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Home My WebLink About198144 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 146900 Page 1 of 1 ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M T r CARMEL, INDIANA 46032 CASHIER OFFICE MAIL CODE 50 -10C HECK AMOUNT: $210.00 100 N SENATE AVE o CHECK NUMBER: 198144 INDIANAPOLIS IN 46204 CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 4130492 30.00 OTHER EXPENSES 601 5023990 4130500 30.00 OTHER EXPENSES 601 5023990 4130520 30.00 OTHER EXPENSES 601 5023990 4130865 30.00 OTHER EXPENSES 601 5023990 4132433 30.00 OTHER EXPENSES 601 5023990 4132909 30.00 OTHER EXPENSES 601 5023990 4132989 30.00 OTHER EXPENSES IDEM Indiana Department of Environmental Management IOD N. Senate Avenue Invoice Number: 4130500 t Mail Code 66 -35 Renewal Fee: $30.00 Indianapolis, IN 46204 -2251 Money Receipt t; (011ice Only) May 18, 2011 Certificate Number: DS007817 Expiration Date: 06/30/2011 Grade: DSL DANiLL R. JLNKINS 3450 W. 131st St. Obtained By: Examination Westfield IN 46074 Login ID: WT007785 Password: 578507 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT i ctfer Works Oneralor Certi/ieation Reliewal hee.SIc lenxrnl Our records indicate your Water Works Certificate No. DS007817, Grade DSL for a class DSL Waler Distribution System expires on 06/30/2011. You are required to obtain 15.00 contact howl of continuilu� education for renewal. Our records indicate that you currently have accumulated 27.50 contact hours towards renewal. (This may not reflect hours tin• 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 .iuly 1. 2011. After this date you are oil expired status and are not a valid certified operator. You do have until .tiny 1, 2012 to get your contnuting education hours and renew your certification. Failure to renew by July 1, 2012 will result in termination of your certification, and YOU will have 10 retest. Online Renewal Online renewal is available 24 hours a day. 7 days a week at httns: /mylicense.it. <nw The cost for the online renewal is $30.00 plus an additional processing fie fir each certification renewal. The forms ofpayment accepted online are Visa, MasterCard, Discover credit and debit cards. Login ID and Password are listed above. tr Mail Renewal To renew tllroug}t the mail, please fill out the bottom section and return this entire letter with $30 fee payment to the remittance address listed. Be sure to sign and date in spaces provided. Make a photocopy for your records. Please note that renewal 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 mailing with a fee payment that covers all ofthem. For example: (3 renewals x $30 /per renewal) $90 combined fee. Remit Payment to: Indiana Department of Enviromnental Management Cashier's Office Mail Code 50-1OC 100 N. Senate Avenue Indianapolis, IN 46204 -2251 Cancel Certific If you do not want to renew this certification, please write "CANCEL" on this firm, sign and date in spaces provided, and mail to the remittance address listed. i +ILL 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. Operator Number: DS007817 Invoice Number: 4130500 PWS Name PWS ID Carmel Water Department 5229004 Address Change: Home Phone Number: Work Phone Number: 17 7 3919 Date: Operator Signature: IDEMn Indiana Department of Envirotmtental Managcntent �a 100 N. Senate AvenlIc Invoice Number: 4130492 Mail Code 66 -35 Renewal he: 530.00 Indianapolis IN 46204 -2251 Money Receipt N (017ice Only) May 18, 201 1 Certificate Number: DS007769 Expiration Date: 06/30/2011 Grade: DSL .Terry A. Cloud Obtained 13y: Examination 19561) Wind Wood Pkwy. Noblesville IN 46062 Login 1D: DS007769 Password: 5£1424 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Haler Works Operalor Certrlieathm Rerrenva(hee Slcalement Our records indicate your Water Works Certificate No. DS007769, Grade DSL for a class DSL Water Distribution System expires on 06/30/201 1. You are required to obtain 15.00 contact hours of continuing education for renewal. Our records indicate that you currently have accumulated 31.50 contact howl 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 ofhours, you need to attend courses prior to July 1, 2011. After this date you are on expired status and are not a valid certified operator. You do have until July 1 2012 to eel your continuing education hours and renew your certification. Failure to renew by July I, 2012 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 at hops: /hnyliccnse.m.t*ov The cost for the outline renewal is 530.00 Plus an additional processing fee for each certification renewal. The Iornts of payment accepted online are Visa. Master Card. Discover credit and debit cards. Lo *in'ID and Password are listed above. Mail Renewal To renew through the mail, please fill out the bottom section and return this entire letter with $30 fee payment to the remittance address listed. Be sore to sign and date in spaces provided. Make a pholocopy for your records. Please note that renewal through the mail will take longer than an online renewal. If you have other drinking water