HomeMy WebLinkAbout238990 11/11/2014 CITY OF CARMEL, INDIANA VENDOR: 357098
® ONE CIVIC SQUARE ARTISAN HOMES, INC CHECK AMOUNT: $*****2,717.00*
CARMEL, INDIANA 46032 ATTN:LEONARD WATSON CHECK NUMBER: 238990
7445 E CO ROAD 400 N CHECK DATE: 11/11/14
BROWNSSURG IN 46112
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 REFUND 102.00 REFUND
609 5023990 REFUND 2,615.00 REFUND
CITY OF CARMEL
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: plux
COPY ## 1
Sec:10 Twp:17 Rng:3 Sub:LAR Blk: Lot:4
PARCEL ID . . . . . . . . : 1713100002004000
DATE ISSUED. . . . . . . : 06/04/2014
RECEIPT ##. . . . . . . . . : BC000007722
REFERENCE ID ## . . . : 14060030
SITE ADDRESS . . . . . : 10520 LAUREL RIDGE LN
SUBDIVISION LAUREL RIDGE
CITY . . . . . . . . . . . . . . CARMEL
IMPACT AREA . . . . . . .
OWNER . . . .
PAYNE, MIKE & KIM
ADDRESS 10520 LAUREL RIDGE
CITY/STATE/ZIP . . . : CARMEL, IN 46032
RECEIVED FROM . . . . : ARTISAN HOMES INC
CONTRACTOR . . . . . . . : RISHEL EXCAVATING LIC $# XRISHEXC
COMPANY . . . . . . . . . . : RISHEL EXCAVATING
ADDRESS 5746 W MCCORD RD
CITY/STATE/ZIP . . . : MCCORDSVILLE, IN 46055
TELEPHONE (317) 335-3319
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
USFWATCONN FLAT RATE 1 .00 2615 . 00 0 .00 2615 . 00 0 . 00
UWATERTAP FLAT RATE 1. 00 102 . 00 0 . 00 102 . 00 0. 00
-----_----- -------------------- ---------- ----------
TOTAL PERMIT Cl 2,717. 00` 0 .00 2717 .00 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 2, 717.00 0000
---------------
TOTAL.. .RECEIP_T 2, 717. 00
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAABL VnnOUCHE IR
TO
ADDRESS /n //y�� � �D (c-U/,40 40
Invoice Date Invoice Number Item �/ Amount
1 UNC L. 14 UlG L (JL i I
,p (US . L
(0/VV
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 e
L10
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true an correct and I have audited same in accordance
with IC 5-11-10-1.6.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT_
CARMEL, INDIANA NO.
I Matt�5vor Of
Co doaa L400
Btlu n66OLi' -:C�w Libita
Total Amount of Voucher $
Deductions
tt7:,A
Amount of Warrant 7 1
Month of 0-Y
Acct.
VOUCHER RECORD No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
f
Utility Plant in Service
i
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS.SYSTEMS 1-800-382-8702 325