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18010106 Receipt/Permit
5 ITEMS OF 5 CITY OF CARMEL PERMIT RECEIPT Sec: Twp:17 Rng:03 Sub:790 B1k:09 Lot:58 PARCEL ID ........: 1713090007020000 DATE ISSUED.......: 02/02/2018 RECEIPT #.........: BC000015088 REFERENCE ID # ...: 18010106 SITE ADDRESS ..... SUBDIVISION ...... CITY ............. IMPACT AREA ...... 10431 HIGH GROVE DR WINDEMERE CARMEL OPERATOR: bsemeste COPY # : 1 OWNER ............: MORRIS, KENTON & JENNIFER ADDRESS ..........: 10431 HIGH GROVE DR CITY/STATE/ZIP ...: CARMEL, IN 46032 RECEIVED FROM ....: CASE HANDYMAN CONTRACTOR .......: CASE DESIGN/REMODELING LIC # CASEDES COMPANY ..........: CASE DESIGN/REMODELING ADDRESS ..........: 99 E CARMEL DR., STE 100 CITY/STATE/ZIP ...: CARMEL, IN 46032 TELEPHONE ........: (317) 846-2600 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- IRESFINAL ------------- PER INSPECTIO ---------- 1.00 ---------- 70.00 ---------- 0.00 ---------- 70.00 ---------- 0.00 IRESFTSLB PER INSPECTIO 1.00 70.00 0.00 70.00 0.00 IRESROUGH PER INSPECTIO 1.00 70.00 0.00 70.00 0.00 RESADD SQUARE FEET 764.00 266.32 0.00 266.32 0.00 RESC/0 FLAT RATE 1.00 67.00 0.00 67.00 0.00 TOTAL PERMIT ---------- 543.32 ---------- 0.00 ---------- 543.32 ---------- 0.00 METHOD OF PAYMENT ----------------- CREDIT CARD TOTAL RECEIPT : AMOUNT --------------- 543.32 --------------- 543.32 REFERENCE NUMBER -------------------- master card GPS Page 1 of 1 Print this page am-"-OGOVPAYNET The Simple Way To Fay Government Payment Service GovPayNet 7102 Lakeview Parkway West Drive Indianapolis, IN 46268 24 Hour Customer Service #: 888-604-7888 PERMITS Payment Confirmation PLC: CARMEL CITY DEPT OF COMMUNITY DATE: 02/02/18 9199 SERVICE ONE CIVIC SQUARE CARMEL, IN 46032 FOR: PERMITS TRANSACTION INFORMATION Name: AMBER BRYANT TRANSACTION Permit/Docket 18010106 REFERENCE #: 22170757 #: TRANSACTION 02/02/201813:10:35 Payment Type: PERMITS DATE/TIME: EST BILLING INFORMATION NAME: AMBER BRYANT PAYMENT INFORMATION ADDRESS: 99 E CARMEL DR SUITE 100 APPROVAL M 09219J CITY, STATE ZIP: CARMEL, IN 46032 PAYMENT AMOUNT: $543.32 PHONE #: 317-846-2600 SERVICE FEE: $21.25 CARD #: xxxx-xxxx-xxxx-9937 TOTAL AMOUNT: $564.57 The service fee is not refundable. ATTENTION CARDHOLDER: If you have questions about the processing of your payment, please call GovPayNet at 888-604-7888. Cardholder Signature Date Thank you for using GovPayNet © 2007 Government Payment Service, Inc. Farm #: EUR httnc•//xxnxnxr anvnnimmu 17(17S7R,t.,lran—1 1)/7/7111 4