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HomeMy WebLinkAbout325293 05/15/18 Q CITY OF CARMEL, INDIANA VENDOR: 372407 ONE CIVIC SQUARE SUSAN MCCLAIN CHECK AMOUNT: S""`*`150.00` CARMEL, INDIANA 46032 1326 LAWRENCE ROAD CHECK NUMBER: 325293 CARMEL IN 46033 CHECK DATE: 05/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 250 4350900 150.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372407 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SUSAN MCCLAIN IN SUM OF$ CITY OF CARMEL 1326 LAWRENCE ROAD 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. CARMEL, IN 46033 Payee $150.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Engineering Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0 43-509.00 $150.00 1 hereby certify that the attached invoice(s),or 8/27/17 0 Rain barrel cost share reimbursement $150.00 2200 250 Prior Year 2200 250 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, May 10,2018 Jeremy Kashman Director I 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 Rain Barrel Residential Cost Share Last name First name Street address City Zip E-mail address Contact Phone App Date Cost-Share Target Area Reimbursement Amt Approved 1 Denied Date 8/27/2017, McClain Susan 1326 Lawrence Road Carmel 46033 susanmcciainCa kw.com 317-956-2352 received 2 Rain Barrels Yes $150 Approved 4/2512018 March 2018 Submitted for Payment on 4-25-18 _ I i I i i 2 RESIDENTIAL COST-SHARE APPLICATION of CITY OF CARMEL STORM WATER USER FEE RESIDENTIAL COST-SHARE APPLICATION , APPLICATION TYPE: _Initial Application _Installation Verification APPLICANT NAME: APPLICANT PHONE NUMBER: APPLICANT EMAIL ADDRESS: APPLICANT MAILING ADDRESS: 670/*r'J lid& �IwcP.• oal- , armed Y60 e3 PROPERTY ADDRESS: C PROPERTY UTILITY ACCOUNT NUMBER: PROPERTY PARCEL NUMBER: /ao 7o a COQ ST�SHARE APPLYING FOR: _" Rain Barrel �) _Rain Garden _Permeable Surface dtber approved BMP's RIGHT OF ENTRY Upon approval of this application,the applicant iDgrees to give the City of Carmel and authorized representatives the right to enter the premises without hindrances,and inspect any practice being installed,or that has been installed,to receive a storm w.ter utility credit. Denial of this right will result in the loss of the storm water credit. Applicant's Initial APPLICANT SIGNATURE: DATE: Q7//7 71 Submit application and attachments to: City of Carmel Engineering Department Attn: Department of Storm water Management One Civic Square Carmel, IN 46032 stormwater@carmeLin.gov Required attachments for the Residential Cost-share Incentive INITIAL APPLICATION ATTACHMENTS I{VSTALLATION VERIFICATION ATTACHMENTS Sketch of Site and Location of BMP(s) _PPhotos of Installation Photos of Site v Receipts _Application Fee For Department of Storm water Management Use APPLICANT NAME: PROPERTY ADDRESS: on C) DATE RECEIVED: ii RECEIVED BY: TARGET AREA: APPROVED v COOL CREEK WATERSHED ,COST-SHARE AMOUNT ',IMBURSEMENT SENT DENIED(Reason) STAFF SIGN E:_ DATE: amazonc©m Final Details for Order #111-8718167-0393001 Print this page for your records. Order Placed: April 14, 2017 Amazon.com order number: 111-8718167-0393001 Order Total: $89.88 Shipped on April 16, 2017 re OM Price 1 of: EMSCO Waterstones 40 Gal Rain Barrel with Downspout Diverter $84.00 Sold by: Amazon.com Services,Inc. Condition: New Shipping Address: Item(s) Subtotal:.$84.00 SUSAN J MCC LAIN Shipping & Handling: 10.00 ' . 1326 LAWRENCE RD CARMEL, IN 46033 Total before tax: $84.00 United States Sales Tax: $5.88 Shipping Speed: Total for This Shipment:-$89.88 Standard Shipping ----- payment information Payment-Method: Item(s) Subtotal: $84.00 Amazon.-com Store Card I Last digits: 5635 Shipping & Handling: $0.00 Billing address Total before tax: $84.00 SUSAN J MCCLAIN Estimated tax to be collected: $5.88 1326 LAWRENCE RD CARMEL, IN 46033 United States Grand Total:$89.88 Credit Card transactions AmazonPLCC ending in 5635: April 16, 2017: $89.88 To view the status of your order, return to Order Summary_. Conditlons-of Use I Privacy Notice© 1996-2018,Amazon.com,Inc. or Its affiliates ama on-co , Final Details for Order #111-7005186-5225015 Print this image for your records. Order Placed: October 31, 2016 Amazon.com order number: 111-7005186-5225015 Order Total: $96.27, Shipped on November 2, 2016 ffft"r Price 1 of: Good Ideas IMP-L65=SAN Impressions Palm Rain Saver, 65-Gallon, Sandstone $89.97 Sold by: Amazon.com Services,Inc. Condition: New Shipping Address: Item(s) Subtotal: $89.97 Susan McClainShippinea.& Handling. $0.00 1326 Lawrence Rd ----- Carmel, IN 46033 Total before tax: $89.97 United States Sales Tax: $6.30 Shipping Speed: Total for This Shipment:$96.27 Standard Shipping ----- Payment information Payment-Method: Item(s) Subtotal: $89.97 Visa I Last digits: 6953 Shipping & Handling: $0.00 Billing address Total before tax: $89.97 Susan McClain Estimated tax to be collected: $6.30 1326 Lawrence Rd Carmel, IN 46033 United States Grand Total:$96.27 Credit Card transactions Visa ending in 6953: November 2, 2016: $96.27 To view the status of your order, return to Order Summary. Conditions of Use I Privacy Notice © 1996-2018,Amazon.com,Inc. or Its affiliates ^r x i .asa ' a