HomeMy WebLinkAbout19070180 Receipt CITY OF CARMEL
ITEM 1 OF 1 PERMIT RECEIPT OPERATOR: nmishler
COPY # : 1
________________________________________________________________________________
Sec:26 Twp:18 Rng:3 Sub: Blk: Lot:
PARCEL ID ........: 1709260000005000
DATE ISSUED.......: 09/10/2019
RECEIPT #.........: BC000018374
REFERENCE ID # ...: 19070180
SITE ADDRESS .....: 13225 MERIDIAN ST N
SUBDIVISION ......:
CITY .............: CARMEL
IMPACT AREA ......: 31
OWNER ............: INDIANA SPINE HOSPITAL
ADDRESS ..........: 13225 N MERIDIAN ST
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46032
RECEIVED FROM ....: KENNETH MONTGOMERY
CONTRACTOR .......: MONTGOMERY TENT AND AWNING CO LIC # MONTTEN
COMPANY ..........: MONTGOMERY TENT AND AWNING CO
ADDRESS ..........: 5054 E 10TH ST
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46201
TELEPHONE ........: (317) 357-9759
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
SPECEVENT FLAT RATE 1.00 180.00 0.00 180.00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT : 180.00 0.00 180.00 0.00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 180.00
---------------
TOTAL RECEIPT : 180.00