HomeMy WebLinkAbout327726 07/20/18 `yo`�,q�� CITY OF CARMEL, INDIANA VENDOR: 372574
J® t'.
ONE CIVIC SQUARE MOLLY J.AKARD CHECK AMOUNT: $********50.00*
r ,. CARMEL, INDIANA 46032 4429 BLUE CREEK DR. CHECK NUMBER: 327726
;ETON�°`' CARMEL IN 46033 CHECK DATE: 07/20/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
250 4350900 50.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372574 c o rv-e c,!-
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MOLLY J.AKARO IN SUM OF$ CITY OF CARMEL
�K NZP
4429 BLUE CREEK DR. 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
$50.00
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 $50.00 1 hereby certify that the attached invoice(s),or 7/5/18 0 Rain Barrel Residential Cost Share $50.00
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,July 18,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. 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 I Denied Date
Akard Moll 4429 Blue Creek Drive Carmel 146033 mollyakard(ftmail.com 317-694-8270 5/15/2018 1 Rain Barrel No — $50 EApproved 7/5/2018
Submitted for payment on 7-10-18
1— �a
RESIDENTIAL COST-SHARE APPLICATION
of Ca,..
gy.Rt'�sRfj,�Ay (� RT& 9�
�m FY CITY OF CARMEL STORM WATER USER FEE
RESIDENTIAL COST-SHARE APPLICATION ToShmrr�
,ao
V
at
APPLICATION TYPE: Initial Application YInstallation Verification
APPLICANT NAME: APPLICANT PHONE NUMBER:
M0L-Ly 3 » — �o � L/_ 6 -) - &
APPLICANT EMAIL ADDRESS: APPLI ANT MAILING ADDRESS:
ma 11 cd r • � �y-Z -SLUE L p
PROPERTY ADDRESS: N L Z11 S`L4 C `" ` 6 ZLcj& D e
v? 1Z M et 3.3
PROPERTY UTILITY ACCOUNT NUMBER: PROPERTY PARCEL NUMBER:
041D10 1 0 00
COST-SHARE APPLYING FOR:
Rain Barrel _Rain Garden
Permeable Surface _Other approved BMP's
RIGHT OF ENTRY
Upon approval of this application,the applicant agrees to give the City of Carmel and authorized
representatives the right to enter the premises without hindrances,and inspect any practice being
installed,or that has been installed,to receive a storm water utility credit. Denial of this right will result in
the loss of the storm water credit. Applicant's Initial�_A_�
APPLICANT SIGNATURE: DATE:
21
GVAS 4-0)d -V SU n)
Submit application and attachments to: City of Carmel
Engineering Department
Attn: Department of Storm water Management
One Civic Square
Carmel, IN 46032
stormwater@carmel.in.gov
Required attachments for the Residential Cost-share Incentive
INITIAL APPLICATION ATTACHMENTS \/INSTALLATION VERIFICATION ATTACHMENTS
—Sketch of Site and Location of BMP(s) X Photos of Installation
h Photos of Site _Receipts
_Application Fee
For Department of Storm water Management Use
APPLICANT NAME: PROPERTY ADDRESS:
DATE RECEIVED: RECEIVED BY:
TARGET AREA: D APPROVED
COOL CREEK WATERSHED COST-SHARE AMOUNT
REIMBURSEMENT SENT
DENIED(Reason)
STAFF SIGN RE: DATE:
x
22
3<i {
J � I
�' "'=ti• � r - 't."a�°'�ter• �,;r,�`T'3ts3 cG,{'a,s�j` ty���r{s
r a-
5 } 611 •,
r
{4$'.� � fagg,$$€•Y'.
s+aU� AY-4 I C&A
� � f •yam {
S t
i
r€�*aT^a'u 1�' "���fi` � ta�� x,r C fe..:*e-.+ v+.� �� � r•-5 �, '
c�
s
J7I{ 4 �
MN
t
"
V
�.0
Ij
_
ter` zr��3di
\� iL�'��x;�'q'4 n fYx%�t �"`'v.:�,r�r� n�m�•s„r�ygu^t_"T`.L?�tip'f"IF"!;r, e'=- 7�����It"'� " � `-' �„t`2 � @ w�`'t�.i 5 � �aF'.�'
�,�r "ttits —•.,,.,,,t d .a�t+ii+.�KL ,..rt,r'* _ ._ 1 a P e� 4
Y I n
MA
ARM
��a 4 a 4
aa J 4 a3t 4 Y 4 T%F the
�xys j
'r
I p�yN
loomr,3'ir
fF
;'F � I s •A.