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327723 07/20/18
+ur C�Nb ! �� CITY OF CARMEL, INDIANA VENDOR: 372618 ONE CIVIC SQUARE FREDERIC ABSI CHECK AMOUNT: $********75.00* �� ,?�; CARMEL, INDIANA 46032 1981 WOODBINE CT. CHECK NUMBER: 327723 9+y�roN�°. CARMEL IN 46033 CHECK DATE: 07/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 250 4350900 RAIN BARREL 75.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372618 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FREDERIC ABSI IN SUM OF$ CITY OF CARMEL 1981 WOODBINE CT. 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 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 $75.00 1 hereby certify that the attached invoice(s),or 6/18/18 0 Rain Barrel Residential Cast Share $75.00 2200 250 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 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— Clerk-Treasurer 20Clerk-Treasurer i 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 Absi I Rick 11981 Woodbine Court I Carmel 146033 rickabsi@gmail.com 317-374-4350 6/18/2018 1 Rain Barrel Yes `1$75 — Approved _ 7/5/20_18_ Submitted for Payment on 7-5-18 —� i RESIDENTIAL COST-SHARE APPLICATION Of T A, CITY OF CARMEL STORM WATER USER FEE RESIDENTIAL COST-SHARE APPLICATION 4''�wni conn W,� APPLICATION TYPE: Initial Application Installation Verification APPLICANT NAME: APPLICANT PHONE NUMBER: Pick Abs 317-3 7y - L( 3.!�-a APPLICANT EMAIL ADDRESS: APPLICANT MAILING ADDRESS: 1^7 d I Ct, PROPERTY ADDRESS: Z PROPERTY UTILITY ACCOUNT NUMBER: PROPERTY PARCEL NUMBER: 0g` 1� $0`1 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 t utility credit. Denial of this right will result in the loss of the storm water credit. Applicant's Initials APPLIFAkT SIGN/ACTURE: 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@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) Photos of Installation Photos of Site X Receipts _Application Fee For Department of Storm water Management Use APPLICANT NAME: PROPERTY ADDRESS: DATE RECEIVED: RECEIVED BY: TARGET AREA: _/\APPROVED V� � ARE AMOUNT COOL CREEK WATERSHED °'COST SH REIMBURSEMENT SENT DENIED(Reason) STAFF SIGN DATE: 22 Gmail - Receipt from Hamilton County Soil and Water Conservation District Page 1 of 2 G m a i( Rick Absi <rickabsi@gmail.com> Receipt from Hamilton County Soil and Water Conservation District 1 message Hamilton County Soil and Water Conservation District via Square Mon,Jun 11, 2018 at <receipts@messaging.squareup.com> 1:38 PM Reply-To: Hamilton County Soil and Water Conservation District via Square <r_oiyvquzyhbctgvswie3dowkl.rYUZ.oleguB8fdpNK0ob5.82bac2dl a36c4f6c7e71 d3cdb60fd7bbabl dceda@reply.squareup.com> To: rickabsi@gmail.com Now when you shop at sellers who use Square, your receipts will be delivered automatically. Not your receipt? ILTON COI Soil&Water =11r�lo i Hamilton County Soil and Water Conservation District How was your experience? v � ' 107 . 00 Custom Amount $100.00 Purchase Subtotal $100.00 Sales Tax (7%) $7.00 Total $107.00 �.IOHNSON CT l PLEASAb' T PLEASA�f15T: w l,ttnc•//mail vnoo-le cnm/mail/u/O/?iii=2&ik=534419eb8d&isver=nz7oc4zvxrc.en.&cbl=gym... 6/19/2018 Gmail - Receipt from Hamilton County Soil and Water Conservation District Page 2 of 2 Hamilton County Soil and Water Conservation District 1717 Pleasant St., 100 Noblesville, IN 46060 317-773-2181 Visa 3967 (Swipe) Jun 11 2018 at 1:37 PiNA VI S'A #5NI LY RICK ABSI Auth code: 211173 ,c)2018 Square, Inc. 1455 Market Street, Suite 600 San Francisco, CA 94103 J Nlaobox©OoenStreetNlap Imorove this mao Square Privacy Policv Not vour receiot,? Manace preferences for digital receipts httt)s:Hmail.!ooRle.com/maiUu/O/?ui=2&ik=5')4419eb8d&j sver=nz7oc4zv,v,re.en.&cbl=gm... 6/19/2018 RESIDENTIAL COST-SHARE INCENTIVE APPLICATION /APPLICATION TYPE: Indicate whether the application is an: Initial Application — this application is to be submitted to indicate the applicant's interest in installing a rain barrel and/or a rain garden. All required attachments must be submitted to be considered. Applicants are advised not to proceed until the Initial Application has been approved by the City. ,/Installation Verification — once the rain barrel and/or rain garden have been installed, the applicant must submit this application and all required attachments to be considered for the cost-share reimbursement. /APPLICANT NAME: Name of person applying for the credit. This can be the property owner or person acting on behalf of the property owner. ,,/APPLICANT PHONE NUMBER: Phone number where applicant can be reached. .JAPPLICANT EMAIL ADDRESS: Email address where applicant can be reached. APPLICANT MAILING ADDRESS:Address where applicant can be reached. PROPERTY ADDRESS: Address of the property where the BMPs will be installed or instituted. PROPERTY UTILITY ACCOUNT NUMBER: The utility billing number associated with the property. This number can be found on the property's utility bill or by calling Carmel Utilities at 317-571-2442. J PROPERTY PARCEL NUMBER: The parcel identification number associated with the property. This number can be found on property tax records or from the Hamilton County Recorder's Office at 317- 776-9618 or online at http•//gis.hamiItoncounty.in.gov/FlexViewer/Index.htmI JCOST-SHARE APPLYING FOR: Indicate the one or more cost-share(s) for consideration. See Chapter 3 of this Credit Manual for an explanation of each cost-share JAPPLICANT SIGNATURE: Signature of applicant. J DATE: Date application is submitted. APPENDIX 4 LIST OF EDUCATIONAL RESOURCES EXAMPLES OF EXISTING EDUCATIONAL RESOURCES IDEM Classroom Resources(http://www.in.gov/idem/nps/3459.htm) IDNR Project WET(http://www.in.gov/dnr/fishwild/7546.htm) 23 EPA NPDES Storm Water Outreach Materials and Reference Documents (http•//cfpub epa gov/npdes/stormwatermonth.cfm#materials) EPA Teacher Resources and Lesson Plans (http://www.epa.gov/students/teachers.html) EPA Water science and Technology for Students and Educators (http://water.epa.gov/learn/resources/) USGS Education Resources(http://education.usgs.gov/) APPENDIX 6 Target Areas Map ti 4 .:�t�,Y�te1r ,S.Lg,�"'f+ �H p' is ' I _ -a� ;•f7 �' f ..6 ag�l,w�y,+��'J�4��H�4Ag 'Y'h' �f �b ti �z y • a � � '�"' �ylc. _ 4Vi ;�`�usF s i 3y;si:'S j�95 E r � t Legend =Cool Creek watershed Industrial Zoning QCarmel 24 rk- ka �f.�, �s 't un Olt I f ,} ,.. FM J , �''�..��'^`' �3 h a-- .a. �,. 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