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Home My WebLink About164219 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00351421 Page 1 of 1 ONE CIVIC SQUARE DAVID DYE CARMEL, INDIANA 46032 C/O WASTEWATER TREATMENT PLANT CHECK AMOUNT: $34.63 C10 WASTEWATER TREAT CHECK NUMBER: 164219 CHECK DATE: 9/30/2008 DE PARTME NT ACCOUNT PO NUMB I NUMBER AMOUNT DESCR IPTION 651 5023990 34.63 OTHER EXPENSES a 4� Submit by Email Print For Prescribed b State Board of Accounts General Form No. 101 (1955) Y MILEAGE CLAIM CITY OF CARMEL TO DAVID DYE 576 JET STREAM BLVD. WESTFIELD, IN 46074 DR. (Governmental nit SEWERM/WTP On Account of Appropriation No. for (Offl oa epartrnenl or Ins Utution DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE @58.5 20 Point Point Start Finish TRAVELED PER MILE 9117/08 WWTP PRIMOS, PLAINFIELD 11TH ANNUAL POLLUTION PREVENTION CONF. �o a 9117/08 PRIMOS, PLAINFILED WWTP 0 29.8 29.6 59.2 34 63 Auto License No. TOTALS 0 0.00 SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits, and that no part of the same has been paid. Date 9 12312008 9609 Hazel Dell Pkwy, Carmel, IN 46280 to Primo Banquet Hall Conf Center Google... Page 1 of 1 Directions to 2353 E Perry Rd, Plainfield, IN l 46168 Maps 29.6 mi about 40 mins Sage trees. Go green! Download Google Maps on your phone 2tgOGgle.com/gmrn J�Oc7 9609 Hazel Dell Pkwy IV Carmel, IN 46280 1. Head south on E 116th St/Hazel Dell Pkwy /River Rd toward E 96th St go 26 ft total 26 ft 4 2. Turn right at E 96th St go 1.8 mi About 4 mins total 1.8 mi 4' 3. Turn left at N 'Keystone Ave go 148 ft total 1.8 mi 4. Take the ramp onto 1-465 W go 8.1 mi About 9 mins total 9.9 mi 5. Take the exit onto 1-465 S toward 1 -65 S go 13.3 mi About 15 mins total 23.2 mi 6. Take exit 12B for Washington St/US -40 W go 0.4 mi total 23.6 mi 7. Merge onto US -40/W Washington St go 5.2 mi About 8 mins total 28.8 mi 8. Turn left at N Perry Rd go 0.8 mi About 3 mins total 29.6 mi Primo Banquet Hall Conf Center 2353 E Perry Rd Plainfield, IN 46168 These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route. Map data 02008 Tele Atlas http: /maps.google.com/maps ?f d &saddr= 9609 +HAZEL +DELL +PARKWAY, +INDPLS,... 9/23/2008 n�r WASTEWATER OPERATOR CONTINUING EDUCATION To ensuraproper credit, the wastewater approval CREDIT. REPORT number MUST be provided. State Form 51139 (R 1 1-06) Tra €ntng Course Approval Number. INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT W WrQ 9 -0? 3 2 TO 3 5 rain I l� Technical Contact Hours Earned: General Contact Hotirs Earned: In accordance with,327 IAC 5- 22- 17(c), the-training provider must submit this "form within:thirty (30) days of the doncluslon of the wastewater treatment continuing education course. Mail the completed form to: Wastewater Continuing. Education Coordinator Indiana Dept. of Environmental Management 100 N. Senate Ave Mail Code 55-42 Indianapolis, IN 48204 -2251. Incomplete forms will be returned to the 'training course provider for completion and resubmittal to iDEM. Partial course credit shall not be given to instructors, speakers, or students participating In less than a complete wastewater treatnietlt continuing education' course. The training provider must retain a copy of this form for their records for a five (5) year period following the presentation of each wastewater treatment continuing education course. Training providers are encouraged to provide a copy of the completed and signed credit reporting form to the "certified-a prator attending the entire wastewater o erator continuing education course. t 1 E 2. ADDRESS (number and street): r 13L V City: state. MA ZIP, code: Telephone number: i st �i 5f t GC}'/)Q� 1 Flo Home/Coll: a l Email Address: Check here If this Is an address change y 3. NAME OF TRAINING COURSE: i Pa «i(1,Pn �e)lej) d� r 8- Sh d y i 4. NAME OF ORGANIZATION SPONS RIIN G C�O S. DATE(S) ATTENDED: 6. LOCATION ATTENDED: S e-M"-' l7 PRi s f�. Plawf 6. TOTAL NUMBER OF CONTACT OURS ATTENDED BY CERTIFIED OPERATOR AND VERIFIED BY INSTRUCTORAND TRAINING COURSE PROVIDER: Technical Contact Hours: General Contact Hours: I, the undersigned; certify under penalty oflaw that this document (and any attachments) were prepared:under rimy direction or supervfslon and that the mt Infoatlan submitted Is, to the best of my knowledge and betief, true, accurate, and correct. I also understand. that any omissions or misrepresentations may result In the denial of continuing education credit for this course. 8. SIGN=UC OR3 9, PRINTED DAME OF INSTRUCTOR: rt P r ea v 10.ZgHATUREOFCERTI ED OP ii. .PRINTED NAME OF CERTIFIED OPERATOR: 12. CONTINUING EDUCATION CREDIT HOURS ARE TO BE APPLIED TO: Operator certification number. Class: Expiration date: Operator cerfificatlon.number. Class: Expiration date: b o o 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 351421 k' DYE, DAVID Purchase Order No. 6170 Buckskin Ct. Terms Indianapolis, IN 46250 Due Date 9/25/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/25/2008 091708 $34.63 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance wiiyth IC 5- 11- 10 -1.6 Date Officer VOUCHER 086355 WARRANT ALLOWED 351421 IN SUM OF DYE, DAVID 6170 Buckskin Ct. Indianapolis, IN 46250 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 091708 01- 7042 -05 $34.63 Voucher Total $34.63 ibution ledger classification if ,der vehicle highway fund