certifications due renewal, you can combine them it one tltailin« with a fee payment that covers all of them. For example: (3 renewals x $30 /per renewal) $90 combined fee. Remit Payment to: Indiana Department of Environmental Management C'ashier's Office Mail Code 50-10C 100 N. Senate Avenue Indianapolis, IN 46204 -2251 Cancel Certification If you do not want to renew this certification, please write "CANCEL" on this firm, sign and date in spaces provided, and mail to the remittance address Iisted. FILL OUT BOTTOM PORTION RETURN ENTIRE LETTER WHEN RENEWING BY MAIL OR CANCELLING I f 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. Operator Number: DS007769 Invoice Number: 4130492 PWS Name PWS ID Cannel Water Department 5229004 Address Change: Home Phone Number: 21 17 4 Work Phone Number: 317' 1 33 ,;Z Operator Si pature: Dale: 3- /1 IDEM W Indiana Department ol'l"nvironrnental Management 100 N. Senate Avenue Invoice Number: 4132909 Mail Code 66 -35 Renewal Fee: $30.00 Indianapolis. IN 46204 -2251 Money Receipt t! (Office Only) May 1 R, 201 1 Certificate Number: WT947019 Expiralion Date: 06/30/2011 Grade: WT3 .terry A. Cloud Obtained 13y: Ixaminalion 19560 Wind Wood Pkwy. Noblesville IN 46062 Lorin ID: DS007769 Password: 551424 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Water Works Operalor Ccrli/icalion Renewal Tee Statement Our records indicate your Water Works Certificate No. WT947019, Grade WT3 Ior a class WT3 Water Treatment Plant expires on 0613012011. You are required to obtain 25.00 contact hours of continuing education fix renewal. Our records indicate that you cun have accumulated 31.50 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 Rdy 1, 2011. After this date you are on expired status and are not a valid certified operator. You do have until .Iuly I, 2012 to get your contuutin education hours and renew your certification. Failure to renew by .tuly I. 2012 will result in termination of your certification, and YOU will have t0 retest. Online Renewal Online renewal is available 24 hours a day. 7 days a week at hops: The cost for the online renewal is $30.00 plus an additional processing fee for each certification renewal. The loans of payment accepted online are Visa, Master Card, Discover credit and debit cards. Login ID and Password are listed above. Mail Renewal To renew through the mail, please fill out the bottom section and return this entire letter with $30 fee payment to the remittance address listed. Be sure to sign and date in spaces provided. Make a photocopy for your records. Please note that renewal through the mail will take longer than an online renewal. If you have other drinking water certifications due rcuewal, you can combine them in one mailing with a fee payment that covers all of them. For example: (3 renewals x $30 /per renewal) $90 combined lee. Remit Payment to: Indiana Department of Environmental Management Cashier's Office Mail Code 50-1 OC 100 N. Senate Avenue Indianapolis, IN 46204 -2251 Cancel Certification If you do not want to renew this certification, please write "CANCEL" on this form, sign and date in spaces provided, and mail 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 Grandiathered or Site Specific, it is valid only for the location below. OperatorNuntber: WT947019 InvoiceNuntber: 4132909 PWS Name PWS ID Carmel Water Department 5229004 Address Change: Home Phone Number: Y/ Work Phone Number: 2,/7-773 d,9 J Operator Signature: Date: IDEM Indiana Department ol'Environruental Management 1*00 N. Senate Avenue Invoice Number: 4132999 Mail Code 66 -35 Renewal Pee: 530.00 Indianapolis, IN 46204 -2251 Money Receipt 9 (Office Only) May 8, 20 Certificate Number: WT057974 Expiration Date: 06/30/2011 Grade: WT3 ,fAiMIE L. FOREMAN Obtained 13y: Examination 28040 Millersburg Rd. Arcadia iN 46030 Login iD: WT057974 Password: 592495 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Iflaler 11'orks Owl alor Cerli/iealion Renewcd F'c Slaleluenl Our records indicate your 'watcr Wurks Certificate No. W'1057974, Grade WT3 fora class WT3 Waler Treatment Plant expires on 06/30/201 I. You are required to obtain 25.00 contact hours of continuing education for renewal. Our records indicate that you currently have accumulated 37.00 contact hours towards renewal. (This may not rellect hours for courses recently attended.) Note: Il'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 2011. After this date you are on expired status and are not a valid certified operator. You do have until July 1, 2012 to get your continuing education hours and renew yo6r certification. hailure to renew by .fuly 1 2012 will result in termination ol'your certilication, and You will have to retest. Online Renewal Online renewal is available 24 hums a day, 7 days a week at hops: /hnvlicense in.gov The cost Jor the online renewal is $30.00 plus an additional processing fee for each certification renewal. The Corms ol'payment accepted online are Visa. MasterCard, Discover credit and debit cards. Login ID and Password are listed above. Mail Renewal To renew