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
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PERMIT #(s): �2-D 0 ( /
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(f ;attach a printed list of all permits,with
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FOR OFFICE USE ONLY: // / 7
p Total amount for fees that ARE available for refund: -$ O . 5?7
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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:
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