188586 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00350947 Page 1 of 1
ONE CIVIC SQUARE W EDWARD WOLFE CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 22934 ANTHONY ROAD
CICERO IN 46034 CHECK NUMBER: 188586
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 062910 30.00 OTHER EXPENSES
CITY OF CARMEL Expense Report (required for all travel expenses)
NOIpNO'
2008 mileage reimbursement rate is 58.5 cents /mile
EMPLOYEE NAME: Ed Wolfe 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 TPer Diem
6/29/10 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
$0.0
0.00
Total
$0.001 $0.001 $0.001 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $30.00 e
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 7/22/2010 Page 1
Your Wastewatcr Treatment Plant Operator certification, number W W006430, 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(eu- idem.in.� 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 65 100 N. Senate Ave., Indianapolis IN 46204 -2251 or yon can
fax to (3 17) 232 -8637.
CONTINUING EDUCATION: Prior to renewing your cerliticalion, you are required to obtain al least the following
continuing education contact hours from IDEM- approved training courses based on the classification ofyour certification:
Classes I -SP and A -SO: 5 contact hours; at least 3.5 of which must be technical hour's
Classes I, II, A and S: 10 contact hours; at least 7 orwhich must be technical hours
Classes III, IV, C and D: 20 contact Fours; at least 14 ol'which must be technical hours
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Your certification will expire on 06/30/2012. Ifyou have any
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questions, please contact Tonja Fuller While at (3 17) 233 -0479 or
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Please retain this licensure information sheet so that you will have
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Amount: $30.00 Date Posted: 07/01/2010
Account Number: EMPLOYEE BENEFIT BANKING CHECKING XXXX
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W. EDWARD WOLFE a►s 35 2
2934 ANTHONY AD 377- 75a -D456
G1(;ERO.IN 46034
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For. �r
035
V 105882 WARRANT ALLOWED
T'1032 IN SUM OF
Wolfe, Edward
WWTP
9
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
Pb INV ACCT AMOUNT Audit Trail Code
062910 01- 7042 -05 $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
T1032
Wolfe, Edward Purchase Order No.
WWTP Terms
Due Date 7/27/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/27/2010 062910 $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
Date Officer