246526 06/17/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 369496ONE CIVIC SQUARE BRYANT OR TASHA SCOTT CHECK AMOUNT: 2*******102.00*
CARMEL, INDIANA 46032 5501 E 71ST ST SUITE 3CHECK NUMBER: 246526
INDIANAPOLIS IN 46220 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 102.00 REFUND
Loveall, Kerri
From: Sy, Rebecca A
Sent: Wednesday,June 03, 2015 2:19 PM
To: Loveall, Kerri
Subject: refund
Homeowner paid twice for invoice.
Ted said to do a claim for it and use acct#4740 if you have any question he said to just call him
Its for$102.00
Sent to 5501 e 71St st suite 3
Indianapolis, in 46220
Becky Sy
Carmel Water Distribution
3450 W. 131St St
Carmel, In.46074
317-733-2855
317-733-2053 Fax
1
,.
CITY OF CARMEL
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: nmishler
COPY # 1
Sec: Twp:18 Rng:03 Sub: B1k:27 Lot:
PARCEL ID . . . . . . . . : 1709270000029000
DATE ISSUED. . . . . . . : 07/02/2014
RECEIPT #. . . . . . . . . : EC000007902
REFERENCE ID # . . . : 14070014
SITE ADDRESS . . . . . : 1661 W MAIN ST
SUBDIVISION . . . . . . :
CITY . . . . . . . . . . . . . . CARMEL
IMPACT AREA . . . . . .
:OWNER SCOTT, BRYANT & TASHA
ADDRESS 5501 E 71ST ST #3
CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46220
RECEIVED FROM . . . . : THE S GROUP LLC
CONTRACTOR . . . . . . . : WILLS EXCAVATING INC LIC # XWILLEXC
COMPANY . . . . . . . . . . : WILLS EXCAVATING INC
ADDRESS 10209 E 59TH ST
CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46236
TELEPHONE . . . . . . . .
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 2717. 00 0 .00 2717. 00 0.00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 2, 717. 00 5053
---------------
TOTAL RECEIPT 2, 717. 00
nt�t
—� City of
MarmsUtilities
Water Operations
3450 W. 131st. Street
Carmel, IN 46074
317-733-2855 Fax: 317-733-2053 DATE: 12/4/2014
INVOICE# JS12414
Bill To: DUE DATE: January 4, 2015
Exceptional Excavating LLC
3939 Hancock Ct.
Franklin IN, 46131 WORK SITE: 1661 W. Main St.
Carmel, IN
Q�IA TITY
_ �DESCRIPTfON
- UNIT l�RICE AMOU
1 Tap inspection $ 102.00 $ 102:00
$ -
$ _
$ -
$ -
CK. NO. 5120 $ _
TOTAL $ 102.00
Make all checks payable to Carmel Utilities
If you have any questions, please contact Jerry Smith at 317-733-2855.
THANK YOU FOR YOUR BUSINESS!
VOUCHER # 152106 WARRANT# ALLOWED
T000 IN SUM OF $
SCOTT, BRYANT & TASHA
5501 E 71 ST STREET
SUITE 3
INDIANAPOLIS, IN 46220 4
j I
Carmel Water Utility-
ON ACCOUNT OF APPROPRIATION FOR
I I
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i III
SCOTT 01-4740-00 $102.00 I,
I
1 I
Voucher Total $102.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
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
T000
SCOTT, BRYANT&TASHA Purchase Order No.
5501 E 71 ST STREET Terms
SUITE 3 Due Date 6/9/2015
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/9/2015 SCOTT $102.00
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
L1111 4r
Date Officer