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HomeMy WebLinkAbout308311 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 366545 ONE CIVIC SQUARE OLD TOWN DESIGN GROUP (9, CHECKAMOUNT: $****13,404.00* CARMEL, INDIANA 46032 1132 RANGELINE ROAD CHECK NUMBER: 308311 CARMEL IN 46032 CHECK DATE: 02/13/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 13,404.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ CA2 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or So�39�o i3, d g bill(s) is (are) true and correct and that the (�0\ materials or services itemized thereon for which charge is made were ordered and received except 20 IS ilrk e Cost distribution ledger classification if Title claim paid motor vehicle highway fund •i i.♦i�l v t L 1�L�/ `1 LV 1 L LLLJ L VL\LVL L V. j Bulldin��z Code services City of Carmel �'�,•, ` o Building&r Code Services Cr�i,c;rr„a+iil�n: Ph. (317) 571-2444 Fax(317) 571-2499 �r ' One Civic Square; ioIApka. - Carmel, [:.1 46032 PERMIT #(s): ILDO -5 001Z. Z,('V` . Lot & Subdivision, or Address of Construction: l,P�2.o �CJrj 3 �. (If more than one address needs to be list d and will not fit, ple se attach a printed list of all permits,with their corresponding permit#.) Please print or type the reason for the requested refund, and specific fee or fees M M6X which are requested, in the lines below: I/RI UZ34,0 TOTAL REFUND AiIMOUNT REQUESTED: App cant-Sign ture Date )4ish --Dec,:�nn C-mtfi) Ap licant Name—Printed Company Nam ( applicable) APPLICANT ADDRESS: 1 �z % n Street Address l -7W �o3z City.. ST Zip Phone# Fax# :OR OFFICE USE ONLY: Total amount for fees that ARE available for refund: ` ' I �r-N T- e + Fees that are NOT available for refund: 9t Refund approved by:` Date: Date submitted for Payment: :17 _ Amount Approved: