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Home My WebLink About187797 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 092500 Page 1 of 1 ONE CIVIC SQUARE JOSEPH FAUCETT CHECK AMOUNT: $70.00 CARMEL, INDIANA 46032 771E 256TH ST SHERIDAN IN 46069 CHECK NUMBER: 187797 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 032710 40.00 OTHER EXPENSES 651 5023990 062410 30.00 OTHER EXPENSES WA I" CITY OF CARMEL Expense Deport (required for all travel expenses) 2008 mileage reimbursement rate is 58.5 cents /mile EMPLOYEE NAME: Joe Faucett DEPARTURE DATE: NA TIME: NA DEPARTMENT: Utilities /Sewer RETURN DATE: NA TIME: NA REASON FOR TRAVEL: NA DESTINATION CITY: NA EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM Date Transportation �Other Gas/Tolls/ Lodging Meals Misc. Total Air -fare Car Rental P arking Breakfast Lunch Dinner Snacks Per Diem 3/26110 CDL renewal $40.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 o.00 Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $40.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form ER06 Revision Date 717!2010 Page 1 Bureau of Motor Vehicles t Transaction Receipt BMV State Form 51717 (4 -04) Branch: CARMEL STARS (527) Date: 3126110 Time: 3:18:33 pm EDT Visit ID: 156241152 Your Visit Time Today: Visit Customer: JOSEPH WILLIAM FAUCETT Wait Time 00:02:18 Transaction Time 00:46:47 Total time Hrs.Min.Sec 00:49:05 Transactions Trans ID Trans Type Trans Subtype Amount 176986832 Driver Renew CDL License Renew $40.00 176987175 Customer Amend Customer Amend $0.00 176988283 Title Initial Title Issuance New $36.00 176989294 Registration New Motor Vehicle Registration New $75.53 176990289 Registration Registration Renewal Renew $213.05 176990351 Registration Registration Renewal Renew $24.75 176990893 Registration Registration Renewal Renew $130.05 17699/068 Registration Registration Renewal Renew $166.05 Subtotal: $685.43 Sales /Use Tax: $0.00 Total: $685.43 Payment Method Amoun DL Number Authorization Number Name CREDIT $685.43 682665 Total Due: $685.43 Amount Paid: $685.43 Change Due: $0.00 Charges to your credit card or bank account if paying by electronic check will appear as a line item charge not as a total transaction charge. If you have questions or comments, please call our Customer Service Center at 888 -myBMV -411. J f I I I Page 1 of 1 IIIIIIIIIIIIIII�IIII II 5 1 7 1 7 1 7 6 9 9 1 0 6 8 i q "or C:Uy,N 5 A i CITY OF CARMEL Expense Report (required for all travel expenses) \NUTANp% 2008 mileage reimbursement rate is 58.5 centstmile EMPLOYEE NAME: Joe Faucett DEPARTURE DATE: NA TIME: NA DEPARTMENT: Utilities /Sewer RETURN DATE: NA TIME: NA REASON FOR TRAVEL: NA DESTINATION CITY: NA EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air -fare lCarRentall Other Parking Breakfast I Lunch Dinner Snacks Per Diem 6/24/10 o erator certification renewal $30.00 $30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 a.00 Total $0.00 $0.00 $0.001 $0.00 so O OF 0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $30.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form ER06 Revision Date 7/7/2010 Page 1 Indiana Department of Environmental Management 100 N. Senate Avenue IDEM Mail Code 65 -42 Indianapolis, IN 46204 -2251 EST 1986 Joseph W. Faucett 835 Emerson Ind Carmel IN 46032 WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION License Class Wastewater Operator Class I May 3, 2010 Certification WWO16376 Expiration Date: 06/30/2010 Renewal Fee: $30.00. Login Id: Current Continuing Education Hours Earned: General 0.00 Technical 5.00 Total 5.00 1 am currently the responsible charge operator who signs the monthly reports (MRO /MMR) at the following facilities: Facility Name Hours/Week Permit Cit Address Change: Home f Current Phone #:3rd Work Operator Signature: Date: U Your wastewater treatment plant operator certification a Tres 06 13012010. Afterthis date, you cannot be the operator in responsible charge of a.wasteWater treatment plant until your ertification is renewed. You must meet the continuing education requirement as shown below: Classes I -SP, A -SO 5 hours earned between 7/1/2008 6/30/2010 from IDEM approved course with at least 3.5 of those hours from courses designated as "technical." Classes I, II, A, B 10 hours earned between 7/1/2008 6/30 /2010 from IDEM approved course with at least 7 of those hours from courses designated as "technical." Classes III, IV, C, D 20 hours earned between 7/1/2008 6/30/2010 from [DEM approved course with at least 14 of those hours from courses designated as "technical." Online Renewal Online renewal is available 24 hours a day, 7 days a week between May 1, 2010 and J 1, 2010 at https: /mVIicense.in4ov 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. Login ID and Password are above. Mail Renewal If you wish to renew by mail, fill out the responsible charge information, and send this form with your $30 renewal fee to: Cashier Mail Code 50 -10C Indiana Dept. of Environmental Management, 100 N. Senate Avenue, Indianapolis, IN 46204 -2251. Make checks payable to IDEM. Should you have any questions or concerns about the renewal process, please contact Tonja Fuller -White at (317) 233 -0479 or by e-mail at tfullerw(aNdem.in.00v Jul 0610 10:30a WELLS FARGO INS SERV 3175964961 p.1 Image Page 1 of 1 u ICS Lih i �a 4Si K,�S ZT Y e_1 i 1 L�•.fi. ti JOSEPH FAUCETT 1876 MELISSA FAUCETT n- �,e�r1T1z eR� Pii. 317- 5x�-06BS H :T $35 EMERSON ROAD CARMEL.IN 45= Q A rF P AYTOME VE oxoek �E FUR i r �I QQ In •+ti.�� _cis f ��,a •s.� c.17-�� .tT s,as.�. �A Front 88Ck https:// www. tendirect- com /oalineserv/HB /ChockImage -egi ?data =l QUNDVCgy *EFUWVA... 7/6120 Jul 06 1010:30a WELLS FARGO INS SERV 3175964961 p.2 Image Page 1 of 1 -s 33 w ...r -n Back Front close hnps.!1'W w.t cudirect. cum/ onlineservlHB/ Checkimage. cgi ?currentData= _1MTLtODQsNd... 7!612010 VOUCHER 105771 WARRANT ALLOWED T9980 IN SUM OF FAUCETT, JOSEPH Wastewater Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 062410 01- 7042 -06 $30.00 0 (.70{2.06 7 0,pb Voucher Total6 b0 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 T9980 FAUCETT, JOSEPH Purchase Order No. Wastewater Terms Due Date 7/7/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/7/2010 062410 $30.00 I 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 Date Officer