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Home My WebLink About217685 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 146900 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M&ECK AMOUNT: $27,911.95 i, CARMEL, INDIANA 46032 CASHIER OFFICE-MAIL CODE 50-10C H 100 N SENATE AVE CHECK NUMBER: 217685 INDIANAPOLIS IN 46204 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 164503 26, 535 .40 OTHER EXPENSES 601 5023990 164794 1, 376 . 55 OTHER EXPENSES INVOICE Please Remit To: Page: 1 INDIANA DEPT OF ENVIRONMENTAL MGMT Invoice No: 000164794 CASHIER OFFICE-MAIL CODE 50-10C Invoice Date: 01/09/2013 100 NORTH SENATE AVENUE Customer Number: CST100026471 INDIANAPOLIS IN 46204 Bill Type: 060 Payment Terms: NET 60 Due Date: 03/10/2013 Bill To: CARMEL WATER&WASTEWATER MR JOHN DUFFY AMOUNT DUE: 1,376.55 USD 760 3RD AVENUE SOUTHWEST SUITE 110 CARMEL IN 46032-2584 7� Amount Remitted Note Address Changes Above 6 questions; iedse`caii s'i 7-232-8705 -For-billin Line Ad' Identifier Description Quantity UOM Unit Amt Net Amount 1 13-IN5229024C-0 PWS Fee - SVC:1449 1.00 EA 1,376.55 1,376.55 - IDEM's Cashier office is now accepting payment by Master Card or Visa between the hours of 9 am to 3 pm Monday through Friday. You may come to the office or call (317) 232-8705. A processing fee of $1 plus 2% will be charged of the total transaction. - This annual fee billing is required for active Public Water Systems (to defray the costs of administering activities of the federal Safe Drinking Water Act) under Indiana Code: IC 13-18-20.5. 9 To view via the internet, visit: http://www.IN.gov/legislative/ic/code/titlel3/arl8/ch2O.5.html Fees are based on the activity status as of December 31 of the previous year. Fees on Community Water Systems will be based on the number of service connections on record for the month of December of the prior year. - Fees are not pro-rated. If a system is sold or inactivated during the billing _year, the amount of the assessed fee remains due and payable. - If payment of the assessed fee amount imposes an undue burden on the public water system, the facility may notify this Agency within forty-five (45) days of this invoice date to pay in four equal installments within a year. - Payments not received or received after the DUE date are subject to a delinquency charge equal to 10% of the assessed fee. - If several invoices are to be paid by one check, you MUST INCLUDE A COPY OF EACH BILLING INVOICE in order to ensure proper credit for each fee assessment. For questions regarding your assessed fee amount, please contact Deborah Glover in the Operations Section, Office of Water Quality at 317/232-8472 or e-mail dglover @idem.in.gov. - ATTENTION: The due date shown in the upper right hand corner of this invoice reflects the standard 60 days past the invoice print date. TOTAL AMOUNT DUE: 1,376.55 A copy of your invoice must be included with payment. 495-IDEM Printed on Recycled Paper Original VOUCHER # 123637 WARRANT # ALLOWED TIDEM IN SUM OF $ IDEM 100 N SENATE AVENUE INDIANAPOLIS, IN 46204-2251 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 164794 01-6750-08 $1,376.55 Voucher Total $1,376.55 Cost distribution ledger classification if claim paid under vehicle highway fund I 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 TIDEM IDEM Purchase Order No. 100 N SENATE AVENUE Terms INDIANAPOLIS, IN 46204-2251 Due Date 2/18/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/18/2013 164794 $1,376.55 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 </2Z/3 Cam`�.�,•,,� - Date Officer INVOICE Please Remit To: Page: 1 INDIANA DEPT OF ENVIRONMENTAL MGMT Invoice No: 000164503 CASHIER OFFICE-MAIL CODE 50-10C Invoice Date: 01/09/2013 100 NORTH SENATE AVENUE Customer Number: CST100010357 INDIANAPOLIS IN 46204 Bill Type: 060 Payment Terms: NET 60 Due Date: 03/10/2013 Bill To: CITY OF CARMEL MR JOHN DUFFY-WATER DEPT AMOUNT DUE: 26,535.40 USD 760 3RD AVENUE SOUTHWEST SUITE 110 G '-'U(1 CARMEL IN 46032-2584 Amount Remitted ❑ Note Address Changes Above For billing uestions; lease call 317-232-8705 Line Adj Identifier Description Quantity UOM Unit Amt Net Amount 1 13-IN5229004C-0 PWS Fee - SVC:27932 1.00 EA 26,535.40 26,535.40 - IDEM's Cashier office is now accepting payment by Master Card or Visa between the hours of 9 am to 3 pm Monday through Friday. You may come to the office or call (317) 232-8705. A processing fee of $1 plus 2% will be charged of the total transaction. - This annual fee billing is required for active Public Water Systems (to defray the costs of administering activities of the federal Safe Drinking Water Act) under Indiana Code: IC 13-18-20.5. _ To view via the internet, visit: http://www.IN.gov/legislative/ic/code/titlel3/arl8/ch2O.5.html - Fees are based on the activity status as of December 31 of the previous year. Fees on Community Water Systems will be based on the number of service connections on record for the month of December of the prior year. - Fees are not pro-rated. If a system is sold or inactivated during the billing year, the amount of the assessed fee remains due and payable. - If payment of the assessed fee amount imposes an undue burden on the public water system, the facility may notify this Agency within forty-five (45) days of this invoice date to pay in four equal installments within a year. - Payments not received or received after the DUE date are subject to a delinquency charge equal to 10% of the assessed fee. - If several invoices are to be paid by one check, you MUST INCLUDE A COPY OF EACH BILLING INVOICE in order to ensure proper credit for each fee assessment. For questions regarding your assessed fee amount, please contact Deborah Glover in the Operations Section, Office of Water Quality at 317/232-8472 or e-mail dglover @idem.in.gov. ~ - ATTENTION: The due date shown in the upper right hand corner of this invoice reflects the standard 60 days past the invoice print date. TOTAL AMOUNT DUE: 26,535.40 A copy of your invoice must be included,with payment. 495-IDEM Printed on Recycled Paper Original VOUCHER # 123636 WARRANT # ALLOWED TIDEM IN SUM OF $ IDEM 100 N SENATE AVENUE INDIANAPOLIS, IN 46204-2251 Carmel Water Utility r ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 164503 01-6750-08 $26,535.40 Voucher Total $26,535.40 Cost distribution ledger classification if claim paid under vehicle highway fund I 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 TIDEM IDEM Purchase Order No. 100 N SENATE AVENUE Terms INDIANAPOLIS, IN 46204-2251 Due Date 2/18/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/18/2013 164503 $26,535.40 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 Officer