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HomeMy WebLinkAbout324868 05/09/18 :'„ii r"4�gyF CITY OF CARMEL, INDIANA VENDOR: 372409.= ONE CIVIC SQUARE SCOTT B.HAMILTON CHECK AMOUNT: 324868 **"**.304.04' f =4 CARMEL, INDIANA 46032 7415 BADEN"•DhIVE CHECK NUMBER: 3 +�3INDIANAPOLIS IN 46278 CHECK DATE: 05/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 5023990 304.04 OTHER EXPENSES VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ 74 $ 0+ 0(� ON ACCOUNT OF APPROPRIATION FOR D005 Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or . A353 "7 bill(s) is (are) true and correct and that the QP materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund of CA REFUND REQUEST i Building& Code Services Ph. (317) 571-2444 Fax (317) 571-2499 \NDIANP PERMIT #(s): o? ®o Lot& Subdivision or Address of Construction: 66 Permit Type: Reason for refund request: fp . TOTAL REFUND AMOUNT REQUESTED: C)V:� APPLICANT: b Q�) 71- s . �(4 IjUk 11 JOAJ S , NIM I L-,DAJ Applicant Name—Printed Company Name(If applicable) Street Address yW►& L45 ZT-0 e4Z City ST Zip 3f7 , go -7Zyo Phone# Fax# CITY OF CARMEL 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: plux COPY # 1 Sec: Twp:18 Rng:04 Sub:555 B1k:20 Lot:6 PARCEL ID . . . . . . . . : 1610200406004000 DATE ISSUED. . . . . . . : 03/07/2018 RECEIPT #. . . . . . . . . : BC000015236 REFERENCE ID # . . . : 18020095 SITE ADDRESS . . . . . : 1938 SPRUCE DR SUBDIVISION . . . . . . : WEDGEWOOD CITY . . . . . . . . . . . . . . CARMEL IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . . DYER, RIP ADDRESS : . . . . . . . . . : 1938 SPRUCE DR CITY/STATE/ZIP . . . : CARMEL, IN 46032 RECEIVED FROM . . . . : S B HAMILTON CO CONTRACTOR . . . . . . . : S B HAMILTON CO LIC # SBHAMI COMPANY . . . . . . . . . . : S B HAMILTON CO ADDRESS . . . . . . . . . . : 7415 BADEN DR CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46278 TELEPHONE . . . . . . . . : (317) 809-7240 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 208 .00 194 .04 0 .00 194 . 04 0. 00 RESC/0 FLAT RATE 1 .00 67. 00 0 .00 67 . 00 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 471. 04 0 .00 471.04 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CASH 0. 02 CHECK 471. 02 8269 --------------- TOTAL RECEIPT 471. 04