HomeMy WebLinkAbout311089 5/9/2017 CITY OF CARMEL, INDIANA VENDOR: 362497
ONE CIVIC SQUARE DEPARTMENT OF HOMELAND SECURITVHECK AMOUNT: $ 25.00
:? ?� CARMEL, INDIANA 46032 BOILER AND PRESS.VALVE SAFETY DIV CHECK NUMBER: 311089
+• 302 W WASHINGTON ST,RM 246 CHECK DATE: 05/09/17
MiroN.. INDIANAPOLIS IN 46204-2739
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ALUM B 25.00 OTHER EXPENSES
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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
1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY You can pay all your payments online at(DHS web site
2. Mail 2nd copy&check to DEPARTMENT OF HOMELAND SECURITY https://myoracle.in.gov/dfbs/idhsFeesFines/start.do
INSTRUCTIONS: Boiler and Pressure Vessel Safety Division with Visa/Master Card/Discover cards.Use Owner Id on
302 W WASHINGTON ST.,RM 246 this letter or Indiana State Number on the invoice to pull
INDIANAPOLIS IN 46204-2739 up information when paying the dues online.
Telephone:(317)232-1921
INDIANA STATE T
NUMBER CARMEL WASTE WATER PLANT LATEST PLEASE
317065 INVOICE PAY THIS
9609 HAZEL DELL DATE AMOUNT!
Owner Id INDIANAPOLIS, IN 46280
797451 04/10/2017 J
Owner number User Name&Location of vessel Fee
CARMEL WASTE WATER PLANT
9609 HAZEL DELL
$ 25.00
CARMEL IN 46032
Serial number Description of vessel Manufacturer Date Last Inspected
8726105555
ALUMINUM BOILER ( HARSCO P&K 03/23/2017
National Board No. Inspection agency Name of inspector (This fee is
TRAVELERS REEVES JOSEPH prescribed bY
— -1 675 IAC 12-3-13) - ...._._
---- - -- --- — i
Inspection Date Inspector Name Inspection Type Due
03/23/2017 REEVES JOSEPH RE-INSPECTION--317065,04/10/2017 S 25.00
PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON
LINE AND RETURN BOTTOM COPY WITH PAYMENT ppb