HomeMy WebLinkAbout325502 05/23/18 03P'
CITY OF CARMEL, INDIANA VENDOR: 00351805
ONE CIVIC SQUARE INDIANA DEPT OF ENVIR MGTCHECK AMOUNT: *****120.00*
CARMEL, INDIANA 46032100 N SENATE AVE,PO BOX 6015 CHECK NUMBER: 325502
PO BOX 6015 CHECK DATE: 05/23/18
INDIANAPOLIS IN 46206-6015
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 BELL 30.00 OTHER EXPENSES
601 5023990 LUPER 30.00 OTHER EXPENSES
601 5023990 SMITH 30.00 OTHER EXPENSES
601 5023990 WHITLOW 30.00 OTHER EXPENSES
VOUCHER NO. 181555 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 00351805 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
IN DEPT ENVIRONMENTAL MGMT CITY OF CARMEL
MAIL CODE 66-34 An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46204-2251 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
120.00 00351805 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR IN DEPT ENVIRONMENTAL MGMT Terms
Carmel Water Utility MAIL CODE 66-34 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s),
INDIANAPOLIS, IN 46204-2251
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
BELL 01-6040-03 $30.00 and received except 5/16/2018 BELL $30.00
LUPER 01-6040-05 $30.00 5/16/2018 LUPER $30.00
SMITH 01-6040-05 $30.00 5/16/2018 SMITH $30.00
WHITLOW 01-6040-05 $30.00 5/16/2018 WHITLOW $30.00
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
IDEM Indiana Department of Environmental Management
100 N.Senate Avenue Invoice Number: 8796859
Mail Code 66-34
t "- Renewal Fee: 30.00
Indianapolis,IN 46204-2251
Money Receipt#
(Office Only)
Certificate Number: WT062539
May 10,2018 Expiration Date: 06/30/2018
Grade: WT3
William A.Bell Jr 001039 Obtained By: Examination
5419 South 225 West
Atlanta IN 46031 Login: Use the Register a Person option and
enter your license(certification)number and
registration code ONLY to create your login
credentials.
Registration Code: 623895
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Water Works Operator Certifccation Renewal Fee Statement
Our records indicate your Water Works Certificate No. WT062539, Grade WT3 for a class WT3 Water
Treatment Plant expires on June 30, 2018. You are required to obtain 25.00 contact hours of continuing
education for renewal; a minimum of 70% must be technical. Our records indicate that you currently have
accumulated 34.50 contact hours towards renewal. (This may not reflect hours for courses recently
attended.) If you need to verify the number of technical course hours obtained, you may login online using
the instructions below.
Note: If you have not recently attended an approved course, and you do not have the required number of
hours, you need to attend courses prior to June 30, 2018. After this date you are on expired status and are
not a valid certified operator, and you may not perform any duties as a certified operator. You do have until
June 30, 2019 to get your continuing education hours and renew your certification without retesting.
Failure to renew by June 30, 2019 will result in termination of your certification, and you will have to
retest.
Online Renewal—Online renewal is available 24 hours a day, 7 days a week at https://mvlicense.in.gov.
The cost for the online renewal is $30.00 plus an additional processing fee for each certification renewal.
The forms of payment accepted online are Visa, Master Card, &Discover credit and debit cards. Use the
Register a Person option to enter your license (certification) number and registration code (listed above)
only to create your login credentials.
Mail Renewal—To renew through the mail, please fill out the section on the back of this page and return
this entire letter with $30 fee payment to the remittance address listed. Be sure to sign and date in
spaces provided. Make a photocopy for your records. Please note that renewal through the mail will take
longer than an online renewal.
If you have other drinking water certifications due renewal, you can combine them in one mailing with a
fee payment that covers all of them. For example: (3 renewals x $30/per renewal) _$90 combined fee.
Remit Payment to: Indiana Department of Environmental Management
Drinking Water Branch, OWQ, Mail Code 66-34
100 N. Senate Avenue lJ'v
Indianapolis, IN 46204-2251
(1)
IDEM Indiana Department of Environmental Management
100 N.Senate Avenue Invoice Number: 8796345
Mail Code 66-34 Renewal Fee: 30.00
t Indianapolis,IN 46204-2251
4`t
Money Receipt#
(Office Only)
May 10,2018 Certificate Number: DS063078
Expiration Date: 06/30/2018
Grade: DSL
Jerry G.Smith IV 000686 Obtained By: Examination
3450 West 131ST Street
Westfield IN 46074 Login: Use the Register a Person option and
enter your license(certification)number and
registration code ONLY to create your login
credentials.
Registration Code:246135
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Water Works Operator Cert cation Renewal Fee Statement
Our records indicate your Water Works Certificate No. DS063078, Grade DSL for a class DSL Water
Distribution System expires on June 30, 2018. You are required to obtain 15.00 contact hours of
continuing education for renewal; a minimum of 70% must be technical. Our records indicate that you
currently have accumulated 37.00 contact hours towards renewal. (This may not reflect hours for courses
recently attended.) If you need to verify the number of technical course hours obtained, you may login
online using the instructions below.
Note: If you have not recently attended an approved course, and you do not have the required number of
hours, you need to attend courses prior to June 30, 2018. After this date you are on expired status and are
not a valid certified operator, and you may not perform any duties as a certified operator. You do have until
June 30, 2019 to get your continuing education hours and renew your certification without retesting.
Failure to renew by June 30, 2019 will result in termination of your certification, and you will have to
retest.
Online Renewal—Online renewal is available 24 hours a day, 7 days a week at https://mvlicense.in.gov.
The cost for the online renewal is $30.00 plus an additional processing fee for each certification renewal.
