Loading...
HomeMy WebLinkAbout258850 05/26/16 a S.�q J,%" � - CITY OF CARMEL, INDIANA VENDOR: 370428 ONE CIVIC SQUARE CHRIS OGG CHECK AMOUNT: $""""""'255.57* Iq ® CARMEL, INDIANA 46032 917 DAYTON DRIVE CHECK NUMBER: 258850 yiTON� CARMEL IN 46033 CHECK DATE: 05/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 62113894 255.57 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 CHRIS OGG ACCOUNTS PAYABLE VOUCHER 917 DAYTON DRIVE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show!kind of service,where performed,dates service CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $255.57 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 62113894 43-553.00 $105.57. 1 hereby certify that the attached invoice(s),or 5/23/16 62113894 Indiana PE Renewal $105.57 2200 201 2200 201 0 43-553.00 $150.00 bill(s)is(are)true and correct and that the 5/23/16 0 Massachusetts PE Renewal $150.00 2200 201 materials or services itemized thereon for 2200 201 which charge is made were ordered and received except Monday, May 23,2016 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 5/23/2016 To whom this may concern, The reason I am submitting this expense is this is the bi-annual fee to maintain my professional engineering license in the original state in which I obtained my license. My Indiana professional engineering license (which is required for my position)was obtained through comity from Massachusetts. Sincerely, Chris Ogg. PE Assistant City Engineer, City of Carmel OREGOOD0501100000000000000563100000038786007051600000150000000207001 REMIT TO: Only Enter Name and Address Changes Below IMPORTANT.READ,COMPLETE AND SIGN BELOW DIV.OF PROF.LICENSURE I ATTEST UNDER THE PAINS&PENALTIES OF PERJURY THAT: P.O.BOX 3607 A.PURSUANTTO G.L.C.62C,S.49A,I AM IN BOSTON,MA 02241-3607 COMPLIANCE WITH ALL LAWS OF THE COMMONWEALTH RENEWAL APPLICATION RELATING TO TAXES,REPORTING OF EMPLOYEES AND CONTRACTORS,AND WITHHOLDING AND REMITTING LICENSE NUNIBER _RENEWA.UbATE. Tota l Fee DUE ON OR Total Fee DUE AFTER ALIMONY AND CHILD SUPPORT. BEF RE 06-30-16 00.30-16 B.I HAVE READ AND AM FAMILIAR WITH THE PROVISIONS OF 250 CMR PROMULGATED BY THE BOARD WHICH GOVERN THEPRACTICE OF 38786-EN-ST 06-30-16ENGINEERING AND LAND SURVEYING. 00`- 207.ob C.I HAVE REPORTED TO THE BOARD ALL DISCIPLINE TAKEN AGAINST BOARD OF ENGINEERING AS A REG/PROF STRUCTURAL ENGINEER ANY PROFESSIONAL LICENSE ISSUED TO ME AND ALL CRIMINAL CONVICTIONS OR GUILTY PLEAS IN ANY JURISDICTION,OTHER THAN MINOR TRAFFIC VIOLATIONS. IF ANY OF THE ABOVE STATEMENTS ARE NOT TRUE,PLEASE FOLLOW CHRISTOPHER J OGG (EN) THE ATTACHED INSTRUCTIONS. 917 DAYTON DR CARNIEL,IN 46033-9413 X - Please waste tCtGN ENO`Non front of check or money order. �4hke payahlg tQ Commonwealth of bL4YOU ARE REQUIRED TO SIGN ABOVE -------------------------------------------------W <<<----Separate along this perforation — >>> cv, ---------------------------------------� Please detach the above stub and return with your renewal fee.DO NOT FOLD OR STAPLE THE ABOVE FORM - THE COMMONWEALTH OF MASSACHUSETTS OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION DIVISION OF PROFESSIONAL LICENSURE BOARD OF REGISTRATION OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS Page 1 of 4 RENEWAL AND LICENSURE INFORMATION Name 9 � _. _. a._ _ Lic n-e Numbed/Record Identlficafron Code j t CHRISTOPHER J OGG 38786-EN-ST "Yaur,k2 ase ev ak Date Es'' p oard Phone Number a � - June 30,2016 617-727-9957 IMPORTANT LICENSE RENEWAL INFORMATION: BOARD OF REGISTRATION OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS ONLINE LICENSE RENEWAL AVAILABLE: You can now RENEW ONLINE! Please visit www.elicensing.state.ma.us to create an account and follow the instructions to "Link your License or Permit to this account". You will need your Record ID,which is your license number as indicated above, and your Authorization Code:603143012.After creating an account, please complete your license renewal application and submit payment for your license renewal fee electronically. If you do not wish to renew your license online,you may still renew your license by completing and mailing the license renewal application form sent to your address of record, along with the required payment, to the Board. You may switch to the online renewal process at any time. The'website above will take you directly to the e-licensing system. For more detailed instructions on how to create an account, link your license and complete the online renewal please visit the board's website at www.Mass.gov/boards/en and choose the"RENEW YOUR LICENSE ONLINE" link. RENEWING YOUR LICENSE BY MAIL: If you wish to renew your license by mail, please do the following: -Detach the top portion of renewal application form that you received in the mail, sign it, and return it with your payment using the enclosed envelope. Incomplete applications cannot be processed and will be returned to you. Retain the bottom portion of (Continued on Page 2 ) �� 1Christopljel'� ©gg _2oa3s3iz7ao � �'ti.F- 1Catfjerine�[ 4..gg ;:;.-��Shield'Check v _ 917 Dayton�rin'e �°RutectlCh "= iCarmel,�?2 46033-9413 6 64iR 55 Pay to te Ordero� C niLi wtOo�1Gt. of .rt � ELI LILI TFFDFRALXREDIT UNION INDIANAPOLIS;IN 462077123 i For x: 2740 : 0007 5-965 Welcome to Indiana Licensing Page 1 of 1 4 Online Licensing �. awl tiPayment Receipt- j _-,This page serves as your receipt for this transaction. Your payment will appear on your credit card statement as "State of Indiana License Fee" or something similiar. To maintain this page =for your records, you may print this page by clicking the "Print Receipt" button below. �= l What to do next? Renewal • Check back on the MyLicense site in 24 - 48 hours to see if your expiration date was extended. " • If not, this may mean there is a problem with your renewal application and you will be contacted. • If you answered "Yes" to any of the disciplinary questions, you must provide additional information before your renewal can be processed. You may still work with your current license for up to 90 days while your renewal.is being reviewed by the board. l License Cards >•• :• The agency no longer mails license cards free of charge. Please log in to the MyLicense site in 24-48 hours and, after verifying your expiration date has been updated, select ;the"Order License Card"option. You may order a license card with an expiration date or choose the free paper license you print from your computer. Payment received - thank you. Licensee: Christopher J. Ogg License Number: PE19700209 Authorization Code: 023946 Received Date: 5/23/2016 8:11:46 AM Transaction ID: 62113894 Credit Card Number: XXXX XXXX XXXX 8816 jFee Amount: $100.00 Enhanced Fee: $2.50 Instant Fee: $3.07 T6taVAP6y_ment., 1y05°.5, Xg Print Receipt 'Renew Another License Logout I https://mylicense.in.gov/egov/PaymentResult.aspx?answer=processed&credit card numbe... 5/23/2016