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HomeMy WebLinkAbout259242 05/31/16 CITY OF CARMEL, INDIANA VENDOR: 366545 4. 41 ONE CIVIC SQUARE OLD TOWN DESIGN GROUP CHECK AMOUNT: $*****1,600.00* CARMEL, INDIANA 46032 1132 RANGELINE ROAD CHECK NUMBER: 259242 'M,iTON moo. CARMEL IN 46032 CHECK DATE: 05/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 BC000010454 102.00 OTHER EXPENSES 659 5023990 BC000010454 1,498.00 OTHER EXPENSES Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WASTEWATER UTILITY ANOT. CARMEL, INDIANA Oc pTo�N�f 5�� Favor Of 3(D(p Jry 5' ��a s 4,tuLLVA a� ('AuL*5L Z•'1,Jc,oy1 Total Amount of Voucher $ Deductions SSP !0a o0 Amount of Warrant 00 v11 Month of Yr Acct. VOUCHER RECORD No. Collection System Pumping Treatment&Disposal —^ Customer Accounts Administrative&General Reclaimed Water Treatment Reclaimed Water Distribution; 77 Total Allowed Board Members Filed BOYCE FORMS•SYSTEMS 1-800-382-8702 325 , Prescribed by State Board of Accounts Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount 1G4 FuNO- 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 except Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer Title CITY OF CARMEL 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: plux COPY # Sec: Twp: Rng: Sub:167 Blk: Lot:13 PARCEL ID . . . . . . . . : 1610300103007000 DATE ISSUED. . . . . . . : 11/13/2015 RECEIPT #. . . . . . . . . : EC000010454 REFERENCE ID # . . • : 15110061 SITE ADDRESS . . . . . : 135 SYLVAN LN SUBDIVISION . . . . . . : CARMELWOOD CITY . . . . . . . . . . . . . : CARMEL IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : OLD TOWN DEVELOPMENT, LLC ADDRESS . . . . . . . . . . : 1132 SOUTH RANGE LINE ROAD CITY/STATE/ZIP . . . : CARMEL, IN 46032 RECEIVED FROM . . . . : OLD TOWN DESIGN GRO CONTRACTOR . . . . . . . : (FORMERLY MADDOX EXCAVATING) LIC # XELEVEXC COMPANY . . . . . . . . . . : ELEVATION EXCAVATION INC ADDRESS . . . . . . . . . . : 1132 RANGE LINE RD S CITY/STATE/ZIP . . . : CARMEL, IN 46032 TELEPHONE . . . . . . . . : (317) 816-3149 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- USEWERINSP FLAT RATE 1 .00 102 .00 0.00 102 . 00 0 . 00 USFSEWCONN FLAT RATE 1.00 1498.00 0 .00 1498 .00 0 .00 USFWATCONN FLAT RATE 1.00 2615.00 0.00 2615~00 0.00 UWATERTAP FLAT RATE 1.00 102.000.00 102.00 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT 4317. 00 0 .00 4317.00 0. 00 , METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 4,317. 00 71075 --------------- TOTAL RECEIPT 4,317.00