The forms of payment accepted online are Visa, Master Card, &Discover credit and debit cards. Use the
Register a Person option to enter your license (certification) number and registration code (listed above)
only to create your login credentials.
Mail Renewal—To renew through the mail, please fill out the section on the back of this page and return
this entire letter with $30 fee payment to the remittance address listed. Be sure to sign and date in
spaces provided. Make a photocopy for your records. Please note that renewal through the mail will take
longer than an online renewal.
If you have other drinking water certifications due renewal, you can combine them in one mailing with a
fee payment that covers all of them. For example: (3 renewals x $30/per renewal) = $90 combined fee.
Remit Payment to: Indiana Department of Environmental Management
Drinking Water Branch, OWQ, Mail Code 66-34
100 N. Senate Avenue
Indianapolis, IN 46204-2251
IDEM
Indiana Department of Environmental Management
, .100 N.Senate Avenue Invoice Number: 8796278
Mail Code 66-34 Renewal Fee: 30.00
Indianapolis,IN 46204-2251
Money Receipt#
(Office Only)
May 10,2018 Certificate Number: DS063092
Expiration Date: 06/30/2018
Grade: DSL
SEAN W.WHITLOW 000688
3450 W. 131 st St. Obtained By: Examination
Westfield IN 46074 Login: Use the Register a Person option and
enter your license(certification)number and
registration code ONLY to create your login
credentials.
Registration Code: 190188
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Water Works Operator Certification Renewal Fee Statement
Our records indicate your Water Works Certificate No. DS063092, Grade DSL for a class DSL Water
Distribution System expires on June 30, 2018. You are required to obtain 15.00 contact hours of
continuing education for renewal; a minimum of 70% must be technical. Our records indicate that you
currently have accumulated 29.50 contact hours towards renewal. (This may not reflect hours for courses
recently attended.) If you need to verify the number of technical course hours obtained, you may login
online using the instructions below.
Note: If you have not recently attended an approved course, and you do not have the required number of
hours, you need to attend courses prior to June 30, 2018. After this date you are on expired status and are
not a valid certified operator, and you may not perform any duties as a certified operator. You do have until
June 30, 2019 to get your continuing education hours and renew your certification without retesting.
Failure to renew by June 30, 2019 will result in termination of your certification, and you will have to
retest.
Online Renewal—Online renewal is available 24 hours a day, 7 days a week at https://mylicense.in.gov.
The cost for the online renewal is $30.00 plus an additional processing fee for each certification renewal.
The forms of payment accepted online are Visa, Master Card, &Discover credit and debit cards. Use the
Register a Person option to enter your license (certification) number and registration code (listed above)
only to create your login credentials.
Mail Renewal—To renew through the mail, please fill out the section on the back of this page and return
this entire letter with $30 fee payment to the remittance address listed. Be sure to sign and date in
spaces provided. Make a photocopy for your records. Please note that renewal through the mail will take
longer than an online renewal.
If you have other drinking water certifications due renewal, you can combine them in one mailing with a
fee payment that covers all of them. For example: (3 renewals x $30/per renewal) = $90 combined fee.
Remit Payment to: Indiana Department of Environmental Management
Drinking Water Branch, OWQ, Mail Code 66-34 "J
100 N. Senate Avenue
Indianapolis, IN 46204-2251
(1)
IDEM Indiana Department of Environmental Management
100 N.Senate Avenue Invoice Number: 8796347
t Mail Code 66-34 Renewal Fee: 30.00
Indianapolis,IN 46204-2251
Money Receipt#
(Office Only)
May 10,2018 Certificate Number: DS063072
Expiration Date: 06/30/2018
Grade: DSL
MICHAEL E.LUPER H 000677 Obtained By: Examination
3450 W. 131st St.
Westfield IN 46074 Login: Use the Register a Person option and
enter your license(certification)number and
registration code ONLY to create your login
credentials.
Registration Code:617119
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Water Works Operator Certification Renewal Fee Statement
Our records indicate your Water Works Certificate No. DS063072, Grade DSL for a class DSL Water
Distribution System expires on June 30, 2018. You are required to obtain 15.00 contact hours of
continuing education for renewal; a minimum of 70% must be technical. Our records indicate that you
currently have accumulated 26.00 contact hours towards renewal. (This may not reflect hours for courses
recently attended.) If you need to verify the number of technical course hours obtained, you may login
online using the instructions below.
Note: If you have not recently attended an approved course, and you do not have the required number of
hours, you need to attend courses prior to June 30, 2018. After this date you are on expired status and are
not a valid certified operator, and you may not perform any duties as a certified operator. You do have until
June 30, 2019 to get your continuing education hours and renew your certification without retesting.
Failure to renew by June 30, 2019 will result in termination of your certification, and you will have to
retest.
Online Renewal—Online renewal is available 24 hours a day, 7 days a week at https://mylicense.in.gov.
The cost for the online renewal is $30.00 plus an additional processing fee for each certification renewal.
The forms of payment accepted online are Visa, Master Card, &Discover credit and debit cards. Use the
Register a Person option to enter your license (certification) number and registration code (listed above)
only to create your login credentials.
Mail Renewal—To renew through the mail, please fill out the section on the back of this page and return
this entire letter with $30 fee payment to the remittance address listed. Be sure to sign and date in
spaces provided. Make a photocopy for your records. Please note that renewal through the mail will take
longer than an online renewal.
If you have other drinking water certifications due renewal, you can combine them in one mailing with a
fee payment that covers all of them. For example: Q renewals x $30/per renewal) = $90 combined fee.
Remit Payment to: Indiana Department of Environmental Management { ��
Drinking Water Branch, OWQ, Mail Code 66-34 "
100 N. Senate Avenue
Indianapolis, IN 46204-2251
(1)