HomeMy WebLinkAbout181949 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 229400 Page 1 of 1
f. ONE CIVIC SQUARE INDIANA DEPT OF HOMELAND SECURITY CHECK AMOUNT: $124.08
CARMEL, INDIANA 46032 DIVISION OF ELEVATOR SAFETY
o ff .;f 302 W WASHINGTON ST, RA/ E221 CHECK NUMBER: 181949
°...V. INDIANAPOLIS IN 46204
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4358300 734241010720 120.00 OTHER FEES LICENSES
4.
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ELEVATOR OPERATING CERTIFICATE INVOICE
CARMEL /CLAY BOARD OF PARKS RECREATION 1411 E 116TH ST CARMEL IN 46032
1.If Code An annual test report is due before a permit is issued.
2.If Code A 5 year Test report is due before a permit is issued.
3.Over due fees must be paid before a permit is issued.
If elevator(s) are not in service please request an "ELEVATOR OUT OF SERVICE
AFFIRMATION" form.
"'State No.Code Due Over Due Location Address
111703 $120.00 0.00 1235 CENTRAL PARK DR EAST, CARMEL IN 40632
urchase Q J�'�' Cu r+)
;ascription V
;.o. Par F
L. es• 7 J tA s 0 Xc JAN l L
'itdget p
tr�a Descr J7 A )S iL5
urchaser Date
\oproval Date; 1
Reference Number Invoice Date Please submit ENTIRE document with payment
734241- 01072010 -1 01/07/2010 Unit(s) 1 Total Due upon receipt
of 1 120.00 of 120.00
Ref.Num.:734241- 01072010 $120 of 120.00 Invoice Date 01/07/2010
If Paying by check, include a check made payable to the Department of Homeland
security. If Paying by Visa or Master Card, complete the following information and
return by mail :Indiana Department of Homeland Security, Fiscal Department, 302
W.Washington St., Rm E221,Indianapolis, IN 46204
or fax to (317)233 -0401. Questions? call(317)232 -6427 or
E- mail:elevator- invoice @dhs.in.gov:
Full Name on Credit Card
Billing Address: Street
City State Zip Code
Credit Card: Visa MasterCard ONLY (circle one)
Acct. Number Exp.Date (mm /yy)
CVV2 Number Contact Phone Number Signature
By signing, cardmember agrees to the obligations set forth by the Cardmember's
Agreement with the issuer.
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
229400 Indiana Department of Homeland Security Terms
Fiscal Department
302 W Washington St., Rm E221
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/7/10 73424101072010 Elevator permits 120.00
Total 120.00
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
Voucher No. Warrant No.
229400 Indiana Department of Homeland Security Allowed 20
Fiscal Department
302 W Washington St., Rm E221
Indianapolis, IN 46204 In Sum of
120.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1091 73424101072010 4358300 120.00 l hereby certify that the attached invoice(s), or
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
28 -Jan 2010
elC il 6/1Z).V)
Signature
120.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund