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Home My WebLink About233261 06/04/14 `�..v,g4f• CITY OF CARMEL, INDIANA VENDOR: 146900 �b 1 ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M"ECK AMOUNT: $****"*210.00• d 4 CARMEL, INDIANA 46032 CASHIER OFFICE-MAIL CODE 50-10C CHECK NUMBER: 233267 100 N SENATE AVE CHECK DATE: 06/04/14 INDIANAPOLIS IN 46204 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 LICENSES 30.00 BECK 651 5023990 LICENSES 30.00 FAUCETT 651 5023990 LICENSES 30.00 HOOVER—CLASS B 651 5023990 LICENSES 30.00 HOOVER—CLASS II 651 5023990 LICENSES 30.00 OLIVER 651 5023990 LICENSES 30.00 RUSS 651 5023990 LICENSES 30.00 WOLFE O L-70y;?,d5 Indiana Department of Environmental Management IDEM 100 N. Senate Avenue Mail Code 65-42 Indianapolis, IN 46204-2251 EST. ,: Harold B. Oliver 6741 Devinney Ln Indianapolis IN 46221 WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION License Class Wastewater Operator Class I May 14,2014 Certification#: WWO18094 Expiration Date: 06/30/2014 Renewal Fee: 30.00 Login Id: WWO18094 Password: 496172 - Current Continuing Education Hours Earned: General-2.00 Technical-21.00 Total-23.00 1 am currently the responsible charge operator who signs the monthly reports(MRO/MMR)at the following facilities: Facility Name Hours/Week Permit# Cit Address Change: ❑ Home Current Phone#: ❑Work Operator Signature: Date: Your wastewater treatment plantoperator.certificati.Qn e,xp,@res 06'30,201,4. ',"`ter tE�ss:dat�;�gou' asahot be the operator pia�i� You must meet the continuing education requirement as shown below: • Classes I-SP,A-SO—5 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 3.5 of those hours from courses designated as"technical." • Classes 1, 11,A, B-10 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 7 of those hours from courses designated as"technical." • Classes III, IV, C, D—20 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 14 of those hours from courses designated as"technical." Online Renewal: Online renewal is available 24 hours a day,7 days a week between May 15, 2014 and July 1,2014 at https://mylicense.in.gov. The cost for the online renewal is$30.00 plus an additional$4.17 in processing fees. The forms of payment accepted online are Visa, Mastercard,&Discover credit and debit cards. Login ID and Password are above. Mail Renewal: If you wish to renew by mail,fill out the responsible charge information,and send this form with your$30 renewal fee to: Cashier—Mail Code 50-10C, Indiana Dept.of Environmental Management, 100 N.Senate Avenue, Indianapolis, IN 46204-2251. Make checks payable to IDEM. Should you have any questions or concerns about the renewal process, please contact Tonja Fuller-White at(317)233-0479 or by e-mail at tfullerw(@idem.in.Qov. 01:70q a.o S Indiana Department of Environmental Management '® mate Avenue ERMA _ 3= 1 � 4iw�65-42 y iana polis, IN 46204-2251 EST 196 Joseph W. Faucett 835 Emerson Rd Carmel IN 46032 WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION License Class Wastewater Operator Class IV May 14,2014 Certification#: WWO19620 Expiration Date: 06/30/2014 Renewal Fee: 30.00 Login Id: WWO19620 Password: 494462 Current Continuing Education Hours Earned: General- 12.00 Technical-30.00 Total-42.00 I am currently the responsible charge operator who signs the monthly reports (MRO/MMR)at the following facilities: Facility Name Hours/Week Permit# Cit Address Change: ❑ Home Current Phone#: 317- '10JI-S-6�0o Work Operator Signature: Date: -2 I Your wastewater treatment plant operator certification expir s 06!30!2014. After this date,you cannot be the operator tn-rrcaNvi�aiifiG"Charges oY-a-wast�.vatertraatmerit-plant-until-yvprcei fiiCaiiuii i�i6i'ic4v�u:'� - - You must meet the continuing education requirement as shown below: • Classes I-SP,A-SO—5 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 3.5 of those hours from courses designated as"technical." • Classes I, II,A, B—10 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 7 of those hours from courses designated as"technical." • Classes III,IV,C,D—20 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 14 of those hours from courses designated as"technical." Online