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-
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