through the mail, please fill out the bottom section and return this entire letter with $31) fee payment to the remittance address listed. Be sun: to sign and date in spaces provided. Make a photocopy for your records. Please note that renewal through the mail will take longer than an online renewal. I'you have other drinking water certifications due renewal. you can combine them in one mailing with a fee payment that covers all of them. I example: (3 renewals x $30 /per renewal) $90 combined fee. Remit Payment to: Indiana Department of Enviromrnental Management Cashier's Office Mail Code 50-1 OC. 100N. Senate Avenue Indianapolis; IN 46204 -2251 Cancel Certification If you do not want to renew this certification, please write "CANCEL" on this fonii, sign and d tv un sp QS provided and mail to the remittance address listed. FILL OUT BOTTOM PORTION RETURN ENTIRE LETTER WHEN RENEWING BY MAIL OR CANCELLING I f this certification was obtained by Examhnation 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. Operator Number: WT057974 Invoice Number: 4132999 PWS Name PWS ID Carmel Water Department 5229004 Address Change: (�Uao i, Ili Ixj74 Home Phone Number 1 7— T 511,5 Work Phone Number: n17A U (16 Operator Signature: Date: 1 IOEM Indiana Department ol'Environmental Management 1({) N. Scnate Avenue Invoice Number: 4132433 f Mail Code 06 -35 Renewal Fee: 530.00 Indianapolis. IN 46204 -2251 Money Receipt 11 (0 111cc Only) May I 2011 Certificate Number: WT007785 Expiration Date: 06/30/2011 Grade. WT3 DANIEL R..II�NKINS 3450 W. 131$1 St. Obtained By: Examination Westfield IN 46074 Lorzin ID: WT007785 Password: 578507 INDIANA DEPARTMENT Of ENNARONNIENTALMANAGENIENT 11"aier Works Operator Certilkalion Renewal lve.sIakvneut Our records indicate your Water Works Cetlilicate No. WT007 715. Grade WT 3 fill a class WT3 Water Treatment Plant expires on 06/30/201 1. You are required to obtain 25.00 contact hours nl'eontinuinQ education for renewal. Our records indicate that you currently have accumulated 27.50 contact lr0rir5 Inwards renewal. (This ntay not reflect hours lbr courses recently attended.) Note: Il you have 1101 recently attended an approved course, and you do nett have Ilse required number 01 h0ttrs, you need to attend courses prior to July 1, 2011. After this date you are on expired status and are not a valid certified operator, You do have until July 1, 2012 to get your conlinuing education horns and renew your certification. Failure to renew by July I, 2012 will result in termination ol'your certification and you will have to retest. Online Renewal Online renewal is available 24 hours a day. 7 days a week al b Cps: /llnvIicense.inm The cost for the online renewal is 530.00 plus an additional processing fee for each certification renewal. The lbrms ol'paynten( accepted online are Visa. Master Card, Discover credit and debit cards. Loin ID and Password are listed above. Mail Rene oval To renew through the mail, please fill out the bottom section and return this entire letter with $30 fee payment to the remittance address listed. Be sure to sign and date in spaces provided. Make a photocopy for your records. Please note that renewal through the mail will take lon(Ter than an online renewal. I l'you have other drinking water certifications due renewal. you can combine them in one mailing with a fee payment that covers all of them. For example: (3 renewals x $30 /per renewal) $90 combined fee. Remit. Payment to: Indiana Department of Environmental Management Cashier's Office Maii Code 50-1 OC 100 N. Serrate Avenue Indianapolis, IN 46204 -2251 Cancel Certification If you do riot want to renew this certification, please write "CANCEL" on this form. sign and date in spaces provided. and mail to the remittari& 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. Operator Number: WT007785 Invoice Number: 41 2433 PWS Name PWS ID Carmel Water Department 5229004 Address Change: Home Phone Number: r� Work Phone Number: `7 3 `j Operator SignatUre. Dale: IDEM Indiana Dcpartment ol'Environmental Management 100 N. Senate Avenue Invoice Number 4130065 Mail Code 611 -35 Renewal Fec: S30.(10 Indianapolis. IN 46204 -2251 r Money Receipt 11 (Office Only) May 18, 201 1 Certilicate Number: DS907929 Expiration Date: 06/30/2011 GREG H. I- 101LANDER Grade: DSL 3450 WEST 131ST ST. Obtained By: Examination Westfield IN 46074 Login ID: DS907929 Password: 502900 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT lVater lVor/cs Onermor Cerli/iealion Renewal Fee Slatenreld Our records indicate your Water Works Certificate No. D$907929, Grade DSL liar a class DSL Water Distribution System expires on 06/30/2011. You are required to obtain 15.00 contact hours ol'continuing education for renewal. Our records indicate that you currently have accumulated 35.75 contact hours towards renewal. (This may not reflect hours liar courses recently attended.) Note: l l'you have not recently attended an apptoved course. and you di) not have the required number ol•hours, you need to attend courses prior to .Ittly 1. 