HomeMy WebLinkAbout211104 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350947 Page 1 of 1
` ONE CIVIC SQUARE W EDWARD WOLFE
s CHECK AMOUNT: $34.17
CARMEL, INDIANA 46032 22934 ANTHONY ROAD
o� CICERO IN 46034 CHECK NUMBER: 211104
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 062812 34 . 17 OTHER EXPENSES
OF CqN
F. CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIAN�
2010 mileage reimbursement rate is 50 cents/mile
EMPLOYEE NAME: William E. Wolfe DEPARTED na TIME:
DEPARTMENT: Utilities/Sewer RETURN na TIME:
REASON FOR TRAVEL: na DESTINATION CITY: na
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch I Dinner I Snacks Per Diem
6/28/12 Operator certification renewal $34.17 $34.17
$0.00
$0.00
$0.00
$0.00
$0.00 l
$0.00
$0.00
$0.001
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 i
$0.00
$0.00
$0.00
0.00
Total
$0.00j $0.001 $0.001 $0.001 $0.001 $0.001 $0.001 $0.00 $0.00 $0.001 $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#ER06 Revision Date 7/2/2012 Page 1
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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.
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• If not, this may mean that there is a problem with your certification renewal. You may
contact program staff at tfullerw@idem.in.Aov
Payment received - thank you.
Licensee: William E. Wolfe
License Number: WWO06430
Authorization Code: 804285
Received Date: 6/28/2012 10:45:13 AM
Transaction ID: 10049430
Credit Card Number: XXXX XXXX XXXX
Fee Amount: $30.00
Enhanced Fee: $2.50
Instant Fee: $1.67
Total Payment: $34.17
Print Receipt
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https://mylieense.in.gov/eGov/PaymentResult.aspx?answer=processed&credit card numb... 6/28/2012
June 2S,2012
Your Wastewater Treatment Plant Operator certification, number WW106430, is enclosed.
IMPORTANT CERTIFICATION INFORMATION
ADDRESS CHANCE: It is your responsibility to notify the Indiana Department of Environmental Management of any
change ol'address. You may e-mail us at tlbllerw0jdent in gov or fax to(3 17)232-8637 or call (317)233-0479.
NAME CHANGE: A name change request must be submitted in writing. Mail to: Department of Environmental
Management,Office of Water Quality - Mail Code 65-42, 100 N. Senate Ave., Indianapolis IN 46204-2251 —or you can
fax to(3 17) 232-8637.
CONTINUING EDUCATION: Prior to renewing your certification,you are required to obtain at least the following
continuing education contact hours from IDEM-approved training courses based on the classification of your certification:
Classes I-SP and A-SO: 5 contact hours;at least 3.5 of which)must be technical hours
Classes I,11.A and R: 10 contact hours;at least 7 of which nnlst be technical hours
Classes III,IV,C and D: 20 contact hours;at least 14 of which must be technical hours
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VOUCHER # 125243 WARRANT# ALLOWED
T1032 IN SUM OF $
Wolfe, Edward
WWTP
Carmel w!°a- ity
ON A FOR
Board members
I
PO# Il..-, ACCT# AMOUNT Audit Trail Code
062812 01-7042-05 $34.17
Voucher Total $34.17
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
T1032
Wolfe, Edward Purchase Order No.
WWTP Terms
Due Date 7/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6/2012 062812 $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 1 � O i r
x