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Home My WebLink About186369 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 146900 Page 1 of 1 ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M 77� s HECK AMOUNT: $120.00 CARMEL, INDIANA 46032 CASHIER OFFICE -MAIL CODE 50 -10C oM 100 N SENATE AVE CHECK NUMBER: 186369 INDIANAPOLIS IN 46204 CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 3861574 30.00 OTHER EXPENSES 601 5023990 3861593 30.00 OTHER EXPENSES 601 5023990 3861635 30.00 OTHER EXPENSES 601 5023990 3862955 30.00 OTHER EXPENSES r° P+ir Indiana Department ot' Environmental Managcnient I(X) N. Senate Avenue Invoice Number: 3861635 Mail Code 66 -35 Renewal Fee: $30.00 Indianapolis, IN 46204 -2251 Money Receipt (011ice 0121y) May 20, 2010 Certificate Number: DS936716 Expiration Date: 06/30/2010 Grade: DSL PAUL V. PACE Obtained By: Examination 3450 WEST 131ST STREET Westfield IN 46074 Login ID: DS936716 Password: 581243 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Water .YWorkv,0uerator-_CertlCtcatiwz Renewal Fee Statement r 7 7 __�.wva. h�.... ._.i h„ ....:4•W:T Fk ,L 4 „i .aA W1:,7.,...:._.. (Jut records indica te you Water WorICs Cerh ficate Na. 13S936� 16. tirade 175L for a class DSL V' 666 Dlstrt utton System expires on 06/30/2010. You are required to obtain 15.00 contact hours of'continuing education for renewal. Our records indicate that you currently have accumulated 24.25 contact hours towards renewal. (This may not reflect hours for courses recently attended.) Note: Ifyou have not recently attended an approved course, and you do not have the required number of hours, you need to attend courses prior, to July 1, 2010. After this date you are on expired status and are not a valid certified operator. You do have until July 1 2011 to get your continuing education hours and renew your certification. Failure to renew by July 1 2011 will result in termination of your certification, and c ;r you will have to retest. f l Orihne Renewal Online renewal is available 24 hours a day, 7 days a week at Mips: //tnylicense.ui.gov The cost for the online renewal is plus ;an.additional processvig fee for cacti certification renewal. The lornis of payment accepted online are Visa Master Card, Drscovertcreditanddebq,cards. LkcigindD and Password are listed above. t, Mail Renewal To renew tliTough!:the mail, please fill nut the bottom section and return this entire letter with $30 fee paynhenut to the �,Aw tia` renniittance address listed Be•sure to sign and crate in spaces provided. Make a photocopy for your records. Please note that renewal thtvuglt l ��itlie-mail will take loi get than.aitpnIhie renewal. 1 If you have �pflner driiilung water ceriificati§ps due renewal, you can canibine them in one mailing with a fee payment that covers all of their. le:' renewals x $30 /per renewal} ='$90 combined fee. Remit Paypnient to` Indiana Department of Environmental Management Cashier's Office Mail Code 5(�-1 OC Ca °reel Cert►Gcathort 1f you do not want to renew this cetti troi e AMI Wrill, "CANOE TONU ded. and nail to the remittance address listed. FILL OUT BOTTOM PORTION RETURN ENTIRE LETTER WHEN RENEWING BY MAIL OR CANCELLING If this certification was obtained by Examination and the facility you are employed at has changed, please add your new employer in the space provided. NOTE— If this certification is Grandfathered or Site Specific, it is valid only for the location below. PWSNanne` PWS ID CARMEL WATER DEPT 52290(14 Address Chan °e: C Home Phone Number %r. /�5 Work Phone Number _317 7. Operator Signature: Date: tx toetnn Indiana Department ofEuvirmuental Management 100 N. Senate Avenue Invotcc�Number: 3861574 Mail Code 66-35 t Reiewal Fee $30.00 Indianapolis IN 46204 -2251 Money Receipt il (Office Only) L 1 May 20, 20 10 Certificate Number: DS995912 Expiration Date: 06/30/2010 Grade: DSL JL:FFLRY L. CARPENTER Obtauied. By Examination 878, Tyne Circle Danville IN 46122 Login:dD: DS895912 Password: 580889 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT d! ater .Il!