Renewal: Online renewal is available 24 hours a day,7 days a week between May 15, 2014 and July 1,2014 at https://mylicense.in.gov. The cost for the online renewal is$30.00 plus an additional$4.17 in processing fees. The forms of payment accepted online are Visa, Mastercard, &Discover credit and debit cards. Login ID and Password are above. Mail Renewal: If you wish to renew by mail,fill out the responsible charge information,and send this form with your$30 renewal fee to: Cashier—Mail Code 50-10C, Indiana Dept.of Environmental Management, 100 N.Senate Avenue, Indianapolis, IN 46204-2251. Make checks payable to IDEM. Should you have any questions or concerns about the renewal process, please contact Tonja Fuller-White at(317)233-0479 or by e-mail at tfullerwaidem.in.gov. cel.-7oq a.o s Indiana Department of Environmental Management '� 100 N. Senate Avenue EM Mail Code 65-42 Indianapolis, IN 46204-2251 EST i9e8 Dennis M. Russ 18021 Sanibel Cir. Westfield IN 46062 WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION License Class Wastewater Operator Class I May 14,2014 Certification#: WWO17670 Expiration Date: 06/30/2014 Renewal Fee: 30.00 Login Id: WWO17670 Password: 495092 Current Continuing Education Hours Earned: General-2.00 Technical- 13.00 Total- 15.00 I am currently the responsible charge operatorwho signs the monthly reports(MRO/MMR)at the following facilities: Facility Name Hours/Week Permit# Cit Address Change: e lTome Current Phone o Work Operator Signature: Date: Your wastewater treatment plant operator certification expires 06/30/2014. After this date,you cannot be the operator In responsible charge of a wastewater treatment plant until your certification is renewed. You must meet the continuing education requirement as shown below: • Classes I-SP,,A-SO—5 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 3.5 of those hours from courses designated as"technical." • Classes I, II,A, B—10 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 7 of those hours from courses designated as"technical." • Classes III, IV, C, D—20 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 14 of those hours from courses designated as"technical." Online Renewal: Online renewal is available 24 hours a day,7 days a week between May 15, 2014 and July 1,2014 at httas://mylicense.in.00v. The cost for the online renewal is$30.00 plus an additional$4.17 in processing fees. The forms of payment accepted online are Visa, Mastercard,&Discover credit and debit cards. Login ID and Password are above. Mail Renewal: If you wish to renew by mail,fill out the responsible charge information,and send this form with your$30 renewal fee to: Cashier—Mail Code 50-10C,Indiana Dept.of Environmental Management, 100 N.Senate Avenue, Indianapolis, IN 46204-2251. Make checks payable to IDEM. Should you have any questions or concerns about the renewal process, please contact Tonja Fuller-White at(317)233-0479 or by e-mail at tfullerw(@idem.in.aov. 01'/04),05 Indiana Department of Environmental Management '®EM 100 N.Senate Avenue Mail Code 65-42 Indianapolis, IN 46204-2251 EST 198.6_.... William E.Wolfe 22934 Anthony Road Cicero IN 46034 WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION License Class Wastewater Operator Class IV May 14,2014 Certification#: WW006430 Expiration Date: 06/30/2014 Renewal Fee: 30.00 Login Id: WW006430 Password: 491255 Current Continuing'Education Hours Earned: General-3.50 Technical-23.50 Total-27.00 I am currently the responsible charge operator who signs the monthly reports (MRO/MMR)at the following facilities: Facility Name Hours/Week Permit# Cit Address Change: Li Home Current Phone#: I 57 Work Operator Signature: Date::�� s �� Your wastewater treatment plant operator certification expires 06/30/2014. After this date,you cannot be the operator �sP�n-ale clam of a�r: stewatertraatne��pPai�t�ftitiiyotir certmc`aiion is renewed. You must meet the continuing education requirement as shown below: • Classes I-SP,A-SO—5 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 3.5 of those hours from courses designated as"technical." • Classes I, II,A, B—10 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 7 