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HomeMy WebLinkAbout323055 03/21/18 1 �C4NM CITY OF CARMEL, INDIANA VENDOR: 146900 ¢, ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M�IECK AMOUNT: $"'"""50.00' x. CARMEL, INDIANA 46032 P.O.BOX 3295 CHECK NUMBER: 323055 vy_TON.�o;T INDIANAPOLIS IN 46206-3295 CHECK DATE: 03/21/18 DEPARTMENT ACCOUNT PO NUMBER. INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 22497 50.00 OTHER EXPENSES VOUCHER NO. 185090 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor# 146900 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER IDEM CITY OF CARMEL 100 N. Senate Avenue An invoice or bill to be properly itemized must show: kind of service,where performed, Indianapolis, IN 46207-7060 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee 50.00 146900 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR IDEM Terms Carmel Wasterwater Utility 100 N. Senate Avenue Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), Indianapolis, IN 46207-7060 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 22497 01-7752-05 $50.00 and received except 3/19/2018 22497 $50.00 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20 Clerk-Treasurer MUNICIPAL NPDES PERMIT COMPLETENESS CHECKLIST & SUBMITTAL FORM MAIL TO: Indiana Department of Environmental Management Office of Water Quality-Mail Code 65-42 Municipal NPDES Permits Section 100 North Senate Avenue Indianapolis,Indiana 46204-2251 NPDES PERMIT No. INOO 22497 Facility Name City of Carmel Wastewater Treatment Plant Mailing Address 9609 Hazel Dell Parkway Indianapolis.Indiana 46280 Facility Location Same as Above Contact&Telephone Fd Wolfe Phone: ( 317) 571 - 2634 x1633 REQUIRED INFORMATION REQUIRED WITH ALL APPLICATIONS TECHNICAL APPLICATIONS X $50.00 Permit Application Fee Semi Public/Minor Municipal Application X Affected Parties Identification Form X Major Municipal Application/EPA Form X Request for Information Form X Whole Effluent Toxicity Test(WET-TEST) ** An issued Construction Approval is required with all applications for a AWWNPDES permitted facility. The Permit Fee,Affected Parties Form and Request for Information Forms are required with all --�_- _ l'.1:.:_ •'.'-1.,3',Y;r�.x4R':�%-- ___:H?tiT _ �_�:1;::T,.ji^.1.a LS.'� applications. : ole lfflaela : 'oapic' estan irsre� 'el for::alTYta o—' aciL =r:.enew 1't ..s'St _a;l;{z> •4-.-. :�..�its ' a Iic4f .pp_ to u► Ccadcevit regiitobs s ec> ezn2AC S 3 uli�d 2 Please check the information that is included,and insure that all forms are completely filled out with date and signature.