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236036 08/13/14
,�ur.4ggpF CITY OF CARMEL, INDIANA VENDOR: 354421 ® e! ONE CIVIC SQUARE JASON STEWART CHECK AMOUNT: `236036 3 "'31.62` CARMEL, INDIANA 46032 CHECK NUMBER: 08 08/1/1 33 6 CHECK DATE: 3/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 31.62 OTHER EXPENSES Stewart, Jason J From: indiana [NoReplyOTC@egov.com] Sent: Tuesday, July 29, 2014 2:23 PM. To: billing@idem.in.gov; Stewart, Jason J Subject: indiana- Receipt YOUR RECEIPT IDEM Cashier Office 50-10C 100 N Senate Avenue Indianapolis IN 46204 (317)232-8705 bil ling(aidem.IN.gov _ Transaction Id: 3_606726 _ 7/29/2014 02:23 PM ©i.70g0,©k - If you have any questions, please contact us at 317 232-8705 or 317 234-3099. Thank you. This acknowledges receipt of your payment. Customer Name: JASON STEWART Credit-Card Number: **** **** **** 9163 indiana total amount charged $31.62 Items Location Quantity Order ID Total Amount Application Payments Cashier Office 50-10C 1 19931288 $30.00 Reason Code: WWOPR Reason Description: OPERATOR RENEWAL Name of Applicant: JASON STEWART Remit Address: 7955 ALLISONVILLE ROAD INDIANAPOLIS, IN 46250 Remit Email: jistewart@carmel.in.aov Total remitted to the IDEM $30.00 i VOUCHER # 145223 WARRANT # ALLOWED T9957 i IN SUM OF $ STEWART, JASON WASTEWATER PLANT Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code STEWART,J, 01-7040-01 $31.62 I Voucher Total $31.62 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 T9957 STEWART, JASON Purchase Order No. WASTEWATER PLANT Terms Due Date 8/4/2014 Invoice Invoice Description Date. Number (or note attached invoice(s) or bill(s)) Amount 8/4/2014 STEWART, J $31.62 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 1p/, Date Officer