of those hours from courses designated as"technical." • Classes III, IV, C, D—20 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 14 of those hours from courses designated as"technical." Online Renewal: Online renewal is available 24 hours a day,7 days a week between May 15,2014 and July 1,2014 at https://mylicense.in.gov. The cost for the online renewal is$30.00 plus an additional$4.17 in processing fees. The forms of payment accepted online are Visa, Mastercard,&Discover credit and debit cards. Login ID and Password are above. Mail Renewal: If you wish to renew by mail,fill out the responsible charge information,and send this form with your$30 renewal fee to: Cashier—Mail Code 50-10C, Indiana Dept.of Environmental Management, 100 N.Senate Avenue, Indianapolis, IN 46204-2251. Make checks payable to IDEM. Should you have any questions or concerns about the renewal process, please contact Tonja Fuller-White at(317)233-0479 or by e-mail at tfullerweidem.in.Qov. or70g0 of Indiana Department of Environmental Management 100 N. Senate Avenue Mail Code 65-42 Indianapolis, IN 46204-2251 ESL 1996 Micah W. Beck 1823 Ashley P Woods Apt I Westfield IN 46074 WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION License Class Wastewater Operator Class II May 14,2014 Certification#: WWO19724 Expiration Date: 06/30/2014 Renewal Fee: 30.00 Login Id: WWO19724 Password: 1295127 Current Continuing Education Hours Earned: General-0.00 Technical- 11.00 Total- 11.00 I am currently the responsible charge operatorwho signs the monthly reports(MRO/MMR)at the following facilities: Facility Name Hours/Week Permit# Cit Address Change: 1 O 1� w�Dd {-re2r� �� gJ�,�'�� 7V ❑ Homme Current Phone#: 31�-�I8-S row m Work Operator Signature: Date: Your wastewater treatment plant operator certification expires 06/30/2014. After this date,you cannot be the operator �rrrespons:b{e-;,tis;ge-ef q.vaStewater treatmErt rl«^t-u:ti:'your cart rcatEon is rerew�d— - You must meet the continuing education requirement as shown below: • Classes I-SP,A-SO—5 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 3.5 of those hours from courses designated as"technical." • Classes I, ll,A, B—10 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 7 of those hours from courses designated as"technical." • Classes III,IV,C, D—20 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 14 of . those hours from courses designated as"technical." Online Renewal: Online renewal is available 24 hours a day, 7 days a week between May 15,2014 and July 1,2014 at https://mViicense.in.gov. The cost for the online renewal is$30.00 plus an additional$4.17 in processing fees. The forms of payment accepted online are Visa, Mastercard,&Discover credit and debit cards. Login ID and Password are above. Mail Renewal: If you wish to renew by mail,fill out the responsible charge information, and send this form with your$30 renewal fee to: Cashier—Mail Code 50-10C, Indiana Dept.of Environmental Management, 100 N.Senate Avenue, Indianapolis, IN 46204-2251. Make checks payable to IDEM. Should you have any questions or concerns about the renewal process, please contact Tonja Fuller-White at(317)233-0479 or by e-mail at tfullerwa-idem.in.gov. c7l.7oy��n� Indiana Department of Environmental Management 100 N. Senate Avenue LOMIN Mail Code 65-42 Indianapolis, IN 46204-2251 EST. 7996 , Aaron D. Hoover 18249 La Costa Way Westfield IN 46062 WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION_ License Class Wastewater Operator Class II May 14,2014 Certification#: WWO19643 Expiration Date: 06/30/2014 Renewal Fee: 30.00 Login Id: WWO19644 Password: 1295467 Current Continuing Education Hours Earned: General- 10.00 Technical-26.00 Total-36.00 I am currently the responsible charge operatorwho signs the monthly reports(MRO/MMR)at the following facilities: Facility Name Hours/Week Permit# Cit Address Change: u Home - Current Phone#:517-571_aOAL- (Work Operator Signature• / -oo,-- Date: 2 Your wastewater treatment plant operator certification expires 06/30/2014. After this date,_you cannot be the operator=__,.. ---- in_responsi6le_charge_.of.a_wastewater-treatme��t-pla.�t antt�-ysur-c rYfi&ation is�ene6vecJ:' You must meet the continuing education requirement as shown below: • Classes I-SP,A-SO—5 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 3.5 of those hours from courses designated as"technical." • Classes I, II,A, B—10 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 7 of those hours from courses designated as"technical." • Classes III, IV,C, D—20 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 14 of those hours from courses designated as"technical." Online Renewal: Online renewal is available 24 hours a day, 7 days a week between May 15, 2014 and July 1,2014 at https://mylicense.in.gov. The cost for the online renewal is$30.00 plus an additional$4.17 in processing fees. The forms of payment accepted online are Visa, Mastercard, &Discover credit and debit cards. Login ID and Password are above. Mail Renewal: If you wish to renew by mail,fill out the responsible charge information,and send this form with your$30 renewal fee to: Cashier—Mail Code 50-10C, Indiana Dept.of Environmental Management, 100 N.Senate Avenue, Indianapolis, IN 46204-2251. Make checks payable to IDEM. Should you have any questions or concerns about the renewal process_, please contact Tonja Fuller-White at(317)233-0479 or by e-mail at tfullerw(@idem.in.aov: — 01.10**( Indiana Department of Environmental Management 100 N. Senate Avenue IDEM Mail Code 65-42 Indianapolis, IN 46204-2251 EST. 1986 Aaron D. Hoover 18249 La Costa Way Westfield IN 46062 WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION License Class Wastewater Operator Class B May 14, 2014 Certification#: WW019644 Expiration Date: 06/30/2014 Renewal Fee: 30.00 Login Id: WW019644 Password: 1295467 Current Continuing Education Hours Earned: General- 10.00 Technical-26.00 Total-36.00 I am currently the responsible charge operator who signs the monthly reports(MRO/MMR)at the following facilities: FacilityName Hours/Week Permit# Cit Address Change: ❑ Home _ Current Phone#: 317-S71-APSY KWork Operator Signature: Date: Your wastewater treatment plant operator certification expires 06/30/2014. After this date,you cannot be the operator Errrespe�sawle-ch�rga-ef-a-wastewater-troat::iert-p9ar.,unF!_y��:r-ccrtific�tid^-is :crewed-- - -------- ------ - --- --You must meet the continuing education requirement as shown below: • Classes I-SP,A-SO—5 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 3.5 of those hours from courses designated as"technical." • Classes I, II,A, B—10 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 7 of those hours from courses designated as"technical." • Classes III, IV, C, D—20 hours earned between 7/1/2012—6/30/2014 from IDEM approved course with at least 14 of those hours from courses designated as"technical." Online Renewal:Online renewal is available 24 hours a day,7 days a week between May 15,2014 and July 1,2014 at https://mylicense.in.gov. The cost for the online renewal is$30.00 plus an additional$4.17 in processing fees. The forms of payment accepted online are Visa, Mastercard,&Discover credit and debit cards. Login ID and Password are above. Mail Renewal: If you wish to renew by mail,fill out the responsible charge information,and send this form with your$30 renewal fee to: Cashier—Mail Code 50-10C, Indiana Dept.of Environmental Management, 100 N.Senate Avenue, Indianapolis, IN 46204-2251. Make checks payable to IDEM. Should you have any questions or concerns about the renewal process, please contact Tonja Fuller-White at(317)233-0479 or by e-mail at tfullerwa-idem.in.aov. VOUCHER # 138134 WARRANT # ALLOWED 146900 IN SUM OF $ IDEM �61'r— 100 N. Senate Avenue Indianapolis, IN 46207-7060 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code WWO19644 01-7040-01 $30.00 W Wd t g693 01 --7NO-0 i 30.00 W\ff0►l'7aq a f --roLfo-0► 30.06 ww006430 ol -7oga-05 30 .00 \A1W®t-A,770 01 --70`{a-OS 30,00 \11w 0 O i -'70ya-0 5 30,00 w��lsogy oI - 7�ya-os 30 ,00 Voucher Total 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 146900 IDEM Purchase Order No. 100 N. Senate Avenue Terms Indianapolis, IN 46207-7060 Due Date 5/29/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/29/2014 WW019644 $30.00 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