HomeMy WebLinkAbout233261 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