HomeMy WebLinkAbout253672 01/22/16 CITY OF CARMEL, INDIANA VENDOR: 146900
ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M"ECK AMOUNT: $.•"40,084.80"
r ?� CARMEL, INDIANA 46032 PO BOX 3295 CHECK NUMBER: 253672
INDIANAPOLIS IN 46206 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 218065 27,912.90 OTHER EXPENSES
601 5023990 218343 571.90 OTHER EXPENSES
1125 4358300 221046 100.00 OTHER FEES & LICENSES
651 5023990 222036 11,500.00 OTHER EXPENSES
vvnte me invoice numoer on your cnecK ano return the upper portion or ims invoice.
For billing questions, please email us at WATER IDEM.IN.GOV
Line Ad' Identifier Description Quantity UOM UnitAmt NetAmount
1 16-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 21 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 several invoices are to be paid by one check, you MUST INCLUDE A COPYOF EACH BILLING_ OT --
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: 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
write the invoice numoer on your cnecK ano return the upper portion of tnis Invoice.Original Invoice: 000218065 01/08/2016
For billinq questions, please email us at WATER IDEM.IN.GOV Prior Adjustment: 000218065CR 01/05/2016
Line Ad' Identifier Description Quantity UOM Unit Amt NetAmount
1 16-IN5229004C-0 PWS Fee - SVC:29382 1.00 EA 27,912.90 27,912.90
- 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 21 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
10s of the assessed fee. The complete fee payment or the 1st installment is due within 60 days of
the date of this invoice.
If several invoices are to be paid by one check, you MUST_INCLUDE A COPY OF EACH-B;iLLING 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: 27,912.90
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
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
IN DEPT. OF ENVIRONMENTAL MGT. Purchase Order No.
OWQ, MAIL CODE 66-34 Terms
100 N SENATE AVE Due Date 1/15/2016
INDIANAPOLIS, IN 46204-2251
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/15/2016 218065RB $27,912.90
hereby certify that the attached invoice(s), or bill(s) is (are)true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
write the invoice number on your cnecK 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 16-IN0022497-0 Base fee -Municipal Major 1.00 EA 1,500.00 1,500.00
2 16-IN0022497-0 Flow Fee for 8.95 MGD 1.00 EA 10,000.00 10,000.00
- 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.
- Annual Fee Billing is required for active NPDES permits under Indiana Code: IC 13-18-20. To view
via the Internet visit: http://www.IN.gov/legislative/ic/code/titlel3/ar18/ch2O.html
- Facilities with no discharge are still required to pay any applicable base fee as long as the
permit is active. A permit is active until it is officially terminated by IDEM. Fees are not
pro-rated.
- The entire amount of the assessed fee is due and payable by the permit holder unless IDEM receives
and approves a permit termination request by December 31st of the previous year.
- If payment of the full assessed fee amount imposes an undue burden upon the permit holder, the
facility may notify this agency within 45 days of the date of this invoice to pay four equal
installments spread evenly over the 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 several permits or invoices are to be paid by one check, you MUST INCLUDE A COPY OF EACH
BILLING INVOICE in order to ensure proper credit for each fee assessment. -
--- = Flow fees are based on reported flow values for a twelve month period ending in June of the
previous year. If you have any questions regarding flow fees please contact Nancy Coker, Office of
Water Quality, 317/234-6690 or e-mail ncoker@idem.in.gov.
-IDEM may pursue enforcement action for non payment of annual Tees.
TOTALAMOUNT DUE: 11,500.00
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
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 1/15/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/15/2016 222036 $11,500.00
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer