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Home My WebLink About232755 05/21/14 CITY OF CARMEL, INDIANA VENDOR: 354963 1 ONE CIVIC SQUARE PETER BRENNAN CHECK AMOUNT: $********45.00* CARMEL, INDIANA 46032 11601 NORTH STRONG ROAD CHECK NUMBER: 232755 =°M�ION ALBANY IN 47320 CHECK DATE: 05/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 45.00 OTHER EXPENSES • MONEYGRAM PAYMENT SYSTEMS,INC.DRAWER • P.O.BOX 9476 `y MINNEAPOLIS,MN 55480 N r 'PLEASE READ REVERSE SIDE avww.monoygrom.com DATE/AMOUNT ' o —E t zo v _ a� m p� -i BO LLaOL I 4i� , ELL ? f W R2044-583501 0® 618(8/12)LOYEE 500/5000 M 99752-T v � FT F7" � PURCHASER'S AGREEMENT: 4ou,the'puTcbxser,agree ta'immedfafely complete this Money Order by filling In the bent of the Money Order.signing,and addressing it at the bottom.The terms of this Money Order bind you,your hobo,or others who—ohr.this Monty Order tram you. Purchaser's Proof of Purchase It is the purchaser's responsibility to keep a copy of this stub for their records. A Claim Card is REQUIRED to process a refund or a claim on a lost or stolen money order.Claim Cards may be rhwn- loaded from our web site at wwyr.moneygram.com or from the location where the money order was purchased or any k'oneyGram money order agent. Complete the entire form and mail It with a copy of this stub to the address on the claim card. For additional questions,please call 1800.542-3590. Para recibir esta information en espanol, per favor Ilamar at 1-800-542-3590. RECEIPT 'RAN IN TANTE. OUT TIME FEE CC# 04/10 0E'P13 04110 I Z S I7 315 .00 -- iNIXIV ,q.riAiN l n: A name cnange request must oe suumitteu in writing. Mail to: llepartment of Environmental ? Management,Office of Water Quality-Mail Code 65-42, 100 N. Senate Ave.,Indianapolis IN 46204-2251 —or you can �` • 7C)H 0.5 fax to(317)232-8637. CONTINUING EDUCATION: Prior to renewing your certification,you are required to obtain at least the following continuing education contact hours from IDEM-approved training courses based on the classification of your certification: Classes I-SP and A-SO: 5 contact hours;at least 3.5 of which must be technical hours Classes I,II,A and B: 10 contact hours;at least 7 of which must be technical hours Classes III,IV,C and D: 20 contact hours;at least 14 of which must be technical hours Department of Environmental Management Your certification will expire on 06/30/2016. If you have any a .. Ofriceof Water-Quality. .Mail Code6542.- ... .. _. .. _-. 100.N Senate Ave: � 4 questions,please contact Tonja Fuller-White at(317)233-0479 or Indmnapolis,iN'46204-2251 email tfullerw adem.in.Qov . Wastewater Operator Class III ; cr Please retain this licensure information sheet so that you will have . s - Certification#, - Effective.DateExpiration Date the program address,telephone number,and your certificate W WO20150 06/01/2014 06/3 2016: number available should you need to contact the program office. jPeter R.Brennan _._.. .� �, Department of Environmen=ta�� n'ageni�ent � Office of Water Quality—Mail Cotte 65'42 F o ee r 4 «a ) 100 N.Senate Ave. y Indianapolis,Indiana 46204-2251 rn ti 'fi 1, h X y.Yrnt ° Wastewator Glass Irk certification Number ` ; r' Effec4ve Date,- b sr4,u,1 ," ,.•'Ilr;n'.1,I':t�± WW020150 V. �1V A�TJr 1a. Z0. i �a tAYw vv"t�Z t x.. N -:M. . v 5 c •,gV! .;,,�,is C'Cf$ CLItB of C'omp(Zt61ZC)1 a a This certifies that the person named abov&.'hd§1RR1 l lled'the " �,�if,tr��i ? 'flltw su9��ii��'SF�°r r w�h 1 r '.. 11�I iJj j' II li lii LY i4� i� I�It iI�I��t 6� requirements for certification as a wastewater�re�#ir��nfpaant � � tr` ,� '� �'�� iv i � o erator in accordance with IC 13-18-11 aj�]d 1 hereb ��' 064 - p ,1�� yEta$t��r � .�� ceitifiedas`a WastewaterOperator Class III'. � ,� 7t�s� a t rl nbiE�l ��, .,.:.._,._,.,,:c v: ...�,.�%fi9 ku:c��._:�z.:..�wti .:xf.,�GcJi r�^''. i'------ ..._ crnrc moon novo ra_om. VOUCHER # 138045 WARRANT # ALLOWED T1042 IN SUM OF $ BRENNAN, PETER WASTEWATER PLANT Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code BRENNAN 01-7042-05 $45.00 I Voucher Total $45.00 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 I 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 T1042 BRENNAN, PETER Purchase Order No. WASTEWATER PLANT Terms Due Date 5/15/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/15/2014 BRENNAN $45.00 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 O icer