320037 12/21/17 CITY OF CARMEL; INDIANA VENDOR: 175950
i ONE CIVIC SQUARE BRUCE KNOTT CHECK AMOUNT: $*******208.00'
CARMEL, INDIANA 46032 120 MORSE LANDING DR CHECK NUMBER: 320037
CICERO IN 46034 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER _ INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 REIMB 208.00 FESTIVAL COMMUNITY EV
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 175950
IN SUM of$
,BRUCE KNOTT CITY OF CARMEL
120 MORSE LANDING DR An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CICERO, IN 46034
Payee
$208.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
STATEMENT 43-590.03 $208.00 1 hereby certify that the attached invoice(s),or 12/15/17 STATEMENT $208.00
1203 101 1203 101
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
Monday, December 18,2017
Heck, Nancy
Director
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
ANT OF yO
FIRE AND BUILDING DIVISION OF FIRE AND BUILDING SAFETY
DEPARTMENT OF ELAND SECURITY
CODE ENFORCEMENT INDIANA302WEST WASHINGTON STI EET,RM 2411
2 " INSPECTION REPORT INDIANAPOLIS,IN 46204
a
TELEPHONE: 317-232-2222
ORDER WEB ADDRESS: WWW.IN.GOV/DHS
Identification Number Name of the facility County
AE2933967 CENTER GREEN HAMILTON
Address of Property Name of the Contact Telephone Number
10 CENER GREEN CARMEL 46032 BRUCE KNOTT (317)571-2619
Email Inspection Date
bknott@carmel.in.gov 11/14/2017
Inspection Category Inspection Type Inspection Status:
ENTERTAINMENT PERMIT ANNUAL COMPLIED
Name of the inspector MIKE BARNHART Phone: 3174176664
Email: mbarnhart@dhs.in.gov
Inspection Notes:
Event will be inspected and emergency procedures will be enforced by Carmel Fire Dept.and Carmel Police Department.
Facility Id Received By Name Signature and Date
AE2933967
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1
Page 1 of 2
Key Privilege
Account Statement
ONN. BRUCE A KNOTT,JANET KNOTT
Account number: 149322027025
November 1 -November 30,2017
Activity Detail
Deposits and Other Additions
Date - Description Amount
11/7
11/9
11/10
11/24
11/24
11/30 t1ir
Total Deposits and Other Additions
Checks Paid
Number. Date paid Amount Number Date paid Amount Number Date paid Amount
1479 11/3 1482 11/14 1485 11/13
1480 11/1 1483 11/8 1486 11/20
1481 11/9 1484 11/20 1487 11/20
Total Checks Paid it
Debit Card/ATM Withdrawals
Date Description Amount
11/1
11/6
11/6
11/8
11/9 STATE OF INDIAN INDIANAPOLIS I A208-
11/10
11/16
11/22
11/24
11/27
11/28
11/30
Total Debit Card/ATM Withdrawals
4 page 4 of 7