�tks:' >Ol�eratoi';:Certi rcatxozi Reiieiial%I'ee.Stateneelit ourr'Ccorcis 111dicate your Wafci arks Certiiicate No. DSt4959I2. Grade D toy a class DSL W.ifet 7iainbittli ?ti Sy�tCm expires on 06/3012010. You are required to obtain 15.00 contact hours of continuing education for renewal. Our records indicate that you currently have accumulated 28.00 contact hours towards renewal. (This may not rellect (tours for courses recently attended.) Note: If you have not recently attended an approved course, and you do not have the required number of bourn, you need to attend courses prior to July 1, 2010. After this date you are on expired status and are not a valid certified operator. You do have until .luly I, 2011 to get your continuing education hours and renew your certification. Failure to renew by July 1, 2011 will result in termination ofyour certification, and you will have to retest. Onlihe.Reinewal Online renewal is available 24 hours a day, 7 days a week at lnttns: /nnylicense ui.t?oy The cost for the online renewal is n c $30 00 plus �it�addntional�rpcussut�'.f�e fior ea6h certification renewal. The forms ofpayment accepted unlnie are Visa, Master Card, £r Discover cieciit auntl "debit cards. Logiu ID acid Patitiwpid.are listed above. jy ManitRenewal To'renew through the mail, please fill out,thelbottom section and return this entire letter with $30 fee payment to4he remjnanc6ta2idress listed Be'sure to sign and <date izz spaces provided. Make.a'photocopy for your records. 'Please note that renewal through 4 the`mail wi$ take loiieir than an of line renewal you hav water :certifications due rennewal; you can combine thew in one mailing with a fee payment that covers all of them. or example +'(3 renewals x $30 /per renewal) $90 coimbined fee. JLa� s s As Remit Payment to Indiana Department of Environmental Management kir Cashier's Office' Mail Code 50 -16C +f lfit c r. .,100N'Senate venue v ,a X11 ❑cation J'f ou do not want fo'retiew this c' ertifi anon. o r Ttt:ali.u> le e�wn t� ,C_ANC F �.,:_qn tltt _L m, dL _Qs,pr acid mail to Qie rciitittance address1isted. FELL OUT 'BOTTOM PORTION RETURN ENTIRE LETTER WHEN RENEWING BY MAIL OR.CANCELLING If this certification was obtained by Examination and the facility you are employed at has changed, please add your new employer in the space provided. NOTE, If this certification is Grandfathered or Site Specific, it is valid only for the location below. PWS Name PWS ID Cannel Water Department 5229004 Address Change: Home Phone Number: Work. Phone Number: '"�J� Operator Signature: Date: O EM Indiana Department ofE?nvironmental Management 100 N. Senate- Avenue Invoice Number: 3861593 Mail Code 66 -35 Renewal Fee: $30.00 Indianapolis, IN 46204 -2251 Money Receipt N (Office Only) May 20, 2010 Certificate Number: DS916079 I:xpiratiou Date-: 06/30/2010 Grade: DSL JOHN A. MASCARI Obtained 13y: hxantina(ion 6655 EAST 52ND STREET Indianapolis IN 46226 r� Login ID: WT998236 Password: 581954 INDIANA DEPARTMENT OF ENVfRONMENTAL'MANAGEMENT Water Works U��ercitor. crtrfcationalei2etnall �c Stcttenren, Our records indicate you Water Works Certificate No. llS9 l6l)79, (iracic I)SL liar a clasp 15SL W afer f�istriliutiutl System expires oil Y 06/30/2010. You are required to obtain 15.00 contact hours of cont inuing education for renewal. Our records indicate that you currently have accumulated 20.00 contact hours towards renewal. (This may not reflect hours for courses recently attended:) 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 July 1, 2010. After this date you are on expired status and are not a valid certified operator. You do have until July 1, 2011 to get your continuing education hours and renew your certification. Failure to renew by July I. 2011 will result in termination ofyour certification, and you will have to retest. 'Online Renewal Onlnte=renewal is available 24 hours a day, 7 days a week at littps:/iiiivliceiise.iii.gov The cost for the online renewal is $30.00 plus'an additional processing -.tee for each certification renewal. The 1'onus of payment accepted online are Visa, Master Card, Discover credit and debit cards Logiit ID and Password are listed above. Mail Renewal To renew through,tlte mail; please fill out the bottom sectiowand alms entire letter wrth $30 fee:payment to the remmttance address listed. Be sure to sign mid date in s'pa paces provided_ ;Makeia photocopy for yo r records Please note that renewal through the mail will take longer than an onliie'renewal 0 t' If you have othcr dr•utking water certifications due renewal, you call combine them in one mailing with4 fee paynient that covers�ail ofthan For example: (3 renewals x $30 /per renewal) $90 combined fee. iq Remit Payment to: Indiana Department of Lnvirommental Management W Cashier's Office Marl Code:5046C 100 Senate AVentte `lndiattapolis [N446204 2251 "x ltsr� itc„'GANCF a torm. sign. nd