� S S FAX: EMAIL: REGISTRATION FEES Employees of Companies holding a Service Provider membership qualify for the Member rates. The DEADLINE forADVANCE Full conference-member ❑ Advance:$125 ❑ On-site:$185 Nb.It.2014 Full conference-non-member ❑ Advance:$215 C3 On-site:$265 One day-member Advance:$100 ❑ On-site:$135 Day: 241=-- One day-non-member o Advance:$195 ❑ On-site:$230 Day: ate. �COMPLIl4.NTARYREGISTRATIONS Student,fwlltlme ❑ Retlred(AWWAmembers=only) Guest(Admittance to receptions only) Name: ❑ First time attendee I Haven't Attended in At Least 5 Years _ ,, t,. Nr �t. EARLY BIRD REGISTRATION • y` Monday,Feb. 10,3:00-8:00 p.m. MEALS—Tickets required • • •, ❑Tuesday,Feb. 11, 12-noon:Keynote luncheon-$25 y, soon. ❑Wednesday, Feb. 12, 12-noon:Awards luncheon-$25 ❑Thursday,Feb. 13,7:30 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 PFR j SPECIAL NEEDS REFUND POLICY RETURN COMPLETED FORM,PLEASE! i Every reasonable effort will be j You can recover your pre-pay- I 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. 1, 5265 E.82nd Street or go to our web site Jane Peters at(866)213-2796 or 2014,to MaryJane Peters. Suite 310 for additional forms. mimmiller@att.net I Request for refunds made after Indianapolis, IN 46250 Office: (866)213-2796 www.inawwa.org i with your request. that date cannot be honored. FAX:(866)215-5966 106th Annual Meeting POLANA SECnON AWWA Marriott Hotel Indianapolis,IN February 11-13,2014 I S T R A T I 0 N F 0 U T I L I T Y 1 0 P E R A T 0 R / G O V E R N M E N T NAME: YP11M1'1 1- P L (only one name perform) AWWA MEMBER M c)a'q sq , Last Flr It n Initlal /j J TITLE: l � /7C�D C ' nor ORGANIZATION: ( � /�CQ� Look,- .I�_li �Z ADDRESS: ? CITY I STATE I ZIP: od [Q. 4UM OFFICE TELEPHONE:( I ) 1._6" _� )5 FAX:( ) EMAIL: &rrmm - n o v REGISTRATION 'p� Employees of Companies holding a service Provider membership qualify for the Member rates. The DEADLINE forregistration Full conference-member Advance:$125 E3 On-site:$185 ' Full conference-non-member ❑ Advance:$215 ❑ On-site:$265 One day-member ❑ Advance:$100 ❑ On-site:$135 Day: One day-non-member ❑ Advance:$195 ❑ On-site:$230 Day: COMPLIMENTARY REGISTRATIONS ❑ Student,full-time ❑ Retired(AWWA members.only) r [Guest(Admittance to receptions only) Name:\1xe.l'(i Vl t �OlrP_(man ❑ First time attendee 1 Haven't Attended In At Least 5 YeaF Gt EARLY BIRD REGISTRATION t Monday,Feb.10,3:00-8:00 p.m. �µ MEALS—Tickets required ElTuesday,Feb.11,12-noon:Keynote luncheon-$25 .. ❑Wednesday,Feb.12,12-noon:Awards luncheon-$25 ` ❑Thursday,Feb_13,--- a.m. Breakfast_$15- ---------------------------------------------- - ----------------- Total Amount Enclosed:$ Return this completed form with payment to the address below. �k f f - Check made payable to Indiana Section AWWA Is enclosed. (Check no.: ) ❑ Please charge to my: o Visa ❑MasterCard ❑American Express ❑Discover F� .Name as it appears on card: k Billing address: k Card number: Exp.date: Signature: ONLY ONE NAME PER SPECIAL NEEDS REFUND POLICY RETURN COMPLEM FORK 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. 1, 5265 E.82nd Street or o to our web site Jane Peters at(866)213-2796 or 2014 to Ma Jane Peters. Suite 310 9 ry Indianapolis,IN 46250 for additional forms. mjmmiller@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 s VOUCHER # 133904 WARRANT # ALLOWED T2010 IN SUM OF $ INDIANA SECTION AWWA* ATTN MARY JANE MILLER '5d-k-aro Pe Bex-5-34 N S"djPb- A�tFZa� Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV* ACCT# AMOUNT Audit Trail Code 21114 01-6040-03 $125.00 21114 01-6040-05 $200.00 Voucher Total $325.00 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 T2010 INDIANA SECTION AWWA* Purchase Order No. ATTN MARY JANE MILLER Terms PO BOX 534 Due Date 1/22/2014 NASHVILLE, IN 47448 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/22/2014 21114 $325.00 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