HomeMy WebLinkAbout198012 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 356819 Page 1 of 1
Q� ONE CIVIC SQUARE APPROVED ENVIRONMENT INC CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 P 0 BOX 42744
o INDIANAPOLIS IN 46242 CHECK NUMBER: 198012
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 172011 75.00 OTHER EXPENSES
Approved Environment, Inc.
P.O. Box 42744
Indianapolis, IN 46242
Phone: 1 -877- 241 -9858
www.approvedce. corn
Invoice
Invoice No.: 172011 Invoice Date: May 23, 2011 PO: Teresa Lewis
Company:
City of Carmel
Attn: Account Payable
9609 Hazel Dell Parkway
Indianapolis, IN 46280
317 -571 -2634
Tlewis cr,earmel.in.gov
Item Item Name Quantity Unit Price Amount
1 Online Courses: 3 $25.00 $75.00
For Teresa Lewis
TOTAL $75.00
Please Make Check Payable to:
Approved Environment, Inc.
PO Box 42744
Indianapolis, IN 46242
Page 1 of 1
Approved Environment, Inc.
P.O. Box 42744
Indianapolis, IN 46242
1 -877- 241 -9858
Email: Support(a,approvedce.com
Certificate of Completion
Courses are approved in the following states: Indiana, Illinois, Ohio, Alabama, Delaware, South Carolina, North
Carolina, Maryland, Kentucky and Ontario, Canada.
Name: Teresa Lewis
Address: 9609 Hazel Dell Parkway, Indianapolis, IN 46280
Course Title: W Disinfection
Course Value: 1 Contact Hour
Approval Number IN WWTI 1 5936 TO1 G00, PWST07 3193, OH OEPA B443661 OM, NC
CE01230701, MD 3928 07 03, KY 8328
Bate: 5/24/2011
Approximate Time Spent 'faking the Course: 60 minutes.
Operator Certification License Number: WWO13898
Operator Class Level: IV
License Expiration late: 06/30/2011
Operator Signature: A�'
'gaining Provider Signature
Ann Bersbach, Approved Environment, Inc.
opyright 2002, Approved Environment, Inc., Indianapolis, Indiana
C M% A P%A i
Page 1 of 1
Approved Environment, Inc.
P.O. Box 42744
Indianapolis, IN 46242
1- 877- 241 -9858
Email: Support(3a,approvedce.com
Certificate ®f Completion
Courses are approved in the following states: Indiana, Illinois, Ohio, Alabama, Delaware, South Carolina, North
Carolina, Maryland, Kentucky and Ontario, Canada.
Name: Teresa Lewis
Address: 9609 Hazel Dell Parkway, Indianapolis, IN 46280
~Course Title: Solids Dewatering
Course Value: 1 Contact Hour
Approval Number: IN WWT11 -5910 T01-G00,, 0I1- OEPA- S296751 -OM, NC CE01140403, MD
3469- 05 -06, KY
Date: 5/23/2011
Approximate Time Spent 'faking the Course: 60 minutes.
(Operator Certiflication License Number: WWO13898
Operator Class bevel: IV
License Expiration Date: 06/30/2011
Operator Signature:
Training Provider Signature:
Ann Bersbach, Approved Environment, Inc.
opyright 2002, Approved Environment, Inc., Indianapolis, Indiana
Q /11111) n 1
Page 1 of 1
Approved Environment, Inc.
P.O. Box 42744
Indianapolis, IN 46242
1- 877 -241 -9858
Email: Support ,approvedce.com
Certifleate of Completion
Courses are approved in the following states: Indiana, Illinois, Ohio, Alabama, Delaware, South Carolina, North
Carolina, Maryland, Kentucky and Ontario, Canada.
Name: Teresa Lewis
Address: 9609 Hazel Dell Parkway, Indianapolis, IN 46280
Course "Title: Laboratory Terms, Equipment and Sampling
Course Value: 1 Contact Hour
Approval Number: IN WWT11 -5920 TOl -GOO, PWST06 -3069, ®11- OEPA- B300337 -OM, NC
CEO 1130403, MD 3479- 05 -06, ICY
Date: 5/24/2011
Approximate Time Spent Taking the Course: 60 minutes.
Operator Certification License Number: WWO13898
Operator Class Level: IV
License Expiration Date: 06/30/2011
Operator Signature: R P 6 �k W Z&I
Training Provider Signature: rte-• C
Ann Bersbach, Approved Environment, Inc.
opyright 2002, Approved Environment, Inc., Indianapolis, Indiana
Sl7dl'7f11
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
356819
APPROVED ENVIRONMENT INC Purchase Order No.
PO Box 42744 Terms
INDIANAPOLIS, IN 46242 Due Date 5/31/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/31/2011 172011 $75.00
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
12111 cl" f V-'.
Date Officer
VOUCHER 115168 WARRANT ALLOWED
356819 IN SUM OF
APPROVED ENVIRONMENT INC
PO Box 42744
INDIANAPOLIS, IN 46242
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
172011 01- -42 $75.00
Voucher Total $75.00
Cost distribution ledger classification if
claim paid under vehicle highway fund