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HomeMy WebLinkAbout321087 01/25/2018 CITY OF CARMEL, INDIANA VENDOR: 00351805 31 ONE CIVIC SQUARE INDIANA DEPT OF ENVIR MGT CHECK AMOUNT: $***'*'*200.00* CARMEL, INDIANA 46032 100 N SENATE AVE,PO BOX 6015 CHECK NUMBER: 321087 PO BOX 60,15 CHECK DATE: 01/25/18 t- ruN INDIANAPOLIS IN 46206-6015 DEPARTMENT ACCOUNT PO NUMBER JNVOICE NUMBER AMOUNT DESCRIPTION 1125 4358300 259338 100.00 OTHER FEES & LICENSES 1125 4358300 259339 100.00 OTHER FEES & LICENSES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 00351805 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Indiana Dept of Environmental Mgmt Payee PO Box 3295 Indianapolis, IN 46206-3295 In sum of$ Purchase Order# 00351805 Indiana Dept of Environmental Mgmt Terms $ 200.00 PO Box 3295 Date Due Indianapolis, IN 46206-3295 ON ACCOUNT OF APPROPRIATION FOR 101-General Fund PO#or Invoice Description Dept# INVOICE NO. ACCT#rF]TLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount Annual Safe Drinking Water Fee Flowing 1125 259338 4358300 $ 100.00 Board Members 1/12/18 259338 Well 2018 xx6318 $ 100.00 Annual Safe Drinking Water Fee Central 1125 259339 4358300 $ 100.00 1/12/18 259339 Pk W Commons 2018 xx6318 $ 100.00 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except $ 200.00 Total $ 200.00 January 17,2018 1 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 Cost distribution ledger classification if IPACNP14� claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title INVOICE Pleese Remit- 0CpPage 1_ IN©IANA DEPT.OF EPNVIRONMENTQL MN`"gME MENT tlnvol J�lo: 000259.338 f h BE) 3295 Inuolc `ate�'"� "0`1/12/2018 INDIANAPOLIS;IN 46203295 ""' r Customer Number: : CST100026885 Dr Bill Type: 062 JAN 1 6 2018 Payment Terms: NET 60 Due Date: 03/13/2018 Bill To: BY:""""""""" CARMEL CLAY PARKS&RECREATION MS AUDREY KOSTRZEWA-FLOWING WELL AMOOUNTDU'E.' 1.00.0_' USD 1411 EAST 116TH STREET CARMEL IN 46032 Amount Remitted ❑ Note Address Changes Above ❑ Email Address: _Write-the-invoice_number.on.your-check and.return the upper portion-of-this invoice. ____ __ ._._... -.._------- For billing questions, please email us at WATER@[DEM.IN.GOV Line Ad' Identifier Description Quantity UOM UnitAmt Net Amount 1 18-IN229080IT-0 PWS Fee - GW 1.00 EA 100.00 100.00 - Accounts Receivable is accepting payments online by e-Check, Master Card or Visa. -Please visit www.IN.gov/IDEM. Under Online Services, select Online Payment Options and select Pay by: eCheck or Pay by: Credit Card. Under Transaction Item, select Invoice Payments and follow the prompts. -You may also call us at 317-234-3099 and follow the instructions for Master Card or Visa payments. -A processing fee of $1 plus 2°s will be charged for credit card payments. A processing fee of $1.00 will be charged for eCheck payments. - This annual fee billing is required for active Public Water Systems (to defray the costs of administering activities of the federal Safe Drinking Water Act) under Indiana Code: IC 13-18-20.5. To view via the internet, visit: - http://www.IN.gov/legislative/ic/code/titlel3/ar18/ch2o.5.html - Fees are based on the activity status as of December 31 of the previous year. - Fees on Transient Non-Community Water System will be based on the type of water system on record by December 31 of the prior year. - Fees are not pro-rated. If a system is sold or inactivated during the billing year, the amount of the assessed fee remains due and payable. - If payment of the assessed fee amount imposes an undue burden on the public water system, the facility may notify this Agency within forty-five (45) days of this invoice date to pay in four -- --equal-insta1-1merts-within-a year-.- ------ -- - -- --- -- - --- --- - Payments not received or received after the DUE date are subject to a delinquency charge equal to 10% of the assessed fee. The complete fee payment or the 1st installment is due within 60 days of the date of this invoice. - If several invoices are to be paid by one check, you MUST INCLUDE A COPY OF EACH BILLING INVOICE in order to ensure proper credit for each fee assessment. -- For questions regarding your assessed fee amount, please contact Carol Guidry in the Office of Water Quality at (317) 232-8472 or e-mail cguidry@idem.in.gov. 495-IDEM Printed on Recycled Paper Original INVOICE ease Remlt To Pa1 ge ICNANADEPT.,OFENVIRONMENTALMANAGEMENT Ir1U01Ce'NO � 000259339 Po B FJA Invoice ®ate /1�2%01`$ i" ANAPOLIS IN 46206 3295 (� ' Custom6 201$ Bill Type: 062 Payment Terms: NET 60 Due Date: 03/13/2018 Bill To: CARMEL CLAY PARKS&RECREATION MR MICHAEL KLITZING-SPLASH PAD AMOUNT`DUE __ Y 100:0}0� USD 1411 EAST 116TH STREET CARMEL IN 46032 Amount Remitted ❑ Note Address Changes Above ❑ Email Address: 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 Unit Amt Net Amount 1 18-IN2290053T-0 PWS Fee - GW 1.00 EA 100.00 100.00 - Accounts Receivable is accepting payments online by e-Check, Master Card or Visa. -Please visit www.IN.gov/IDEM. Under Online Services, select Online .Payment Options and select Pay by: eCheck or Pay by: Credit Card. Under Transaction Item, select Invoice Payments and follow the prompts. -You may also call us at 317-234-3099 and follow the instructions for Master Card or Visa payments. -A processing fee of $1 plus 2% will be charged for credit card payments. A processing fee of $1.00 will be charged for eCheck payments. - 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/ar18/ch2O.5.html - Fees are based on the activity status as of December 31 of the previous year. - Fees on Transient Non-Community Water System will be based on the type of water system on record by December 31 of the prior 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-ins t-a3-lment-s-w}thrn-a-year-. --- --- -- - -- - Payments not received or received after the DUE date are subject to a delinquency charge equal to 100 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 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. 495-IDEM Printed on Recycled Paper original