Loading...
HomeMy WebLinkAbout195397 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 229400 Page 1 of 1 ONE CIVIC SQUARE DEPARTMENT OF HOMELAND SECURITI&ECK AMOUNT: $25.00 CARMEL, INDIANA 46032 BOILER AND PRESSURE VESSEL DIVISIO 302 W WASHINGTON ST RM 246 CHECK NUMBER: 195397 INDIANAPOLIS IN 46204 -2739 CHECK DATE: 3116/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 25.00 WATER TRMT PLANT INVOICE FOR INSPECTION CERTIFICATE FEES State Form 356 (R4 9 -93) Approved by the State Board of Accounts 1991 Division of Fire and Building Safety 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY INSTRUCTIONS: 2. Mail 2nd copy &check to DEPARTMEN f OF HOMELAND SECURITY Boiler and Pressure Vessel Safety Division 302 W WASHINGTON l RM 246 INDIANAPOLIS IN 4 6704 -2739 Telephone: (317) 232-;9 1 LATEST CARMEL CITY OF INVOICE INDIANA DATE PLEASE ATTN ADMINISTRATOR ,NUMBER PAY THIS C/O LISA KEMPA AMOUNT! 290011 1 760 3RD AVE SW SUITE 110 X02/25/2011 CARMEL, IN 46032 Owner number I User Name Location of vessel WASTE WATER TREATMENT PLT Fee 9609 HAZEL DELL PKWY p INDIANAPOLIS IN _45280 T FIRE TUBE FIRE BOX BOILER- 25.00 Serial number -_._...t u Manufacturer Date Last Ins ected Description of vessel i P BURNHAM 1 02/10/2011 National Board No. Inspection agency Name of inspector (This fee is 2$519 TRAVELERS CALHOUN JOSEPH S prescribed by J 675 IAC 12 -3 -13) VOUCHER 107232 WARRANT ALLOWED 362497 IN SUM OF DEPARTMENT OF HOMELAND SECUF BOILER AND PRESSURE VESSEL SAF 302 W WASHINGTON ST RM 246 INDIANAPOLIS, IN 46204 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 290011 01- 7362 -05 $25.00 Voucher Total $25.00 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 362497 DEPARTMENT OF HOMELAND SECURITY Purchase Order No. BOILER AND PRESSURE VESSEL SAFETY DI\ Terms 302 W WASHINGTON ST RM 246 Due Date 3/7/2011 INDIANAPOLIS, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/7/2011 290011 $25.00 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