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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