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Home My WebLink About173112 05/28/2009 CITY OF CARMEL, INDIANA VENDOR: 146900 Page 1 of 1 O ONE CIVIC SQUARE IND DEPT ENVIR MGT CHECK AMOUNT: $180.00 CARMEL, INDIANA 46032 CASHIER OF CODE 50 -10C 100 N SENATE AVE CHECK NUMBER: 173112 INDIANAPOLIS IN 46204 CHECK DATE: 5128/2009 _DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION 601 5023990 WWO11519 180.00 OTHER EXPENSES c IDEM Indiana Department of Environmental Management 100 N. Senate Avenue Invoice Number: 3520239 r Mail Code 66 -35 Renewal Fee: 530.00 Indianapolis, IN 46204 -2251 Money Receipt P (Otlice Only) May 13, 2009 Certificate Number: WT062953 Expiration Date: 06/30 /2009 131ZIAN S. TOLAN Grade: WT3 535 East Birch Street Obtained By: Examnation Westfield IN 46074 Lorain 1D: WT062953 Password: 582719 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Water I1 Operator Cerlilicalion Retiewa( Fee Sintcmew Our records indicate vcar Water Works No. WT062953, Grath; W 1U a clan WT3 Water T reai. metit Platt uxpires o(i 06/30/2009. You are required to obtain 25.00 contact ]Hours ofcomit nuing education for renewal. Our records indicate that you currently have accumulated 90.50 contact hours towards renewal. (This may not reflect hours for courses recently attended.) f 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, 2009. 1 f your certi fication expired June 30 2008 you have until ,luly 1 2009 to get your contirming education hours and renew your certification. Failure to do so will result in invalidation of your certification, and you will have to retest. Subnul your $30.00 after you have completed all necessary contact hours. Online Renewal Online renewal is available 24 hours a day, 7 days a week at [III ps /exlranet. iii. <gov /mvlicense The cost for the online renewal is 530.00 plus an additional processuig fee for each certi lication renewal. The forms 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 till out the bottom section and return this entire letter with $30 fee payment to the remittance address listed. Be sure tin sign and date in spaces provided. Make a photocopy fitr your records. Please note that renewal through the mail will take lomcer than an online renewal. If you have other druilcing water certifications dine 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 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 utaii to tite remittance audress 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 onh^ for the location below. PWS Name PWS ID Carmel Water Department 522904 Address Change: Home Phone Number: 317 $1lo 3 2-6-7 Work Phone Number: 3 t 7 41 5o&,, Operator Signature: Date: �3 lq- Zpa9 tt]Erd Indiana Department of Fi virminicnial Management 100 N. Senate Avenue Invoice Number: 3520241 Mail Code 66 -35 Renewal Fee: S30.00 Indianapolis, IN 46204 -2251 Money Receipt P (Office Only) May 13, 2009 Certificate Number: WT062975 xpiration Date: 06/30/2009 TIMOTHY L. VANDERGIUFF Grade: WT3 3450 W. 131st SL Obtanned By: Examination Westfield IN 46074 Login ID: WT062975 Password: 582720 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Kiwi Works Operator Cer iificmion Renelval /'ee stalement Our records indicate vonrr Wicr Works Certificate. No. WT062975 Grade WT-') f:;r clu„ `A",' Watcr realnicot Plant cspirs url 06/30/2009. You are required to obtain 25.00 contact hours ofcominuing education for renewal. Ott records indicate that you curroitly have accumulated 83.00 contact hours towards renewal. (This may not reflect hours for courses recently attended.) I 1 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, 2009. 1 f your certification expired June 30 2008, you have until July 1, 2009 to get your continuni8 education hours and renew your certification. Failure to do so will result in invalidation of your certification, and you will have to retest. Submit your 530.00 after you have completed all necessary contact hours. Online Renewal Online renewal is available 24 hours a day. 7 days a week at lit Ips /extranet. in. govhnvIicense The cost for the online renewal is $30.00 plus an additional processing fee for each certification renewal. The fonds of payment accepted online are Visa, Master Card. c& Discover credit and debit cards. Lorin ID and Password are listed above. Mail Renewal To renew through the mail, please till out the bottom sectiim and return this entire letter with S30 fee payment to the rei inance address listed. Be sure to sign and date ii spaces provided. Make a photocopy fir 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 fee payment that covers all of them. For example: (3 renewals x S30 /per renewal) S90 combined fee. Remit Payment to: Indiana Depar of Enviromnental Management Cashier's Office Mail Code 50 -1 OC 100 N. Senale Avenue Indianapolis, IN 46204 -2251 Cancel Certification if you do not want to renew this certification, please write "CANCEL"' 03i this firm. sign and date in spaces provided, and :'.jail to the 7::minailc•c a�"dress listed. 