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Home My WebLink About242980 3 /11/2015 (9, CITY OF CARMEL, INDIANA VENDOR: 146900 ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M"ECK AMOUNT: S'•'*28,356.55` CARMEL, INDIANA 46032 PO eox 3295 CHECK NUMBER: 242980 INDIANAPOLIS IN 46206 CHECK DATE: 03/11/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 197835 27,784.65 OTHER EXPENSES 601 5023990 198129 571.90 OTHER EXPENSES INVOICE Please Remit To: Page: 1 INDIANA DEPT.OF ENVIRONMENTAL MANAGEMENT Invoice No: 000198129 PO BOX 3295 Invoice Date: 01/15/2015 INDIANAPOLIS IN 46206-3295 Customer Number: CST100026471 Bill Type: 060 Payment Terms: NET 60 Due Date: 03/16/2015 Bill To: CARMEL WATER&WASTEWATER MR JOHN DUFFY AMOUNT DUE: 571.90 USD i 30 WEST MAIN STREET SUITE 220 CARMEL IN 46032 Amount Remitted - - Write the invoice number on your check and return.the.upper.portion of this invoice.-- For billing questions, please email us at WATER IDEM.IN.GOV Line Ad' Identifier Description Quantity UOM UnitAmt Net Amount 1 15-IN5229024C-0 PWS Fee - SVC:602 1.00 EA 571.90 571.90 - Accounts Receivable is now accepting payment by Master Card or Visa between the hours of 9 am to 3 pm Monday through Friday. You may come to the office or call (317) 234-3099. A processing fee of $1 plus 2% will be charged of the total transaction. - This annual fee billing is required for active Public Water Systems (to defray the costs of administering activities of the federal Safe Drinking Water Act) under Indiana Code: IC 13-18-20.5. To view via the internet, visit: - http://www.IN.gov/legislative/ic/code/titlel3/arl8/ch2O.5.html - Fees are based on the activity status as of December 31 of the previous year. - Fees on Community Water Systems will be based on the number of service connections on record as of December 31 of the previous year. - Fees are not pro-rated. If a system is sold or inactivated during the billing year, the amount of the assessed fee remains due and payable. - If payment of the assessed fee amount imposes an undue burden on the public water system, the facility may notify this Agency within forty-five (45) days of this invoice date to pay in four equal installments within a year. - Payments not received or received after the DUE date are subject to a delinquency charge equal to 10% of the assessed fee. The complete fee payment or the 1st installment- is--due-within 60 days of the date of this invoice. --If-,.seueral-invoices_are.-to-be.paid_by one_check, ou MUST INCLUDE A COPY OF EACH BILLING INVOICE in order to ensure proper credit for each fee assessment. -- For questions regarding your assessed fee amount, please contact Carol Guidry in the Office of Water Quality at (317) 232-8472 or e-mail cguidry@idem.in.gov. -IDEM may pursue enforcement action for non payment of annual fees. TOTALAMO INT DUE: 571.90 Please write the invoice number on your check and return the upper portion of this invoice with remittance. 495-IDEM Printed on Recycled Paper Original INVOICE Please Remit To: Page: 1 INDIANA DEPT.OF ENVIRONMENTAL MANAGEMENT Invoice No: 000197835 PO BOX 3295 Invoice Date: 01/15/2015 INDIANAPOLIS IN 46206-3295 Customer Number: CST100010357 Bill Type: 060 Payment Terms: NET 60 Due Date: 03/16/2015 Bill To: CITY OF CARMEL MR JOHN DUFFY-WATER DEPT AMOUNT DUE: 27,784.65 USD 30 WEST MAIN STREET SUITE 220 CARMEL IN 46032 Amount Remitted E j-NCite Addfegs Change At5t5ae -- — --"" - Write the invoice number on your check and return the upper-portion of this invoice.-- For billing questions, please email us at WATER IDEM.IN.GOV Line Ad' Identifier Description Quantity UOM UnitAmt NetAmount 1 15-IN5229004C-0 PWS Fee - SVC:29247 1.00 EA 27,784.65 27,784.65 - Accounts Receivable is now accepting payment by Master Card or Visa between the hours of 9 am to 3 pm Monday through Friday. You may come to the office or call (317) 234-3099. A processing fee of $1 plus 2% will be charged of the total transaction. - This annual fee billing is required for active Public Water Systems (to defray the costs of administering activities of the federal Safe Drinking Water Act) under Indiana Code: IC 13-18-20.5. To view via the internet, visit: - http://www.IN.gov/legislative/ic/code/titlel3/arl8/ch2O.5.html - Fees are based on the activity status as of December 31 of the previous year. - Fees on Community Water Systems will be based on the number of service connections on record as of December 31 of the previous year. - Fees are not pro-rated. If a system is sold or inactivated during the billing year, the amount of the assessed fee remains due and payable. - If payment of the assessed fee amount imposes an undue burden on the public water system, the facility may notify this Agency within forty-five (45) days of this invoice date to pay in four equal installments within a year. - Payments not received or received after the DUE date are subject to a delinquency charge equal to 10% of the assessed fee. The complete fee payment or the 1st installment is due within 60 days of the date of this invoice. -- --If-seueral-invoicP�ase_to-he .paid-hy_nne checlL you_MUST_1NCLUDE-A_C0P1-QF EACH_BILLING_INVOICE in order to ensure proper credit for each fee assessment. -- For questions regarding your assessed fee amount, please contact Carol Guidry in the Office of Water Quality at (317) 232-8472 or e-mail cguidry@idem.in.gov. -IDEM may pursue enforcement action for non payment of annual fees. TOTALAMOUNT DUE: 27,784.65 remittance. and return the upper e Please write the invoice number on your check a pp portion of this invoice with 495-IDEM Printed on Recycled Paper Original VOUCHER # 143072 WARRANT # ALLOWED TIDEM IN SUM OF $ IDEM INDIANAPOLIS, IN 46-204 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 197835 01-6750-08 $27,784.65 I 1C1 A �� 511-�o S5 Voucher Total "$9T784:65_ 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 TIDEM IDEM Purchase Order No. 100 N SENATE AVENUE Terms INDIANAPOLIS, IN 46204-2251 Due Date 2/20/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/20/2015 197835 $27,784.65 i I 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 Amx Date kfficer