HomeMy WebLinkAbout323590 03/29/18 CITY OF CARMEL, INDIANA VENDOR: 371323
ONE CIVIC SQUARE JOHN EATON HOMES CHECK AMOUNT: $********50.00*
a° CARMEL, INDIANA 46032 1101 N CENTRAL AVE STE B CHECK NUMBER: 323590
INDIANAPOLIS IN 46202 CHECK DATE: 03/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 5023990 50.00 OTHER EXPENSES
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VOUCHER NO. WARRANT NO.
ALLOWED 20
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
(1 O-? �09 • o D bill(s) is (are) true and correct and that the
l d materials or services itemized thereon for
which charge is made were ordered and
received except
0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Of CA REFUND REQUEST
�RTtiERS�
Building& Code Services
1Z,R Mh:In q, Ph. (317) 571-2444 Fax (317) 571-2499
IND I ANP
PERMIT #(s): I O {
Lot& Subdivision or Address of Construction:
LAcA rQJ Wo od Cir n-)z1 i N (4(c,033
Permit Type: Fence
I
Reason for refund request:
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TOTAL REFUND AMOUNT REQUESTED:��O• 170
APPLICANT:
Jin Ea- jon 40m,es HnS
Applicant Name—Printed Company Name(If applicable)
Street Address `
City ST Zip
31--7- c?-7g - g3ny
Phone# Fax#
CITY OF CARMEL
ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: lmotz
COPY # 1
Sec: Twp:17 Rng:03 Sub:723 B1k:10 Lot:62
PARCEL ID . . . . . . . . : 1713100001052000
DATE ISSUED. . . . . . . : 11/22/2017
RECEIPT #. . . . . . . . . : BC000014762
REFERENCE ID # 17110118
SITE ADDRESS . . . . . : 1091 LAURELWOOD
SUBDIVISION . . . . . . : LAURELWOOD
CITY CARMEL
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : SMITH, ANTHONY & GEORGETTE
ADDRESS . . . . . . . . . . : 1091 LAURELWOOD DR
CITY/STATE/ZIP . . . : CARMEL, IN 46032
RECEIVED FROM . . . . : JOHN EATON HOMES
CONTRACTOR . . . . . . . : ARTY'S FENCE AND DECK LIC # ARTYDEC
COMPANY ARTY'S FENCE AND DECK
ADDRESS . . . . . . . . . . : 1302 BEDFORD ST
CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46221
TELEPHONE . . . . . . . . :
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
FENCE FLAT RATE 1.00 50. 00 0 . 00 50. 00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 50. 00 0 .00 50 .00 0.00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 50 .00 American Express
---------------
TOTAL RECEIPT 50. 00
Residential requests must occur within 180 days from the issuance date of the permit.
Commercia/Institutional/Muhi-Family requests must occur within 1 year of the issue date of the State
Design Release. If no State Design Release was required,the refund must be requested within 1 year from
issuance date of the permit.
The following fees are eligible for refund:
Square Footage Fees
Inspection Fees
Certificate of Occupancy or Substantial Completion Fees
Park and Recreation Impact Fees
Carmel Utility Water/Sewer Fees
Square Footage Fees:
Inspection Fees:
PRIF:
Certificate of Occupancy:
Water Sewer Fees:
TOTAL REFUND: E�'5-0• O0 -fe-nce c�-Ppfi*cp5f-�on -re-e, re--�cnc/
Original receipt date: i 1 a 9//-7 Receipt Number: (3 C O O 0 01 Ll7(o a:
Date: 3 02 Csa / Refund approved by:
Prescribed by State Board of AccountsACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
CITY OF CARMEL
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.
Payee
_4-� dt l`f"1 6a+-�,n �Anme,S Purchase Order No.
C2n- rco Ue, Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
V/ (� .
Total .D - DO
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
Clerk-Treasurer