HomeMy WebLinkAbout328664 08/09/18 `%'��p�'' CITY OF CARMEL, INDIANA VENDOR: 372684
'\. CHECK AMOUNT: $********50.00*
ONE CIVIC SQUARE PAUL R EHRGOTT
:. aa' CARMEL, INDIANA 46032 10000 WESTFIELD BLVD CHECK NUMBER: 328664
9M��roN�°' INDIANAPOLIS IN 46280 CHECK DATE: 08/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
250 4350900 0 50.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372684
PAUL R EHRGOTT IN SUM OF$ CITY OF CARMEL
10000 W ESTF I ELD BLVD 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.
INDIANAPOLIS, IN 46280
Payee
$50.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineerinq 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
Monday,August 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
20.Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
RESIDENTIAL COST-SHARE APPLICATION
2.50 - 43 SGS 9 00 of CQ,,
br'W
�. CITY OF CARMEL STORM WATER USER FEE
r:
RESIDENTIAL COST-SHARE APPLICATION Is MW
APPLICATION TYPE: Initial Application _Installation Verification
APPLICANT NAME: APPLICANT PHONE NUMBER:
P'UL_ S►1— IgA r -74-9-7
APPLICANT EMAIL ADDRESS: APPLICANT MAILING ADDRESS:
ITT. tJE7 1CCOG 1;q ffsTFtCLD gwo
AA W,T T—; 4-(,o�-Y o
PROPERTY ADDRESS: l oCoo v41E9ff(,ELf9 6WV) eTA V9PLS _LrJ �b�b
PROPERTY UTILITY ACCOUNT NUMBER: PROPERTY PARCEL NUMBER:
193-45 t S 2-3 0 0 21
�-�-13 - cz —ate— o5 _ozz
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 at r utility credit. Denial of this right will result in
the loss of the storm water credit. Applicant's Initials
APP
LIC T I AT E 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@cormeLin.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
L Photos of Site x Receipts
Application Fee
For Department of Storm water Management Use
APPLICANT NAME: PROPERTY ADDRESS:
DATE RECEIVED: RECEIVED BY:
TARGET AREA: JVAPPROVED
COOL CREEK WATERSHED ACOST-SHARE AMOUNT
REIMBURSEMENT SENT
DENIED(Reason)
STAFF SI ATUR DATE:
7
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Sent from my Phone
https:Houtlook.live.com/owa/?path=/mailriinbox/rp 3/3
Order No. 1525900428
Hamilton County Soil
and Water Conservation
District
Thank you for your purchase!
$80.25
x
...1009 — American Express
Billing Information Shipping Information
u ...1009 — American Express Emily Ehrgott
10000 Westfield Blvd
Emily Ehrgott Carmel, IN 46280
10000 Westfield Blvd US
Carmel, IN 46280 Esschafe@msn.com
US 317-441-6553
Esschafe@msn.com
317-441-6553
Order Surnary ---
ITEM DESC QUANTITY TOTAL
$75 Rain Barrel (55 gallon)- pica up 1 $75.00
only
Color: Grey
Subtotal $75.00
Shipping $0.00
Tax $5.25
TOTAL $80.25