HomeMy WebLinkAbout311680 5/9/2017 CITY OF CARMEL, INDIANA VENDOR: 362497
ONE CIVIC SQUARE DEPARTMENT OF HOMELAND SECURITVHECK AMOUNT: $......**75.00*
CARMEL, INDIANA 46032 BOILER AND PRESS.VALVE SAFETY DIV CHECK NUMBER: 311680
M '••• 302 W WASHINGTON ST,RM 246 CHECK DATE: 05/30/17
roM�O' INDIANAPOLIS IN 46204-2739
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 290011 25.00 OTHER EXPENSES
651 5023990 308699 25.00 OTHER EXPENSES
651 5023990 317065 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
`'. _• You can pay all your payments online at IDHS web site
1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY https://myoracle.in.govldfbs/ldhsFeesFines/starLdo
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
290011 CARMEL WASTE WATER PLANT DATE PAY THIS
9609 HAZEL DELL AMOUNTI
04/10/2017
Owner Id INDIANAPOLIS, IN 46280
787451 J
User Name&Location of vessel WASTE WATER TREATMENT PLT Fee
Owner number
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 $ 25.00
Serial number Description of vessel Manufacturer Date Last Inspected
FT Boiler BURNHAM 03/23/2017
National Board No. Inspection agency Name of inspector (This fee is
28519 TRAVELERS REEVES JOSEPH prescribed by
675 IAC 12-3-13)
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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
You can pay all your payments online at IDHS web site
1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY https://myoracle.in.gov/dfbs/idhsFeesFines/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
j INDIANA STATE LATEST
NUMBER INVOICE PLEASE
308699 CARMEL WASTE WATER PLANT DATE PAY THIS
9609 HAZEL DELL AMOUNTI
Owner Id INDIANAPOLIS, IN 46280 04/10/2017
787451 �J
Fee
User Name&Location of vessel CARMEL WASTE WTR UTILITIES
Owner number
9609 HAZEL DELL PKWY
CARMEL IN 46280 $ 25.00
Serial number Description of vessel Manufacturer Date Last Inspected
FT Boiler HURST 03/23/2017
I
National Board No. Inspection agency Name of inspector (This fee is
14935 j TRAVELERS REEVES JOSEPH prescribed by
675 IAC 12-3-13)
INVOICE FOR INSPECTION / CERTIFICATE FEES
State Form 356(R4 9-93)
Approved by the State Board of Accounts-1991
Division of Fire and Budding Safety
You can pay all your payments online at IDHS web site
1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY https://myoracle.in.gov/dfbs/idhsFeesFines/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
CARMEL WASTE WATER PLANT DATE
317065 PAYTHIS
9609 HAZEL DELL AMOUNTI
Owner Id INDIANAPOLIS, IN 46280 04/10/2017
787451
Owner number User Name&Location of vessel CARMEL WASTE WATER PLANT Fee
9609 HAZEL DELL
CARMEL IN 46032 $ 25.00
Serial number Description of vessel Manufacturer Date Last Inspected
R726105555 ALUMINUM BOILER HARSCO P&K 03/23/2017
National Board No. Inspection agency Name of inspector (This fee is
TRAVELERS REEVES JOSEPH prescribed by
675 IAC 12-3-13)