HomeMy WebLinkAbout325753 05/30/18 Jj \ CITY OF CARMEL, INDIANA VENDOR: 146900
j ® ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M"ECK AMOUNT: $......**30.00*
CARMEL, INDIANA 46032 100 N SENATE AVENUE CHECK NUMBER: 325753
ROOM 1255 CHECK DATE: 05/30/18
INDIANAPOLIS IN 46204-2251
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 288228 30.00 OTHER EXPENSES
VOUCHER NO. 185623 WARRANT N0. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 146900 IN SUM OF$ 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
30.00 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
288228 01-7040-08 $30.00 and received except 5/23/2018 288228 $30.00
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 claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
Indiana Department of Environmental Management
100 N. Senate Avenue
IGCN Room 1255
Indianapolis, IN 46204-2251
001139
Micah W. Beck
1817 Woodstream Ct
Westfield IN 46074
Indiana Department of Environmental Management
r– — _WASLEWATER-TREATMENT PLANT OPERATOR RENEWAL APPLICATION
Our records indicate your wastewater treatment plant operator certification expires on 06/30/2018. After this date you cannot
be the operator in responsible charge of any wastewater treatment plant in Indiana until your certification is renewed. This
renewal application form may be submitted, and payment made prior to contact hours being received,but your license will not
be reissued until we receive documentation that all required contact hours have been obtained. Licenses are renewable every
two years, and all terms for renewal must be met each time before a license is renewed. There is no late fee for renewing late,
although if your license expires you cannot work as an operator in responsible charge until your license is renewed. Failure to
renew a license within three years of its expiration date will require you to sit for and pass the written test before a new license
is issued.
License Class Wastewater Operator Class II April 27, 2018
Certification#: WW019724
Expiration Date: 06/30/2018
Renewal Fee: 30.00
Registration Code:288228
Online Login: Use the Register a Person option and enter your license(certification)number and registration code
to create your login credentials.
s' Current Contact Hours Earned: General-6.00 Technical-1.00 Total-7.00. This may not reflect hours for courses
recently attended.
3
s Online Renewal:Online renewal is available 24 hours a day,7 days a week between May 1,2018 and July 1,2018 at
https://mylicense.in.gov. The cost for the online renewal is$30.00 plus an additional$4.17 in processing fees. The forms of
payment accepted online are Visa, MasterCard, & Discover credit and debit cards. Use the Register a Person option and
enter your certification number and registration code to create your login credentials.Online renewal is recommended
to expedite your renewal process;licenses are generated at the time of payment if contact hours are already completed and
on record.
Mail Renewal: If-j66–wish-to enew by mail,fill out-the-responsible-charge-information if-applicable,-on.the-back_of-this_form..u____
Sign and date in spaces provided and send this form with your$30 renewal fee to: Indiana Department of Environmental
Management,Wastewater Continuing Education Director,100 N.Senate Avenue, Room 1255,Indianapolis,IN 46204-
2251. Make checks or money orders payable to IDEM. Please allow 4-6 weeks for processing of your renewal.
If you have two wastewater certifications due for renewal at this time,you can combine applications into one mailing and
include a fee payment of$60 that covers both.
SEE FORM ON OTHER SIDE
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