Loading...
HomeMy WebLinkAbout222113 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00352820 Page 1 of 1 ONE CIVIC SQUARE LONNIE PATTON CHECK AMOUNT: $30.00 CARMEL, INDIANA 46032 CARMEL UTILITIES CARMEL UTILITIES CHECK NUMBER: 222113 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 30 . 00 OTHER EXPENSES ; \\ \ a � UNITED ST/]TES POSTdL SERVICE®--tea ^�� ;�,\�`�3� � r,. ,,f: ��° �•, ��. w.. .;viii" jijr;��,i�Sinu.td"s f.'�,��\..'b�:i'r�;aiti�ii„:"•�ki?"K;;{i;f4;r;iriEd;�. — gagqqaq a��s';wd�':;..;,•�s;. .,,.•G„•..,.ni :.�.,,. .p-�;f.;^su�.. ECEIPT �G�nq..h�G'aia^5;P:x;:i;;i�i•..'fit•,` �. ;.•y.m..;;w"x.;;.•,;,.•.c;,•x.�.. SEE.BACK OF THIS RECEIPT pay to hd. ,1 �` C� �� KEEP THIS FOR IMPORTANT CLAIM RECEIPT FOR INFORMATION Address YOUR RECORDS NOT NEGOTIABLE ©d Serial Number Year,Month,Day Post Office Amount Clerk 21076191224 2013-06-17 460160 $W.00 0024 rLi r O —3 This receipt is your guarantee for a refund of your money An inquiry Form 6401 may be tilled at any time for a fee.A Q P order it it is lost or stolen,provided you fill in the Pay To and replacement will not be issued until 60 days after the money order r i 11. From information on the money order in the space provided. purchase date,provided the money order has not been paid No claim for improper payment permitted 2 years after payment It your money order is lost or stolen,present this receipt and file a claim for a refund at your Post Office. ru RJ r - r PLEASE:DETACH AND,KEEP THIS FORNOUR RECORDS June 20 Your Wastewater Treatment Plant Operator certification, number WWOI 8293, is enclosed'. IMPORTANT CERTIFICATION INFORMATION ADDRESS CHANGE: It is your responsibility to notify.the Indiana Department of Environmental Management of an, change of address. You may e-mail us at tfullerw(a-;idem.in.00v or fax to(317)232-8637 or call(317)233-0479. NAME CHANGE: A name change request must be submitted in writing. Mail to: Department of Environmental Management,Office of Water Quality-Mail Code 65-42, 100 N. Senate Ave.,Indianapolis IN 46204-2251 -or you cal fax to(317)232-8637. CONTINUING EDUCATION: Prior to renewing your certification,you are required to obtain at least the following continuing education contact hours from 1DEM-approved training courses based on the classification of your certificati' Classes I-SP and A-SO: 5 contact hours;at least 3.5 of which must be technical hours Classes I,II,A and B: 10 contact hours;at least 7 of which must be teclmical hours Classes III,IV,C and D: 20 contact hours;at least 14 of which must be technical hours };'�r_' ,..r::"i!'a-+Rr`Y_'$:`.,i::.�mo5,�s`i!v�:•.Y:. }�'.}.:.n.�?'�,,>Ei',� :•.,`>>,:i.SY�A�'SC�,\A�^ ys'I 1�-�°'`f- 1 nwnp.+.- .,aum�maruniment3l;AtanagenxuY=�z.`.` �f„ ;?fo,�s"r 3a:� ` t"' I'i rle)a1{meut of C gqII�It,office 01 Wa ke,Qual,ty AIaJ Code 65 42 t '#'r`�-�- y QI 4II� �I,_ I ,m I�Ib lnd,anapo�sl lI 462tl422111!I!i�€�` \ '� .c �` �� �- 9 I�I':�!�I IiI NHlllllll!II!.91�IIIIIIIiI� ll'Ilidroullllllilpllu; : �II� -I�IIIJWastewaterl�,Op'eratorClass ,t::"-•..?dt�"'�:?yy kr..:l :•.`.y='':�36s 'i":,k'k n;"�i a:'.i>..%�':rt' Y:.,'.'.;.T�?°,ts, %:,.3.1i,'.�-i_`.w��, xt�,.CertiLc3tiori#;'.\�01 \210 Effective111p f'IIII p*-"Il:�ulllllp'Gzpii-ado"n;Datedl�llllllullr.'`< :\\\� \,,.a� \a:,.•- --.„�::u�- n i;tila er qe\',1 "xi,,,llllllll!b''111111'IT r11i1 1'!,11111 IIIIIwI ,11 X11 \\:�'�,.,;. p WWO'1:$293: , y 4..:.07/Ol�/'2Q1aI��it�q i 06130/2011o5= ;,< .; Your certification will expire on 06/30/2015. If you have am f.A� '-}>.=h�= .,, „� ICI III`G, I1r 1„I�,II 1:t I wl� , ` :II„m- <= '�'t+l 'ylr x>x;'!I questions,please contact Tonj a Fuller-White at(317)233-04 ;; ; , S ,t•>.