175738 08/06/2009 F CITY OF CARMEL, INDIANA VENDOR: 146900 Page 1 of 1
ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M T
t HECK AMOUNT: $180.00
CARMEL, INDIANA 46032 MAIL CODE 65 -42
100 N SENATE AVE CHECK NUMBER: 175738
INDIANAPOLIS IN 46204 -2251
CHECK DATE: 8/612009
D EPARTMENT AC COUNT PO NUMBER INVOICE NUMB AMO DESCRI
651 5023990 11425 30.00 OTHER EXPENSES
651 5023990 13898 30.00 OTHER EXPENSES
651 5023990 15515 30.00 OTHER EXPENSES
651 5023990 17403 30.00 OTHER EXPENSES
651 5023990 17417 30.00 OTHER EXPENSES
651 5023990 17418 30.00 OTHER EXPENSES
Indiana Department of Environmental Management I
100 N. Senate Avenue
Mail Code 65-42
Indianapolis, IN 46204 -2251
EST. 5
1986
April 30, 2009
Ernest C. Carter
109 Emerald Lane
Noblesville IN 46060
WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION
Certification WWO11425
Expiration Date: 06/30/2009
Renewal Fee: $30.00
Login Id: WW011425
Password: 492108
Current Continuing Education Hours Earned: General 1.00 Technical 22.50 Total 23.50
1 am the responsible charge operator of: Hours/Week Permit Cit
Address Change:
Current Phone Operator Signature: Date:
Your wastewater treatment plant operator certification expires 0613012009. After this date, you cannot be the operator
in responsible charge of a wastewater treatment plant until your certification is renewed.
You must meet the continuing education requirement as shown below:
Classes 17SP,A -.SO 5 hours. earned. between 7/_112007 6130/2009 from IDEM approved course.with at least 3.5 of
those hours from courses designated as "technical."
Classes I, 11, A, B 10 hours earned between 7/1/2007 6/30/2009 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 7/1/2007 6/3012009 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, 2009 and July 1, 2009 at
https ://exlra net. in.aov /mylicense The cost for the online renewal is $30.00 plus an additional $4.17 in processing fees. The
forms of payment accepted online are Visa, Mastercard, R Discover credit and debit cards. Login ID and Password are listed
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
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 tfullerweidem. in.gov
E cl 9E92- TLS -LTE Jad000 jjaC eS0 =11 60 02 TIC
Indiana Department of Environmental Management f
100 N. Senate Avenue
Mail Code 65-42
Indianapolis, IN 46204 -2251
1986
April 30, 2009
David L. Dye
576 Jet Stream Blvd
Westfield IN 46074
WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION
Certification WWO17417
Expiration Date_ 06/3012009
Renewal Fee: $30.00
Login Id: WWO17417
Password: 494946
Current Continuing Education Hours Earned: General 2.00 Technical 57.00 Total 59.00
1 am the responsible charge operator of: Hours/Week Permit Cit
Address Change:
Current Phone Operator Signature: Date:
Your wastewater treatment plant operator certification expires 06/30/2009. After this date, you cannot be the operator
in responsible charge of a wastewater treatment plant until your certification is renewed.
You must meet the continuing education requirement as shown below:
Classes 1-SP .A SO_- .5_hours.earned.between 7/1/2007 6/30/2009 from IDEM approved course with at !east 3.5 of
those hours from courses designated as "technical."
Classes I, II, A, B 10 hours earned between 7/1/2007 6/3012009 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 7/1/2007 6/30/2009 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, 2009 and July 1, 2009 at
https /extranet,in.gov /mylicense The cost for the online renewal is $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 listed
above.
Mail Renewal If you wish to renew by mail, fill out the responsible charge information, and send this form with your S30
renewal fee to: Cashier Mail Code 50-10C, Indiana Dept. of Environmental Management, 100 N. Senate Avenue,
Indianapolis, IN 46204 -2251
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 tfullerwaidem.in.gov
T'd 9E9a_TLS_L1E Jad000 j.far ebO :TT 60 00 inr
Indiana Department of Environmental Management f
100 N. Senate Avenue
Mail Code 65-42
Indianapolis, IN 46204 -2251
leer.
April 30, 2009
Jordan J. Kleinsmith
338 Orland Overlook
Westfield IN 4 6074 8111
WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION
Certification WWO15515
Expiration Date: 06/30/2009
Renewa! Fee: $30.00
Login id: WWO15515
Password: 493920
Current Continuing Education Hours Earned: General 1.50 Technical 19.50 Total 21.00
1 am the responsible charge operator of: Hours/Week Permit Cit
61'7 a C Mz:1. WWr zy 2v Q of CAR
Address Change: l 7
Current Phone #:3 -5'I /-5/7/ Operator Signatu Date:
EXr' zz3
Your wastewater treatment plant operator certification expires 0613012009. After this date, you cannot be the operator
in responsible charge of a wastewater treatment plant until your certification is renewed.
You must meet the continuing education requirement as shown below:
Classes I -SP, A -SO _5 hours earned between 7/1/2007 6/30/2009 from.]DEM- approved course with at.lea.st 3.5 of
those hours from courses designated as "technical."
