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HomeMy WebLinkAbout322006 02/15/18 Coq CITY OF CARMEL, INDIANA VENDOR: 366545 CHECK AMOUNT: $*****4,036.53* ONE CIVIC SQUARE OLD TOWN DESIGN GROUP CARMEL, INDIANA 46032 1132 RANGELINE ROAD CHECK NUMBER: 322006 9M�TpN��,`• CARMEL IN 46032 CHECK DATE: 02/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT_ DESCRIPTION 101 5023990 4,036.53 OTHER EXPENSES VOUCHER NO. WARRANT NO. ALLOWED � � T g 20 O d -O U0 I/L r,>2- G� IN SUM OF $ �(��(�• J� ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 1 D l bill(s) is (are) true and correct and that the 5D- Z 3 , 9 D materials or services itemized thereon for which charge is made were ordered and received except X05 .20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund "COMPLETE&z RETURN REFUND REQUEST THIS FORM TO: u ` - Building�z'Code Services City of Carmel tqR rn.Enit t(?.°' Ph. (317) 571-2444 Fax (317) 571-2499 Building&z;Code Services One Civic Square; - Carmel, IN 46032 __... _ .. PERMIT #(s): �2-D 0 ( / L 11 I 4bo9n (f ;attach a printed list of all permits,with _ � �- P __ _ _ _ efund, and specific fee or fees 5006 j V7, oa l V 9 I A _,____ Zk V'L�,�/ � it °4 , � S CLLR- , 5r ST - W----- FI - r IEPOSIT ONLY Kone# Fax # wmet QCT-#900022 — FOR OFFICE USE ONLY: // / 7 p Total amount for fees that ARE available for refund: -$ O . 5?7 1Z n � p Fees that are NOT available for refund: 9 � p Refund approved by: �r, f Date: LR j 8 p Date submitted for Payment: Amount Approved: i i