HomeMy WebLinkAbout193801 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 146900 Page 1 of 1
ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M' �HECK AMOUNT: $11,500.00
CARMEL, INDIANA 46032 CASHIER OFFICE MAIL CODE 50 -10C
100 N SENATE AVE CHECK NUMBER: 193801
INDIANAPOLIS IN 46204
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 131487 11,500.00 MISCELLANEOUS EXPENSE
'1150 66
INVOICE
Please Remit To: Page: 1
INDIANA DEPT OF ENVIRONmFNTAi MGMT Invoice No: 000131487
CASHIER OFFICE MAIL CODE 50 -10C Invoice Date: 01/07/2011
100 NORTH SENATE AVENUE Customer Number: GST100010357
INDIANAPOLIS IN 46204 Bill Type: 021
Payment Terms: NET 60
Due Date: 03/08/2011
Bill To:
CITY OF CARMEL
MS CINDY SHEEKS AMOUNT DUE: 11,500.00 USD
ONE CIVIC SQUARE
CARMEL IN 46032
Amount Remitted
i Note Address Changes Above
Fur billin questions, ptease call 317- 2 32 -8 705 T
Line Adl_ Identifier _Description Quantity UOM Unit Am e _Ne€ Amou
11- 1N0022497 -0 Lase fee S7unicipal Dlajor 1,00 EA 1,50 ^.00 2,500.00
2 11- IN0022497 -0 Flow Fee .for 9 -71 MGD 7.00 F.A 10,000.00 10,000.00
Ar.nnal Fate 3i,', ].-L r_inuired for active NFDT rmits under :.:liana Code C 13- 18 -iJ. To v1>."
via the Internet .:sit• kr_tr:- j/ a, i r;. gov; leg.i. slat. i. e/ ici: d�� /�.i•�1t�73 /ari9 /c1�20.!zcml
"acili:ies witn no discharge ar still requi_:d C .ay any applic_,ole bass: fee as long as the
parmit eactive. A permit is acti a until it j.; c,, "ficiall.y zerini ate. 1 'r IDE Fees ave not,
pro- rated.
The entire amount of th., assessed fae is due and payable by the pet:mit holder unless .IDEi, receives
and aoproves a permit termination request by Dec,mber 31s:; Of Cn- crevious goat
If payment of the `ull assessed fee amount imposes an undue burden upor, the permit holder, the
,.acuity they notify this agency no later than February 15th u pav instead Four equal installments
sprea,l evenly cvnr the year.
Payments not received received after the DULZ _.r:te are su..- ece to a dul.inquency cha_cge equal vo
lot of the assessed Lee. Either the complete fee payment cr the 1st i.nstallmenc is due March IS (CO
days after the assessment date).
If several hermits or invoices are to be paid by one check, you MUST INCLUDE A COPY OF EACH
Y.'ILLING in order to ensure proper credit fcn each fee assessment-
For questions regarding flow values and invoice amounts contact Nancy Coker in the Office of water
Quality at 317- 234 -GG90. Flow based tees are bases: on reported flow values for a twelve month
period ending in June of the previous year.
I TOTAL AMOUNT DU E: 11,500.00
A copy of your invoice must be included with payment.
;95- 1E?E14 ^ria[ed or, Aecyct ed 1'acur Original
VOUCHER 106899 WARRANT ALLOWED
146900 IN SUM OF
IDEM A)eW
100 N. Senate Avenue C
Indianapolis, IN 46207 -7060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
131487 01- 7750 -08 S11,500.00
Voucher Total $11,500.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
146900
IDEM Purchase Order No.
100 N. Senate Avenue Terms
Indianapolis, IN 46207 -7060 Due Date 1/10/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/10/2011 131487 $1 1,500.00
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
Date Officer