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229893 03/12/14
('/u,_CAA*f! , CITY OF CARMEL, INDIANA VENDOR: 368043 ® to ONE CIVIC SQUARE DAVID WEEKLEY HOMES CHECK AMOUNT: $*****8 403.58 r° CARMEL, INDIANA 46032 9310 N MERIDIAN ST STE 100 CHECK NUMBER: 229893 9Ml>OM COQ INDIANAPOLIS IN 46260 CHECK DATE: 03/12/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 13110028 5,686.58 OTHER EXPENSES 601 5023990 678 102.00 OTHER EXPENSES 609 5023990 678 2,615.00 OTHER EXPENSES Spearman, Ted A From: Whalen, Heather <HWhalen@dwhomes.com> Sent: Wednesday, February 26, 2014 2:01 PM To: Spearman, Ted A Subject: Refund Request for VWC #678's Hi Ted, We are requesting a refund of the Water Tap Fee ($2717.00) for the Village of West Clay Lot#678. The developer in this subdivision was contracted to sell us this lot, however,they are possibly filing bankruptcy now and will not sell us the lot. Please let me know if there is any additional information needed in order to start the refund process. Thank you very much for your assistance! Heather V. Whalen I Project Coordinator Indianapolis Division P: 317-669-8604 ( F: 512-879-6939 DavidWeekleyHomes.com Join Us On: 1 Prescribed by State Board of Accounts _ Form No.301 (Rev.1995) - ACCOUNTS PAYABLE VOUCHER 144L.4.v ADDRESS 01W U A451, 014-1 —L�"y J'iL (� i'(10 Invoice Date Invoice Number Item Amount 7�—UAJO iuA(,4. 4A1.0 &4Y-4--6)b I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received ex t 3 ID !L VIC6 � Mo. Day Yr. Sign ture Title 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. Mo. Day Yr. cer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ANO NO.. CARMEL, INDIANA Ui4 ((,4EJL�Y 1aku's Of 0 ll.1. !I'lwo► Its rr '' l� ,D,,,V 0o,ts T&l L(Zg"o +414-7{ist.W U4 4,f�✓ Total Amount of Voucher $ Deductions 1 00 Amount of Warrant Month of /( , `L Yr aw Y Acct. VOUCHER RECORD No. Source of Supply Water Treatment Transmission and Dist. Customer Accounts Administrative and General _ Operation-Maintenance_"q Utility Plant in Service Constr.Work in Pro ressl Materials and Su pl esf_� f �� Customers Deposits z Total Allowed Board of Control Filed Official Title BOYCE FORMS•SYSTEMS 1-800-382-8702 325 r:,,., ""COv1i'LF 1;t_ & RE:TURsN REFUND R.EQUES7. THIS FORLI TO: Cir of Carmel sudchfi+�&Cod Sc:rvrces: Y C;' 111i. (317) 571-2444 tax (317) 571-2499 Building-&Code Services One Civic Square-, Carmel, IN 45032 PERMIT #(s): �02-I Lot & Subdivision, or Address of Construction: t:,7 8 I lt of W es+C12-75-7 Ka ss"tti (If more than one address needs to be listed and will not fit, please attach a printed list of all permits,with their corresponding permit#.) Please print or type the reason for the requested refund, and specific fee or fees which are requested, in the lines below: Z)eve e pe-rr- was c©n-"rca c-f ed to 5el( 1- Ub Ge S "t'1rq Ctbcxre Y"e fe-rr-Vt cet to( b L - rto w be- -{I-Jklna ba.ln,VrL- ±cL (,-v-,LA cath f" Dv- w til rot- seg� uS i"t g- �pt . TOTAL REF1J Nn A,.N,IOt,'ti-I' REQUESTED: 5,6A3(=,-. 5`(32aq .5$ t V Low, 2--2,5- 14 Applicant Signature Date Applicant Name—Printed Company Name(If applicable) APPLICANT ADDRESS: 29510 N . mp-r(44-an est', (fie UO Street Address Lcr_ apo�(� 1►� 46:>2j�->n city ST zip Phone# Fax # I�►vvhctl�p��o�( �� FOR OFFICE USE ONLY: FEB 2 5 2014LL p Total amount for fees that ARE available for refund: _-4 A520 , 5% p Fees that are NOT available for refund: 449, W By p Refund approved by: �au r� V Date: - 7121 p Date submitted for Payment: _ Amount Approved: Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02 � � X11 e� � ' 8�rti5 Total 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. 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ 3/0 A), /YJ&� 4ua, SA A ON ACCOUNT OF APPROPRIATION FOR 1�6�5 - 67� �n J Board Members PO# INVOICE NO. ACCT#/TITLE AMOUNT PT..# I hereby certify that the attached invoice(s), or 181/ a �9 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 3 !U 20 1 Sicfiature Title Cost distribution ledger classification if claim paid motor vehicle highway fund