Classes I, 11, A,• B 10 hours earned between 7/1/2007 6/30/2009 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 7/1/2007 6/30/2009 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, 2009 and July 1, 2009 at
https /extranet.in.gov /mvlicense The cost for the online renewal is $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 listed
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
Should you have any questions or concerns about the renewal process, please contact Tonja Fuller -While at (317) 233 -0479
or by e-mail at tfullerwaidem.in.00v
.l;,'d 9E9Z- 1LS -LTE JadooD jjaC eSD :TT 60 02 In[,
Indiana Department of Environmental Management IDEM
100 N. Senate Avenue
Mail Code 65-42
Indianapolis, IN 46204 -2251
19E16
April 30, 2009
Teresa L. Lewis
9609 Hazel Dell Parkway
Indianapolis IN 46280
WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION
Certification WWO13898
Expiration Date: 06130/2009
Renewal Fee: $30.00
Login Id: WWO13898
Password: 492936
Current Continuing Education Hours Earned: General 4.50 Technical 19.50 Total 24.00
1 am the responsible charge operator of: Hours/Week Permit# Cit
Address Change:
Current Phone Operator Signature: Date:
Your wastewater treatment plant operator certification expires 06/30/2009. After this date, you cannot be the operator
in responsible charge of a wastewater treatment plant until your certification is renewed.
You must meet the continuing education requirement as shown below:
Classes 1.- SP,.A -$Q._ 5 hours eamed..b.etween 7/.112007 .6/30/2009 from IDEM approved.course with at least 3.5 of
those hours from courses designated as "technical."
Classes I, It, A, B 10 hours earned between 7/1/2007 6/30/2009 from IDEM approved course with at 7 of
those hours from courses designated as "technical."
Classes III, IV, C, D 20 hours earned between 7/1/2007 6/30/2009 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, 2009 and July 1, 2009 at
httos /extranet.in.ciov /mylicense The cost for the online renewal is $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 listed
above.
Mall 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
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(a)idem.in.00v
S'd 9E9Z- TLS -LTC JaclooD jjar e90:11 60 0a Inr
Indiana Department of Environmental Management
100 N. Senate Avenue
Mail Code 65-42
Indianapolis, IN 46204 -2251
gees
April 30, 2009
Tara M. Rubush
4475 Silver Springs Dr
Greenwood IN 46142
WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION
Certification WWO17403
Expiration Date: 06/30/2009
Renewal Fee: $30:00
Login Id: WWO17403
Password: 494936
Current Continuing Education Hours Earned: General 5,50 Technical 23.50 Total 29.00
1 am the responsible charge operator of: Hours(Week Permit Cit
Address Change:
Current Phone Operator Signature: Date:
Your wastewater treatment plant operator certification expires 06/3012009. After this date, you cannot be the operator
in responsible charge of a wastewater treatment plant until your certification is renewed.
You must meet the continuing education requirement as shown below:
Classes I -SP, A -SO 5 hours earned between 7/112007_- 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 7/1/2007 6/30/2009 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 7/1/2007 6130/2009 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, 2009 and July 1, 2009 at
ht tos /Iextranet.in.aov /mylicense The cost for the online renewal is $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 listed
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
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(a idem.in.gov
9'd 9E92- TLS -L1E Jad000 jjar e90 :11 60 02 inC
Indiana Department of Environmental Management
100 N. Senate Avenue IDEM
Mail Code 65 -42
Indianapolis, IN 46204 -2251
766
April 30, 2009
David L. Dye
576 Jet Stream Blvd
Westfield IN 46074
WASTEWATER TREATMENT PLANT OPERATOR RENEWAL APPLICATION
Certification VVW017418
Expiration Date: 06/30/2009
Renewal Fee: $30.00
Login Id: WWO17417
Password: 494946
Current Continuing Education Hours Earned: General 2.00 Technical 57.00 Total 59.00
1 am the responsible charge operator of: Hours/Week Permit 4 Cit
Address Change:
Current Phone 4: Operator Signature: Date:
Your wastewater treatment plant operator certification expires 4613012009. After this date, you cannot be the operator
in responsible charge of a wastewater treatment plant until your certification is renewed.
You must meet the continuing education requirement as shown below:
Glasses I -SP, A -SO 5 hours earned be 7/1/2007 6130/2009 from IDEM aogroved course with at least 3;5 cf
ihdse hours from courses designated as "technical."
Classes I, If, A. B 10 hours earned between 7/1/2007 6130/2009 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 7/112007 6130/2009 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, 2009 and July 1, 2009 at
https :lfextranet.in.aov /mvlicense The cost for the online renewal is $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 listed
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
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 lfullerwQuidem.in.00v
Z'd 9E9z -TG5 -GTE Jadooa jjar eSO:TT 60 02 inr
VOUCHER 096068 .WARRANT ALLOWED
146900 IN SUM OF
IDEM
100 N. Senate Avenue
Indianapolis, IN 4620=7060
sp• joc
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
f� l Board members
PO INV ACCT AMOUNT Audit Trail Code
17417 01- 7042 -05 $30.00
I-11103 3C9 -a6
384 30.00
I SSiS DI.10g1.
01.70L12.0 5 30.06
1 1(25 0 /.70H1.05 30.00
I
moo
Vouch 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
146900
IDEM Purchase Order No.
100 N. Senate Avenue Terms
Indianapolis, IN 46207 -7060 Due Date 7/27/2009 �f
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/27/2009 17417 $30.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
7
Date Officer