201 1. After this date you are on expired status and are not a valid certified operator. You do have until .luly I. 2012 to get your continuing education hours and renew your certification. Failure to renew by July I. 2012 will result in termination of your certification, and You will have to retest. Online Renewal Online renewal is available 24 hours a day, 7 clays a week at liars: /mvlicense.in.gov The cost Ibr the online renewal is 530.00 plus an additional processing fee for each certification renewal. The lornts ol'payment accepted online are Visa, MasterCard, Discover credit and debit cards. Login ID and Password are listed above. Mail Renewal To renew thou the mail please fill out the bottom section and return this entire letter with $30 fee payment to the remittance address listed. Be sure to sign and date in spaces provided. Make a photocopy for your records. Please note that renewal thmu,(11 the mail will take loneer than an online- renewal. If you have other drinking water certifications due renewal. VOL] can combine them in one mailing with a fee payment that covers all of them. For example: (3 renewals x S30 /per renewal) $90 combined fee. Remit Payment to: Indiana Department of Environmental Management Cashier's Office Mail Code 50-10C 100 N. Senate Avenue Indianapolis, IN 46204 -2251 Cancel Certification If you do not want to renew this certification. please write "CANCEL" oil this form, sign and date in spaces provided, and mail 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. Operator Number: DS907929 Invoice Number: 4130065 PWS Name PWS ID C'ARMEL WATER DEPT 5229004 Address Change: Home Phone Number: 3 t Z Work Phone Number: 1 15 Operator Siprantre: Date: IDEM Indiana Department of Environmental Management I N. Senate Avenue invoice Numbcr: 4130520 Mail Code 66 -35 Renewal Fee: 530.00 Indianapolis. IN 46204 -2251 Money Receipt {i Ofice Only) May 18, 2011 Certificate Number: DS008461 Expiration Date: 06/30/2011 Grade: DSL f3RETT R. IZANSFORD Obtained By: Ixamination 12554 Lantern Road Fishers IN 46038 Login ID: DS008461 Password: 578529 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Wafer Illorks Operator Certification Renewal Fee.Stctiewenl Our records indicate your Water Works C'erlificate No. DS00946 L Grade DSL liar a class DSL Water Distribution System expires on 06/30/2011. You are required to obtain 15.00 contact hours ofcontinuin education for renewal. Our records indicate that you currently have accumulated 29.50 contact hours towards renewal. (This may not reflect hours firr courses recently attended.) Note: Ifyou have not recently atlended an approved course, and you do not have the required number of hours, you need to attend courses prior to July I, 2011. After this date you arc on expired status and are not a valid certified operator. You do have until July 1. 2012 to get your continuing education hours and renew your certification. Failure to renew by July I, 2012 will result in termination ol'your certification. and you will have to retest. Online Renewal Online renewal is available 24 homy a day, 7 days a week at https: /mylicense.in.gov The cost for the online renewal is 530.00 plus an additional processing fee lir each certification renewal. The lirrms of'paymem accepted online are Visa. Master Card, Discover credit and debit cards. Login 11) and Password are listed above. Mail Renewal To renew through the mail. please 1 out the bottom section and return this entire letter with $30 fee payment to the remittance address listed. Be sure to sign and date in spaces provided. Make a photocopy lirr your records. Please note that renewal through the mail will take longer than an online renewal. If you have other drinking water certifications due renewal, you can combine them in one mailing with a tee payment that covers all of them. For example: (3 renewals x $30 /per renewal) $90 combined lee. Remit Payment to: Indiana Department of Environmental Management Cashier's Office Mail Code 50-1 OC'. 100 N. Senate Avenue Indianapolis, IN 46204 -2251 Cancel Cer tificati on If you do not want to renew this certification, please write "CANCEL" on this form, sign and date in spaces provided, and mail 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. Operator Number: DS008461 Invoice Number: 4130520 PWS Name PWS ID Carmel Water Department 5229004 Address Change: Home Phone Number: 3 Z Work Phone Number: Mr- Operator Signature: Date: l3— Loll 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 TIDEM IDEM Purchase Order No. 100 N SENATE AVENUE Terms INDIANAPOLIS, IN 46204 -2251 Due Date 5/27/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/27/2011 4130500 $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 55- 11- 10 -1.6 Date' Officer VOUCHER 111285 WARRANT ALLOWED TIDEM IN SUM OF IDEM 100 N SENATE AVENUE /INDIANAPOLIS, IN 46204 -2251 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 4130500 $30.00 13 '34 3 36 co 4 l jD �-t 52- 36 D0 4 32 ZD 41 3o&. S tpi X00 Voucher Total b` Cost distribution ledger classification if claim paid under vehicle highway fund