=<: �`` :: :z'` ,idem.in. ov email tfullerw(a- , his licensure infomlation sheet so that you will ": . �>;h��:a::-��, •�� ;; Please retain t Y dress telephone number, and our certificate the program ad p y r f7 ct th P n n_r 'n 1 off um available,I] 1 I v�u i t _ ti _e , . - ';;rail :r"�....- I`� N.dq >u"k-:. I' -•rc,x r, 4�1'":11111111?I'�•,,4t'>: ,r- °a" 1. artment:of�Envtronm;ental �ana -. .. ,... x ..... .... ,,, i„a.�,�.,., „�.: � I, 4'.,, V,.d f.y.r,I;�I,,;il;n�a,;u�L: +.'_s: ,"ti:ti' - +'S-�.a�`-a-•` .v �Ib,'I',Vi.*t� 'al'r, II, ,,..r•'G'��y - , Office of H ater .uaht� M a u ,.t, ,,,,„!,, I,....k„.„1 ,,. '�°”� gt•, r A'n , aM..t.,.; b n.4m vf,".:�,,.,,7t-::•�P„, ', I:oI" ~r" j4 100 N.S ,,,:, 11.'. �• n,l;ln:. - �� `t:°°<'�� � =:5.;.. w a. ,,.. ..,. ...,,,.. .,, ,:gin ,. .:,.I „„,I, ,:;..x:•. �� � Indiana oils 'Indiana 4620 2 ..,.:_• ;;,,: ,,. -it. 4,'wa+.., }.Ca:':.,g,!:dp: 0'.'}'I!III!Ii ',t I:r:ol� =rrr%:3'is '.;fiCe�j`". .t?.bt w� l;^.rl. -.a.:lr l: ,'nqq µ+,r',gallyil. L. Ij`iia.^jl'JIJIi��;M"'I'��+1".Ilu2�liil'llM1llltl!'J"';.5'L �1;91V„IIf;-•I4:lurt' .'t"".,.�I;rll�l,y'Plyy Wastewater Oper''ator=C>l°assIIIIII',I kk w n °Fti=�° x�ll��l:'I'I'"�•III,Jab.li�,� .I:h'iF"�.�iln-: IrI��I I,rS''=-r�srl'I:lii' t�i��.h, ��Ill�ilh�r �:,, .y.., h';I!;I!y'i'i"IilEffe dive'Uateri=F'r!Ui;'li�l�''II�!,"111?'I'dr'mii'::II!ISq•;II'pllni;"olvh','„dl;��ll�lili�l!I�h' Certrflca6onNurnber �. ..".;,g ......"<�:,.��...<.��,,,,,.,.-.�.:.,�='-_�,,:..,r�n�,r.�.,,,,..,.�•„���....,�.,�..,,d�...,,„:.,Id�,,:._. fir.., ix, firi>N°k�yely:i .,`:I:yu+yPvS'if}!i41 'I ��"'�:y: WWO18293 07/01/2013 S\6 q \\n�`4�11\yu\ /�///'•'�/ '14k L a-tton 11\ I V ,1 I h 1'Y.' I III,,�' 4t•• a1rM i 'I Anil ar°li,l,Ft, , ,.,, •W," ,!'jn.„•,ill;, .q. "7,„ ,:IIV,,w. erti sate of orn eten - �'f`�t',�^A ^ra•` I II G,,u "rd 7�n I�I II, -,5 - Tuts certifies: fh�t:ahe< p ,.,... ..._: .. _,__„ -°._ .._ :.,- ..,,,,- -- ._..ter..:::::........�� u'. •�r:�"a :�f. �. � �;,' I 1111' :I�I IIIII!It;'.: - ”lttllniaa:a W1SteW8tP.r=.t=reatrileIlt� ISrilv; ��.��a��<.,r.Z\�•<,� ,�IIIII;I. .I: I 'tl •,Iln. ,II;I'q.z.,N�'�Ildl�llllh':;?ylll,l,l,a^'t;�, r.�l,�lplll,llti�;w Te lllrenlerit�tOr�:Celtifit,c. . ..:... ..:..„,.. �• (d I .,,,r I�'Il+ .U:IIII._ I,ry,r I,I,I:I:,y _q-....:.. ..: _ __.. . . .. ._. .. ._: ���':_ IL, S'19��::„ 8:•,>. IhI,:Ill l r=»hl r I, � I 'r-�,,III .,. _ -,,a_. _. •.',:•;.:,��c�..�•;.::,...�>�::.,.,�.P :,::�. �'I =•'IrI I� °t='I t,�l ll.,. II:,.: ,II ..\. 'lrt s:��v •��`, a.�\���f'al.: II I' °IV�IIIh. ,tr,aJuA' I, I�l:,.r :.a”,ud ,I: 7,�„�.�I�lr,d: s,.. ,� - - i}a '.�E 'S.'�k,..�. MYc:`:.� - 8=1.1=sand' ts�hereli'' ;.-<:., ! Thomas'W.IEasterl' III',:.:':: ,::'I:•in:;� ` - -operator'tri7,accordance: With';:>IC._:''13.'1 `r..s . . . .. .. .......... .�., ... ......, . .:x 'L- ->. .,. _ __.... ...:... ..` a _ '_ f as a Wastewater<:O e'rator=Class IIl} «. ': w J, -.a,. g e� , __ ,. _.--,4s . ........... .._ �:..,+... ..sS�Sx..-,. ...+.c..k:..t.o ....:1.._c:,�a...,."w�rla..,..:.`w<.- Y�.�L:3.FY...,.3«.au._,.��-..:,:.:fie-.e..,....,._.ear.:w•�'3°�.',:...J'-:,.i±`."�.L.:wc,�Y1 >�:'r�..:.k.,o... VOUCHER # 135958 WARRANT # ALLOWED T9960 IN SUM OF $ PATTON, LONNIE WASTEWATER Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code I PATTON 01-7042-05 $30.00 i Voucher 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 T9960 PATTON, LONNIE Purchase Order No. WASTEWATER Terms Due Date 7/9/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/9/2013 PATTON $30.00 1 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