date u t`s gees, rovided �a °'r" 5 z: l.Certifirati oLt If.: you tl� to,ret7eW,flus ee i;iicali4?AL=EIeace wr P P anre ,..w and mail to the remittance address listed. FILL OUT BOTTOM PORTION RETURN ENTIRE LETTER WHEN RENEWING BY MAII. OR CANCELLING If this certification was obtained by Examination and the facility you are employed at has changed, please add your new employer in the space provided. NOTE If this certification is Grandfathered or Site Specific, it is valid only for the location below. P WS Name PWS ID Cannel Water Department 5229004 TA Address Change: Home Phone Number: �l Work Phone Number: 3 7 Operator Signature: Date: toenn Indiana Department of "Environmental Management 100 N. Senate Avenuc invoice Nn tnli6r 362955 Mail Code 66 -35 Reiewa3 I ei $30 00 Indianapolis, IN 46204 -2251 9, Money, +Receipt (Ofliee Y" May 2 0, 201(1 Certtiwatc Nlnubor Cxpnattotn Date ,,jOfi130 /2010" a Glade (rW,rTy�1'��' ��w '�t� a �(f ��i JOIN A. MASC;AiZ] ObtalttediBy ,f'xanmratton��`; 6655 EAST 52ND STR EET 1 i tt Indiana o1 i5 IN 46226 i r Password ox s, I: it A t wT fMl�ri+r� INDiAN�A�DE�ARTM- ENTr�OF '�ENV�IRONMENT�A�L�MANGEMENT, r r YiyG +Wolric 0f)BYCitO/ Tern C'C!r)OltsR811P11 t,,, Yf +fl r.� ,g rN; N>r'fA, ¢,r /D .'��ar- 4'>l 1� -_q tA,.ti lv. ..Ai Oaf, jj�[�.:�� .:e ..a��S.�� ...v 'ut!��i�d,i.:...,�� d.E1��'v.. "G,,::+�Id �..._•...4,y._ 9._......_�:.._�. �.w.� 'Gt rrecorcls'iudic'atc yotiY r4orXs Certincate No. W 82,) Grade WT3 for a class WT3 Water Treatment Plant expires on 06/30/2010. You are required to obtain 25.00 contact hours of continuing education for renewal. Our records indicate that you currently have accumulated 20.00 contact hours towards renewal. (This may not reflect hours kir courses recently attended.) Note: Ifyou have not recently attended an approved course, and you do not have the required number of hours. you need to attend courses prior to July 1, 2010. After this date you are on expired status and are not a valid certified operator. You do have until July I, 2011 to get your continuing education hours and renew your certification. I-ailure:to renew by July 1, 2011 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 it lnttns: /iiiylicense.iii.gov The cost forr.the online renewal is '$30.00 plus an additional processing fee for each certification renewal. The forms of p,aynient accepted online ar6`Visa, Master Card Discover credit and debit cards. Logue ID acid Password are'listed'above. Mail Renewal To reuew_'through the mail, please fill out t lie bottom section and rettun this eriire Ietter with ;$30 lee payment to the remittance address listed. Be sure to signand date'in spaces providcc ..',Make'a photocopy for yon rxecords: Please note lhat ren l ewa through the mail will take longer than an online renewal. .I_f you have other'drinking water certifications due renewal, you can combine them in one in with a ^fee payinent that covers all oftheIn For example (3�rcnewals x $30 /per renewal) $90 combined fee. Remit.Paynient.to: Indiana Department of Environmental Management Cashier's Office Mail Code 50-1OC ,t41iy ti I OO N Ses ate Avenue Z u s r S ,G- oriel Yr it 4 l Itldianapois IN 46204 2251 4 Y 1 le, Cancel "Ccrtificati6n a lt you do neutwattt�tc3le3 eu certificattgn';}f_ca�ee, ,/!+I`lC�..1.:..�'oit. Ilan#: tQ n' ��c u�a >ul;:date�an.snaees�prauad and maul to the remittance address listed. FILL OUT BOTTOM PORTION RETURN ENTIRE LETTER WHEN RENEWING BY MAIL OR CANCELLING If this certification was obtained by Examination and the facility you are employed at has changed, please add your new employer in the space provided. NOTE If this certification is Grandfathered or Site Specific, it is valid only for the location below. PWS Name PWS ID Carrel Water Department 5229004 Address Change. 7� 2; �o tia ,s s z R Home Phone Number: t'7 C/ o g 7 1 d:. Work Phoi Nutiiber Operator Signature: Tate: VOUCHER 101748 WARRANT ALLOWED 14900 IN SUM OF IN-DEPT. OF ENVIRONMENTAL MGT. P.U. BOX 7060 INDIANAPOLIS, IN 46207- 7060�� Carmel Water Utility R ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 3862955 01- 6040 -03 $30.00 3 -7 '4 r -1 3 0 C6 3 I --1635 Voucher Total D Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 146900 IN DEPT. OF ENVIRONMENTAL MGT. Purchase Order No. P.O. BOX 7060 Terms INDIANAPOLIS, IN 46207 -7060 Due Date 6/1/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/1/2010 3862965 $30.00 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 Date Officer