HomeMy WebLinkAbout330614 10/02/18 +ur C.IAb
\'l. CITY OF CARMEL, INDIANA VENDOR: 372821
ONE CIVIC SQUARE MARLA J&STEPHEN P MATTINGLY CHECK AMOUNT: $*******150.00*
�� �_�: CARMEL, INDIANA 46032 1289 W 4N0COTTONWOOD CT CHECK NUMBER: 330614
�Tor+�° CHECK DATE: 10/02/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
250 4350900 150.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 372821 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MARLA J & STEPHEN P MATTINGLY IN SUM OF$ CITY OF CARMEL
1289 COTTONWOOD 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
$150.00
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 $150.00 1 hereby certify that the attached invoice(s),or 9/24/18 0 Rain Barrel Cost Share $150.00
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, September 26,2018
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
RESIDENTIAL COST-SHARE APPLICATION
CITY OF CARMEL STORM WATER USER FEE
RESIDENTIAL COST-SHARE APPLICATION
APPLICATION TYPE: _initial Application ti Installation Verification
APPLICANT NAME: APPLICANT PHONE NUMBER.
Jeai1riI'l,e ilei1r19 3 i 7- �N6 -59V19-
APPLICANT EMAIL ADDRESS: APPLICANT MAILING ADDRESS:
c � 189 eo�4owKJoe c�
--LL
-} 0" OLN, 11ET Carvve z� (ev33
PROPERTY ADDRESS: 91 W a a c� wt e I L (�G 33
PROPERTY UTILITY ACCOUNT NUMBER: PROPERTY PARCEL NUMBER:
OS5/�2a(?S07 03- 13- 0a29 000
COST-SHARE APPLYING FOR:
Rain Barrel ('�. i _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 Initials 9y11
i
APPLICANT SIGNATURE: DATE:
c�' Q• Pl, -
21
Submit application and attachments to: City of Carmel
Engineering Department
Attn:Department of Storm water Management
One Civic Square
Carmel,IN 46032
stormwater@carrneLin.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 _Receipts
Application Fee
For Department of Storm water Management Use
APPLICANT NAME: PROPERTY ADDRESS:
DATE RECEIVED: RECEIVED BY:
/may ,y,, i „� {'/`•. .> „y, �';".•. �.�.��
TARGET AREA: APPROVED
I+COOL CREEK WATERSHED COST-SHARE AMOUNT
�-----
REIMBURSEMENT SENT
DENIED(Reason)
STAFF SIGNATURE DATE:
22
Jeannine
From: Hamilton County Soil and Water Conservation District [no-reply@editmysite.com]
Sent: Thursday, May 03, 2018 5:55 PM
To: sjmaft@aft.net
Subject: Thank you for your order!
Follow Up Flag: Follow up
Flag Status: Flagged
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Win Desc QUANTITY TOTAL
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Subtotal $15100
Shipping ST00
Tax $W50
TOTAL $16150
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