187980 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00351760 Page 1 of 1
s,j ONE CIVIC SQUARE BRAD OLIVER CHECK AMOUNT: $30.00
a CARMEL, INDIANA 46032 C/O UTILITIES
CIO UTILITIES CHECK NUMBER: 187980
CHECK DATE: 7121/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 062310 30.00 OTHER EXPENSES
OF
CITY OF CARMEL Expense Report (required for all travel expenses)
M
2008 mileage reimbursement rate is 58.5 cents /mile
EMPLOYEE NAME: Harold Oliver 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 Car Rental Other Parking Breakfast Lunch Dinner I Snacks Per Diem
6/23/90 WW o erator cert. 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
o.00
Total 1 $0.001 $0.001 $0.001 $0.001 $0.001 $0.001 $0.001 $0.00 $0.00 $0.001 $30.00 IMF=
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 7/8/2010 Page 1
Indiana Department of Environmental Management IDEM
100 N. Senate Avenue
Mail Code. 65-42
Indianapolis, IN 46204 -2251
s
Harold B. Oliver
6741 Devinney Ln
Indianapolis IN 46221
WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION
May 3, 2010
License Class Wastewater Operator Class I
Certification WW018094
Expiration Date: 06/30/2010
Renewal Fee: $30.00
Login Id:
Current Continuing Education Hours Earned: General 2.50 Technical 22.00 Total 24.50
I am currently thexesponsible charge operator who signs s th ek monthly reports RO /MMR) at the following facilities:
Facilil Name
Address Change: pp
a Home 1� f Dat 3 Z�!'a
Current Phone 311 S'� SqW u Work Operator Signature
Your wastewater treatment plant operator certification expires 06130!2010. After this date, you cannot be the operator
in responsible charge of a wastewater treatment plant until your certification 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."
08 6130/2010 from IDEM approved course with at least 7 of
Classes I, II, A, B -10 hours earned between 7/1/20
those hours from courses designated as "technical."
Classes III, IV, C, D 20 hours earned between 711/2008 6/30/2010 from IDEM approved course with at least 14 of
those hours from courses designated as "technical." and july 1, 2010 at
Online Renewal: Online renewa a co for the b online a renewal walis $30.00 plus an additional $4.17 in pro ess g fees. The forms of
htt s://m license.in. ov. Th
payment accepted online are Visa, Mastercard, &Discover credit and debit cards. Login ID and Password area ove.
Mail Renewal If you wish to review 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.
process, please contact Tonja Fu
Should you have any questions or concerns about the renewal Aer- -White at (317) 233 -0479
or by e-mail at tfullerw6lidem.in.gov
Checklmage Page 1 of 1
rd, Huntington
View Front Vie.. Back Close
HAROLD B. OLIVER 40 1,444
DEBRA A OLIVES
6741 DEVINNEY LANE. PH. 317.855 -W24
INDWAAt15, ZI 4a7 ��lti1t caZ3} CGS
PO
s
�: '� i�+�+4 �'�Qflt�O,�da
https: /onlinebanking.huntington.com/ Checks /Checklm age .aspx ?SessionKey= OAa7429f5c4... 7/1/2010
CheckTmage Page 1 of 1
View Front V iew Back Close
oil
AL
f
r v
CL
M
https: /onlinebanking.huntington.com/ Checks/ Cbeeklmage .aspx ?SessionKey= 0Aa7429f5c4... 7/l/2010
i
0 B14EZ2(
Rune 29. 20 10
Your Wastewater Treatment Plant Operator certification, number WW018094, is enclosed.
IMPORTANT CERTIFICATION INFORMATION
ADDRESS CHANGE: It is your responsibility to notify the Indiana Department of Environmental Management of any
change of address. You may e-mail us at tfullerw.cz'iidem.in.aov or fax to (317) 232 -8637 or call (317) 233 -0479.
NAME CHANGE: A name change request must be submitted in writing. Mail to: Department of Environmental
Management, Office of Water Quality Mail Code 65 -42, 100 N. Senate Ave., Indianapolis IN 46204 -2251 or you can
fax to (317) 232 -8637.
CONTINUING EDUCATION: Prior to renewing your certification, you are required to obtain at least the following
continuing education contact hours from IDEM- approved training courses based on the classification of your certification:
Classes I-SP and A -SO: 5 contact hours; at least 3.5 of which must be technical hours
Classes 1, II, A and B: 10 contact hours; at least 7 of which must be technical hours
Classes III, IV, C and D: 20 contact hours; at least 14 of which must be technical hours
�I rEn� mid any R Your certification will expire on 06/30/2012. If you have any
s'.
questions, please contact Tonja Fuller White at (317) 233 -0479 or
a email tfullenv(jlsidem.in.gov
a' pelra o Please retain this licensure information sheet so that you will have
a Illt i
11
I the program address, telephone number, and your certificate
°I t I number available should you need to contact the program office.
'4
I I
I
i
i
1.
F
RMk ml
nc
V
I
lx�; •'e Y lag e e a `d fi i
T_ STATE FORM 1Bf22 (9 -98��
VOUCHER 105819, WARRANT ALLOWED
T9981 IN SUM OF
OLIVER, BRAD
Wastewater
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
062310 01- 7042 -06 $30.00
Voucher Total $30.00
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
T9981
OLIVER, BRAD Purchase Order No.
Wastewater Terms
Due Date 7/12/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2010 062310 $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
7A, /J
Date Officer