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Home My WebLink About249229 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 362497 4� ONE CIVIC SQUARE DEPARTMENT OF HOMELAND SECURITQHECK AMOUNT: $.....""'50.00' CARMEL, INDIANA 46032 BOILER AND PRESS.VALVE SAFETY DIV CHECK NUMBER: 249229 302 W WASHINGTON ST,RM 246 CHECK DATE: 09/09/15 INDIANAPOLIS IN 46204-2739 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 311211 25.00 BUILDING REPAIRS & MA 1110 4350100 651680 25.00 BUILDING REPAIRS & MA INVOICE FOR INSPECTION / CERTIFICATE FEES f f State Form 356(R4 9-93) it�. roR Approved by the State Board of Accounts-1991 ':4y£SWI-11, Division of Fire and Building Safety 1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY hftpYou can pay all your payments online at ine web site INSTRUCTIONS: 2. Mail 2nd copy&check to DEPARTMENT OF HOMELAND SECURITY with Visa/Mast l Card/Disco er cards.Use Owner Id o with Visa/Master Card/Discover cards.Use Owner Id on Boiler and Pressure Vessel Safety Division this letter or Indiana State Number on the invoice to pull 302 W WASHINGTON ST.,RM 246 up information when paying the dues online. INDIANAPOLIS IN 46204-2739 Telephone:(317)232-1921 INDIANA STATE LATEST NUMBER INVOICE 288872 CARMEL CITY OF DATE PLESE I PAY TH S THREE CIVIL SQUARE AMOUNTI Owner Id CARMEL, IN 46032 08/19/2015 — 640037 Owner number User Name&Location of vessel POLICE DEPT Fee 651680 3 CIVIC SQUARE CARMEL IN 46032 $ 25.00 Serial number Description of vessel Manufacturer Date Last Inspected ZK3857844 SERVICE WATER HEATER LOCHINVAR 06/05/2015 National Board No. Inspection agency Name of inspector (This fee is TRAVELERS REEVES JOSEPH prescribed by 675 IAC 12-3-13) ca,11 caiu1-111iuN1.1.11luiyuwIuwiva r. INVOICE FOR INSPECTION / CERTIFICATE FEES State Form 356(R4 9-93) Approved by the State Board of Accounts-1991 Division of Fire and Building Safety You can pay all your payments online at IDHS web site 1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY https:llmyoracle.In.gov/dfbs/idhsFeesF!nes/start.do INSTRUCTIONS: 2, Mail 2nd copy&check to DEPARTMENT OF HOMELAND SECURITY with Visa/Master Card/Discover cards.Use Owner Id on Boiler and Pressure Vessel Safety Division this letter or Indiana State Number on the invoice to pull 302 W WASHINGTON ST.,RM 246 up information when paying the dues online. INDIANAPOLIS IN 46204-2739 Telephone:(317)232-1921 INDIANA STATE LATEST NUMBER INVOICE PLEASE 311211 CARMEL CITY OF DATE PAY THIS THREE CIVIL SQUARE AMI 0UNT! Owner Id CARMEL, IN 46032 08/19/2015 — 640037 Owner number User Name&Location of vessel POLICE DEPT Fee 3 CIVIC SQ CARMEL IN 46032 $ 25.00 Serial number Description of vessel Manufacturer Date Last Inspected DB8819991 SERVICE WATER HEATER LOCHINVAR 06/05/2015 National Board No. Inspection agency Name of inspector (This fee is TRAVELERS REEVES JOSEPH prescribed by 675 IAC 12-3-13) 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 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)) 08/19/15 ZK3857844 boiler inspection $25.00 08/19/15 DB8819991 boiler inspection $25.00 1 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 Dept of Homeland Security Boiler & Pressure Vessel Safey Division IN SUM OF $ 302 W Washington St., RM 246 Indianapolis, IN 46204 $50.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 ZK3857844 43-501.00 $25.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1110 DB8819991 43-501.00 $25.00 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, September 02, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund