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HomeMy WebLinkAbout326130 06/12/18 J`% ±p CITY OF CARMEL, INDIANA VENDOR: 372467 ONE CIVIC SQUARE MADELYN E.ZALON CHECK AMOUNT: $********75.00* CARMEL, INDIANA 46032 1411 LAWRENCE RD CHECK NUMBER: 326130 ;ETON�r CARMEL IN 46033 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT 'PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 250 4350900 75.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372467 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MADELYN E. ZALON IN SUM OF$ CITY OF CARMEL 1411 LAWRENCE RD 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 $75.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering Terms 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 $75.00 1 hereby certify that the attached invoice(s),or 6/5/18 0 Rain Barrel residential cost share $75.00 2200 250 2200 250 reimbursement 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 Wednesday,June 06,2018 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Rain Barrel Residential Cost Share � mlApl!ii-oved/ Last name First name Street address City Zip E-mail address Contact Phone App Date Cost-Share Target Area Reimburseent Amt Denied I Date Zalon Madel n 1411 Lawrence Road Carmel 41iff33 rr 17-815-9941 do2�/18,a!I 1 Rain Y received.on Barrel Yes $75 Approved 5l29/20T8 5!22118 Submitted for Pa ent on 6/4/18 ^ � _-IA RESIDENTIAL COST-SHARE APPLICATION of ca"� ,3F Q�NT\rRRj, C7 k� r CITY OF CARMEL STORM WATER USER FEE a3>`) RESIDENTIAL COST-SHARE APPLICATION 'asw va APPLICATION TYPE: Initial Application _Installation Verification APPLICANT NAME: APPLICANT PHONE NUMBER: 4 l APPLICANT EMAIL ADDRESS: APPLICANT MAILING ADDRESS: n Evl Z c'J PROPERTY ADDRESS: PROPERTY UTILITY ACCOUNT NUMBER: PROPERTY PARCEL NUMBER: C? l.'C7 /� r��' `._ �..J' C COST-SHARE APPLYING FOR: Rain Barrel _Rain Garden Permeable Surface —Other approved BMP's RIGHT OF ENTRY Upon approval of this application,the applicant agrees 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 water utility credit. Denial of this right will result in the loss of the storm water credit. Applicant's InitialsZ APPLICANT SIGNATURE: DATE: 21 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 INSTALLATION VERIFICATION ATTACHMENTS Sketch of Site and Location of BMP(s) P�hotos of Installation Photos of Site "eceipts _Application Fee For Department of Storm water Management Use APPLICANT NfA��ME: � PROPERTY ADDRESS: DATE RECEIVED: RECEIVED BY: TARGET AREA: V`APPROVED COOL CREEK WATERSHED OST-SHARE AMOUNT REIMBURSEMENT SENT DENIED(Reason) STAFF SIGNAT DATE: 2— / / Pr- 22 ,s % F d s I a • Mrr a &'� "� s4 r t,{ s r hY y e. r r 7 � BPJyC6 Furn3�'J�(efl'Ii,.{?;3iC"dt;91+�„S,1"� ('ioytrziGf Fa�CC*°1,"cr9 "a.�^a7:U r mei 1`} ,r�'iF •�0.We{ ��� ��'Yvt d�'x;�, I �r 9 ea sP.>"#�z'y, j,q,ya,�'ti M -. ((��. 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