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255205 02/09/16
♦� f�q�f( CITY OF CARMEL, INDIANA VENDOR: 368043 4\' ONE CIVIC SQUARE DAVID WEEKLEY HOMES CHECK AMOUNT: $*****1,600.00' s. ?� CARMEL, INDIANA 46032 9310 N MERIDIAN ST STE 100 CHECK NUMBER: 255205 �4j��iow`�' INDIANAPOLIS IN 46250 CHECK DATE: 02/09/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 171301020300 1,600.00 OTHER EXPENSES Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WASTEWATER UTILITY ACCT. CARMEL, INDIANA Favor Of �,,c�K�r Il�►rc� — 3080'43 0712 D (.l /VA U1 01/ly Total Amount of Voucher $ Deductions 1192, � 45 w Amount of Warrant $ 1(A UD "D Month of �� Yrdohe Acct. VOUCHER RECORD No. Collection System Pumping Treatment&Disposal Customer Accounts Administrative&General Reclaimed Water Treatment Reclaimed Water Distribution i 0 Total Allowed Board Members Filed BOYCE FORMS•SYSTEMS 1-800-382-8702 325 CITY OF CARMEL 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: plux COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: PARCEL ID . . . . . . . . : 1713010203005000 DATE ISSUED. . . . . . . : 01/25/2016 RECEIPT #. . . . . . . . . : BC000010752 REFERENCE ID # . . . : 16010085 SITE ADDRESS 11204 WESTFIELD BLVD SUBDIVISION . . . . . . CITY CARMEL IMPACT AREA OWNER DAVID. WEEKLEY HOMES ADDRESS . . . . . . . . . . : 9310 NORTH MERIDIAN STREET, ST CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46260 RECEIVED FROM . . . . : DAVID WEEKLEY HOMES CONTRACTOR LUNAR CONSTRUCTION LIC # XLUNACON COMPANY LUNAR CONSTRUCTION ADDRESS 8121 E 274TH ST CITY/STATE/ZIP ARCADIA, IN 46030 TELEPHONE (317) 281-2229 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- USEWERINSP FLAT RATE 1 .00 u0 0.00 102 .00 0.00 USFSEWCONN FLAT RATE 1.00L4`9I. 0 0 .00 1498 .00 0.00 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 4317. 00 0.00 4317 . 00 0.00 METHOD OF PAYMENT AMOUNT REFEREN NUMBER ----------------- --------------- ---------- --------- CHECK 4,317. 00 2624387 --------------- TOTAL RECEIPT 4,317.00