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. NO'T'E If this certification is Grandfathered or Site Specific, it is valid only for the location below. PWS Name PWS ID Carmel Water Department 5229004 Address Change: Honne Phone Number: 74v5 Sle 9'O Work Phone Number: Operator Signature: Date: 1 r f a �n np Indiana Department of F_nvirotuncntal Managenent 100 N. Senate Avenue Invoice Number: 3520253 t Mail Code 66 -35 Renewal Fee: $30.00 Indianapolis, IN 46204 -2251 Money Receipt fl (Office Only) May 13, 2009 Certificate Number: WT062539 Expiration Date: 06/30/2009 Grade: WT3 WILLIAM A. 13LLL,1R Obtained By: Examination 3450 W. 13 l st St. Wesi(iold IN 46074 Login ID: WT062539 Password: 582707 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT [Voter Tforks Operator Cerlification Renewal Fee Sicitemew Our records indicate your Water Works Ccrti licate No. WT062539, Grade NVT3 for a class WT3 W Treattrent Plant cxpires on 06/30/2009. You are required to obtain 25.00 contact hours of continuing education for renewal. Our records indicate that you currently have accumulated 66.00 contact hours towards renewal. (This may not reflect hours for courses recently attended.) 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 July 'I 2009. If your certi ficalion expired ,tune 30, 2008. you have until July 1 2009 to get your continuing education hours and renew your certification. Failure to do so will result in invalidation of your certification, and you will have to retest. Submit your S30.00 after you have completed all necessary contact hours. Online Renewal Online renewal is available 24 hours a day, 7 days a week at httt ?sa /extrauet.in.Rov /mylicense The cost for the online renewal is 530.00 plus an additional processing fee for each certification renewal. The forms of'payntem accepted online are Visa Masler 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 remm tli s entire letter with $30 fee payment to the renutiance 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. Il'you have other drini ing 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 S30 /per renewal) $90 combined fee. Remit Payment to: Indiana Department of Environmental Management Cashier's Office- Mail Code 50 -1OC 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. allli stall iii the fcinit Lali" address listed. FILL OUT BOTTOM PORTION RETURN ENTIRE LETTER WHEN RENEWING BY MAIL OR CANCELLING Ifthis 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 onip for the location below. PWS Name PWS ID Carmel Water Department 5229004 Address Change: 0t A r -A5 Wi'i -5'f" 0,n t0, Zn Ll Home Phone Number: 76 5 q31 8q Work Phone Number: I lY 9 nn 5 0- 09 Operator Signature: 1'1 �N Da te: tnEtvr Indiana Department of Environmental Management 100 N. Senate Avenue Invoice Number: 3519917 Mail Code 66 -35 Renewal Fee: $30.00 Indianapolis, IN 46204 -225I Money Receipt (Office Only) May 13, 2009 Certificate Number: DS063078 Expiration Date: 06/30/2009 JERKY G. SMITH N (trade: DSL 3450 WEST 131ST STREET Obtained By: Exanunation Westfield IN 46074 Login ]D: DS063078 Password: 582706 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT I Voter Works Operator Certification Renewal Fee Slcrtement Our records indicate your Water Works Certificate No. DS063078, Grade DSL. for a class DSL Water Distribution System expires on 06/30/2009. You are required to obtain 15.00 contact hours of continuing education for renewal. Our records indicate that you curretttly have accumulated 79.50 contact hours towards renewal. (This may not reflect hours for courses recently attended.,) 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 July 1 2009. If your certification expired June 30. 2008, you have until July 1, 2009 to get your contnruutM education hours and renew your certification. Failure to do so will result in invalidation of your cenification, and you will have to retest. Subnut your 530.00 after you have completed all necessary contact hours. Online Renewal Online renewal is available 24 hours a day 7 days a week at httt is: /extranet.in.gov /mvlicerse The cost for the online renewal is $30.(X) plus an additional processing fee for each certification renewal. The forms of payment accepted online are Visa, Master Card. Discover credit and debit cards. Login I D and Password are listed above. Mail Renewal To renew through the mail, please fill out the bottom section and return this entire letter with S30 fee payment to the renninance 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 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 lee. Remit Payment to: Indiana Department of Environmental Management Cashier's Office —Mail Code 50-1OC 100 N. Senate Avenue Indianapolis, IN 46204 -2251 Cancel Certification If you do not want to renew this certification, please write "CANCEL" on this Rmu, sign and date in spaces provided wid snail to the remmance address lis(ed. 