HomeMy WebLinkAbout198462 06/22/2011 a CITY OF CARMEL, INDIANA VENDOR: 052000 Page 1 of 1
ONE CIVIC SQUARE CRAIG CARTER CHECK AMOUNT: $34.17
CARMEL, INDIANA 46032 109 EMERALD LANE
NOBLESVILLE IN 46060 CHECK NUMBER: 198462
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 34.17 EMPLOYEE PENSIONS B
/t•( OF CARM�.
CITY OF CARMEL Expense Report (required for all travel expenses)
R
�NDIAN�
2010 mileage reimbursement rate is 50 cents /mile
EMPLOYEE NAME: Ernest C. Carter DEPARTURE DATE: na TIME:
DEPARTMENT: Utilities /Sewer RETURN DATE: na TIME:
REASON FOR TRAVEL: WWTP operator certification renewal DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other 9 Breakfastj Lunch Dinner Snacks Per Diem
6/8/11 WWTP operator certifcication renewal $30.00 $30.00
6/8/11 Enhanced fee $2.50 $2.50
6/8/11 Instant fee $1.67 $1.67
$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
Total
$0.001 $0.00 1 ).001 $0.00 $0.00 $0.001 $0.00 $0.00 $34.17
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 9 ER06 Revision Date 6/9/2011 Pagel
Indiana Department of Environmental Management IDEM
100 N. Senate Avenue
Mail Code 65 -42
Indianapolis, IN 46204 -2251
1986'
Ernest C. Carter
109 Emerald Lane
Noblesville IN 46060
WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION
License Class Wastewater Operator Class IV May 12, 2011
Certification WW011425
Expiration Date: 06/30/2011
Renewal Fee: $30.00
Login Id: WW011425
Password: 492108
Current Continuing Education Hours Earned: General 0.00 Technical 21.50 Total 21.50
I am currently the responsible charge operator who signs the monthly reports (MRO /MMR) at the following facilities:
Facility Name Hours/Week Permit# Cit
f Carmel Wk17 d Z
Address Change: I
Home
'I
Current Phone J 1 3 XrWork Operator Signature: Date:
Your wastewater treatment plant operator certification expires 06/30/2011. After this date, you cannot be the operator
in tesp "orisioie cPiarye Uia wustarn;a.ertre.;2.--ert -.l ant-::.^. 4i!- ±sr- cectifiaztion_is_renPwed.
You must meet the continuing education requirement as shown below:
Classes I -SP, A -SO 5 hours earned between 7/1/2009 6/30/2011 from IDEM approved course with at least 3.5 of
those hours from courses designated as "technical."
Classes I, II, A, B 10 hours earned between 7/1/2009 6/30/2011 from IDEM approved course with at least 7 of
those hours from courses designated as "technical."
Classes III, IV, C, D 20 hours earned between 7/1/2009 6/30/2011 from IDEM approved course with at least 14 of
those hours from courses designated as "technical."
Online Renewal Online renewal is available 24 hours a day, 7 days a week between May 1, 2011 and July 1, 2011 at
https: /mylicense.in.gov The cost for the online renewa! i"s $30.00 plus an additional $4.17 in processing fees. The forms of
payment accepted online are Visa, Mastercard, Discover credit and debit cards. Login ID and Password are above.
Mail Renewal If you wish to renew 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.
Should you have any questions or concerns about the renewal process, please contact Tonja Fuller -White at (317) 233 -0479
or by e-mail at tfullerw caidem.in.gov
Welcome to Indiana Licensing Page 1 of 1
Online Licensing
Payment Receipt
This page serves as your receipt for this transaction. Your payment will appear on your credit
card statement as "State of Indiana License Fee" or something similar. To maintain this page
for your records, you may print this page by clicking the "Print Receipt" button below.
What to do next?
Renewal
Check back on the MyLicense site in 24 48 hours to see if your expiration date was
extended.
o If so, you will receive your updated wallet card shortly.
If not, this may mean that there is a problem with your certification renewal. You may
contact program staff at tfullerw@idem.in.gov
Payment received thank you.
Licensee: Ernest C. Carter
License Number: WWO11425
Authorization Code: 060538
Received Date: 6/8/2011 1:50:53 PM
Transaction ID: 7453038
Credit Card Number: XXXX XXXX
XXXX 5334
Fee Amount: $30.00
Enhanced Fee: $2.50
Instant Fee: $1.67
Total Payment: $34.17
Print Receipt
Renew Another License
Lo9out
https: /mylicense .in.gov /eGov /PaymentResult.aspx ?answer processed &credit card_numbe... 6/8/2011
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
52000
CRAIG CARTER Purchase Order No.
109 EMERALD LANE Terms
NOBLESVILLE, IN 46060 Due Date 6/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2011 060811 $34.17
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
Date O di A r
VOUCHER 115239 WARRANT ALLOWED
52000 IN SUM OF
CRAIG CARTER
109 EMERALD LANE
NOBLESVILLE, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
060811 01- 7042 -05 $34.17
Voucher Total $34.17
Cost distribution ledger classification if
claim paid under vehicle highway fund