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. PWS Name PWS ID Carmel Water Department 5229004 Address Change: Home Phone Number: l� S 1 13 Work Phonc Number: l3J 1 7) )955 Operator Signature: Date: us nn Indiana Department of Enviromnemal Management 100 N. Senate Avenue Invoice Number: 3519921 Mail Code 66 -35 Renewal Fee: 530.00 Indianapolis, IN 46204 -2251 Money Receipt (Office Only) May 13, 2009 CerlificaleNumber: DS063092 Expiration Date: 06/30/2009 SEAN W. WHITLOW Grade: DSL Obtained By: Examination 3450 W. 131st St. Westfield IN 46074 Login ID: DS063092 Password: 579828 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT W(ner 11 01yeralor_C'ertification Renewed F Staiemcant Our records indicate your Water Works Certificate No. DS063092, Grade. DSL for a class DSL Water Distribution Systern expires on 06/30/2009. You are required to obtain 15.00 contact hours of continuing education for renewal. Our records indicate that you currelitly have accumulated 71.00 contact hours towards renewal. (This may not reflect hours for courses recently attended.) If you have not recently attended an approved course, and you do not have the requit ed number of hours, you need to attend courses prior to July I. 2009. If your certification expired .tune 30, 2008 you have until July 1, 2009 to get your continuing education hours and renew your certification. failure to do so will result in invalidation of your certification, and you will have to retest. Submit your $30.00 after you have completed all necessary contact hours. Online Renewal Online renewal is available 24 hours a day, 7 days a week at httnsa /extranei.in.Rov /mvlicanse The cost for the online renewal is $30.00 plus an additional processing fee for each certification renewal. The forms of payment accepted online are Visa, Master Card. Discover credit and debit cards. Login 1 D and Password are listed above. Mail Renewal To renew through the mail, please fill out the boltom section and return this entire letter with $30 fee payment to the renuttance 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. 1 f 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) S90 combined fee. Remit Payment to: Indiana Department of Environmental Management Cashier's Office Mail Code 50-100 100 N. Senate Avenue Indianapolis IN 46204 -2251 Cancel Certification If you do not want to renew this certification, please write "CANCEL" on this term, 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. PWS Name PWS ID Carmel Water Department 5229004 Address Change: Home Phone Number: I `J i Work Phone Number: r 7 7 Y G Operator Signature: Date: 5 1 �-0 toEM Indiana Department of Environutental Management 100 N. Senate Avenue Invoice Number: 3519915 Mail Code 66 Renewal Fee $30.00 Indianapolis, IN 46204 -2251 Money Receipt 4 (Office Only) May 13, 2009 Certificate Number: DS063072 Expiration Date: 06/30/2009 Grade: DSL MICHAEL E. LUPER II Obtained 3450 W. 131st St. BY: I >xamination Westfield IN 46074 Lo ID: DS063072 Password: 5$2715 INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Water IVorks_Operator Cc= rlifccrtion Kenetva! Fee Statement Our records indicate your Watcr Works Certificate No. DS063072. Grade DSL Ior a class DSL Water Distribution System expires on 06/30/2009. You are required to obtain 15.00 contact ]tours ofcontirwing education for renewal. Our records indicate that you currently have accumulated 83.75 contact hours towards renewal. (This may not reflect hours for courses recently attended.) 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 July I. 2009. If your certification expired .tune 30 20% you have until July 1 2009 to get your contuiuuig education hours and renew your certification. Failure to do so will result in invalidation of your certification, and you will have to retest. Submit you]- S30.00 after you have completed all necessary contact hours. Online Renewal Online renewal is available 24 hours a day, 7 days a week at The cost for the online renewal is $30.00 plus an additional processin fee for each certification renewal. The forams 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 reruns this entire letter with $30 fee payment to the renuttance 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 Ionger than an onlmte renewal. If you have other drinking water certifications due renewal, you can combine them in one mailing with a fee payment that covers all ofthent. For example: (3 renewals x S30 /per renewal) S90 combined fee. Remit Payment to: Indiana Department of'Enviromnental Management Cashier's Office Mail Code 50-1 OC y 100 N. Senate Avenue Indianapolis, IN 46204 -2251 Cancel Certification If you do not want to renew this certification, please write "CANCEL" on this fonu, sign and date in spaces provided, and mail to the remittance address listed. FILL OUT BOTTOM PORTION RETURN ENTIRE LETTER WHEN RENEWING BY MAUL 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 onlN for the location below. PWS Name PWS ID Cannel Water Department 5229004 Address Change: &0 Home Phone Number: (51 !e- Work Phone Number: (31 Operator Signature: ��_�Q L P_ G' Date: 3 l,9 VOUCHER 091873 WARRANT ALLOWED TIDEM mcl a.tlua2 1J IN SUM OF IDEM Gashyrs o`er �b.ip 100 N SENATE AVENUE INDIANAPOLIS, IN 46204 2259 e R K"" Carmel Water Utility ON'ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 3519917 01- 6040 -05 ✓30.00 3 51 j z l o�• (�C C DS '-"90• c> 3 51 COA5 VS0 0Q 35aba53 35 a u�y i bl• �L4r7�3 Voucher Total 8bf�o 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, �t price per unit, etc. Payee TIDEM IDEM Purchase Order No. 100 N SENATE AVENUE Terms INDIANAPOLIS, IN 46204 -2251 Due Date 5/18/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/18/2009 3519917 $30.00 I hereby certify that the attached invoice(s), or bill(§) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 Date er