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Home My WebLink About196399 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 229400 Page I of 1 ONE CIVIC SQUARE INDIANA DEPT OF HOMELAND SECURITY {y CARMEL, INDIANA 46032 DIV OF ELEVATOR SAFETY- FISCAL OFFI HECK AMOUNT: $150.00 302 W WASHINGTON ST, RM E221 CHECK NUMBER: 196399 I NDIANAPOLIS IN 45204 CHECK DATE: 411312011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 304619 25.00 304619 1093 4350100 304619 25.00 304620 1093 4350100 304619 25.00 304621 1093 4350100 304619 25.00 304622 1093 4350100 304619 25.00 304623 1093 4350100 304619 25.00 304624 "F INVOICE FOR INSPECTION CERTIFICATE FEES {N� O o`: o 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 MAR 2 01 1 2. Mail 2nd copy &check to DEPARTMENTOFHOMELAND SECURITY INSTRUCTIONS: Boiler and Pressure Vesse: Safety Division 302 W WASHINGTON ST., RM 246 INDIANAPOLIS IN46204-2'739 7� Telephone: (317) 232 -1921 INDIANA CARMEL CLAY PARKS RECREATION LATEST PLEASE INVOICE PAY THIS NUMBER ATTN TERRY MYERS AMOUNT! DATE j 304619 1411 E 116TH ST CARMEL, IN 46032 03/25/2011 Owner number User Name Location of vessel THE MONON CTR I Fee 1235 CENTRAL PARK DR E 25.00 CARMEL IN 46032 I Serial (lumber Description of vessel i Manufacturer Date Last Inspected �W T Blr Hot Water Heating BRYAN 03/14/2011 National Board No. Inspection agency Name cf inspector (This fee is 53252 h TRAVELERS CALHOUN JOSEPH c prescribed by 675 IAC 12 -3 -13) Inspection Date Inspector Name 'Inspection Type Due 03/14/2011 CALHOUN JOSEPH S RE- INSPE.C'TiON 304619,03/25/201 1 S 25.00 INVOICE FOR INSPECTION CERTIFICATE FEES State Form 356 (R4 9 -93) Purchase Approved by the State Board of Accounts -1991 Description. l� Division of Fire and Building Safety P.O.# PorF \"iii e''�� 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY 2. Mail2ndcopy &check to DEPARTMENT OF HOMELAND SECURITY G.L.# INSTRUCTIONS: Boiler and Pressure Vcssel Safety Division Budget 302 W WASHINGTON ST., RM 246 Line Descr alga INDIANAPOLIS IN 46204 -2,739 Telephone: (317) 232 -1921 Purchaser Date -�Q Pproval Dade obi dJ I INDIANA CARMEL CLAY PARKS RECREATION INVOICE PAY THIS IM LATEST PLEASE NUMBER ATTN TERRY MYERS A C 2011 DATE AMOUNT! 304620 1411 E 116TH ST I CARMEL, IN 46032 03/25/2011 I i BY: I Owner number User Name Location of vessel THE MONON CTR Fee 1235 CENTRAL PARK DR E 25.00 CARMEL IN 46032 Serial number Description of vessel Manufacturer Date Last Inspected �W T Blr Hot Water Heating BRYAN 03/14/2011 National Board No. Inspection agency Name of inspector (This fee is prescribed by i 53259 TRAVELERS CALHOUN JOSEPH S I 6751AC12 -3 -13) Inspection Date Inspector Name Inspection Type Due 03/14/2011 CALHOUN JOSEPH S RE- INSPEC I'ION 304620.03/25/201 1 25.00 Purchase k "'Ea INVOICE FOR INSPECTION CERTIFICATE FEFxS scription c� 4� State Form 356 (R4 9 -93) Approved by the State Board of Accounts -1991 P.O. P or F v G. L. Division of Fire and Buildin Safet 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY Budg �,.p 2. Mail2ndcopy& check to I_iEPARTMENT OF HOMELAND SECURITY Line Descr �71(�bt INSTRUCTIONS: Boiler and Pressure Vessel Safety Divisior, 302 W WASHINGTON ST., W 246 Purchaser Date INDIANAPOLIS IN 46204 -2739 Approval Date` Telephone: (3171 "132 -1921 o II�� -1- INDIANA CARMEL CLAY PARKS RECREATION LATEST PLEASE NUMBER MAR 9 2011 INVOICE PAY THIS ATTN TERRY MYERS AMOU DATE NT! 304621 1411 E 116TH ST CARMEL, IN 46032 BY. 03/25/2011 Owner number User Name Location of vessel THE MONOAI CTR -Fee 1235 CENTRAL PARK DR F 25.00 CARMEL IN 46032 Serial number Description of vessel l Manufacturer Date Last Inspected W T Boiler iLOCHINVAR 03/14/2011 i National Board No. Inspection agency Name of inspector (This fee is 184627 I TRAVELERS CALHOUN JOSEPH S 675 IA C 12-3- 675 AC 12 -3 -13) Inspection Date Inspector Name Inspection Type Due 03/14/2011 CALHOUN JOSEPH S RE-INSPEt:'" ['ION 304621,03/25/201 1 25.00 m Purchase 1 i�FSr`'Ea INVOICE FOR INSPECTION CERTIFICATE FEESDescription State Form 356 (R4 9 -93) P.O. z Approved by the State Board of Accounts -1991 P or F Division of Fire and Building Safety G.L. 1. Mail checks p ayable to DEPARTMENT OF HOMELAND SECURITY Bud �,,.pp 2. Mail2nd copy& check to DFPARTMENT OF HOMELAND SECURITY Line Desc INSTRUCTIONS: Boiler and Pressure Vessel Safety Division If 302 W WASHINGTON ST., RM 246 Purchaser Date INDIANAPOLIS IN 46204 -2739 2 Approval Date d Telephone: (317) 232 -1921 o ��II- PL EASE INDIANA CARMEL CLAY PARKS RECREATION Mr AR a� 9 011 LATEST PAY THIS T L INVOICE it NUMBER ATTN TERRY MYERS AMOUNT! DATE 304622 CARMEL, IN 46032 ]BY. 03/25/2011 i 1411 E 116TH ST j Owner number User Name Location of vessel Fee THE MONON CTR I 1235 CENTRAL PARK DR E 25.00 CARMEL IN 46032 Serial number Description of vessel Manufacturer Date Last Inspected W T Boiler ILOCHINVAR 03/14/2011 National Board No. Inspection agency Name of inspector (This fee is 182397 TRAVELERS CALHOUN JOSEPH S prescribed by 6751AC12 -3 -13) Inspection Date Inspector Name Inspection Type Due 03/14/2011 CALHOUN JOSEPH S RE- INSPEC "I "ION 304622,03/25/201 1 S 25.00 r 'F� INVOICE FOR INSPECTION f CERTIFICATE FEES Purchase State Form 356 (R4 9 -93) Description Approved by the State Board of Accounts 1991 P.O. P Or F Division of Fire and Building Safety (y 2, r a,6 1. Mail checks payable to DEPARTMENT Cif i?IVfH!_AND S.EC'.U2ffY G.L. �'1'✓� 2. Mail 2nd copy &check to DEPARTMENT OF HOMELAND SECURITY Budget INSTRUCTIONS: Boiler and Pressure Vessel Safety Division Line Descr 302 W WASHINGTON ST., W 246 INDIANAPOLIS IN 46204 %739 Purchaser Date�,�� Telephone: (317) 2321921 Approval Date I V -i P LEASE INDIANA CARMEL CLAY PARKS RECREATION LATEST NUMBER ATTN TERRY MYERS MAR 201 INVOICE AMOUNT! DATE i 304623 1411 E 1.16TH ST CARMEL, IN 46032 BY: 03/25/2011 �j Owner number User Name Location of vessel THE MONON CTP ao••• +•••••••••••••e••• Fee j 1235 CENTRAL PARK DR E 25.00 i CARMEL IN 46032 Serial number Description of vessel Manufacturer Date Last Inspected IW T Boiler LOCHINVAR 03/14/2011 National Board No. Inspection agency Name of inspector (This fee is p rescribed 12 3- I 184067 I TRAVELERS CALHOCTN JOSEPH S 6 75 IAC 13) I Inspection Date Inspector Name Inspection 'Type Due 03/14/2011 CALHOUN .IOSEPH S RE- INSPEC "I'ION 304623,03/25/201 1 25.00 rte•- INVOICE FOR INSPECTION CERTIFICATE FEES Purchase O4 State Form 356 (R4 9 -93) Description l o- Approved by the State Board of Accounts 1991 P.O. P Or F Division of Fire and Building Safety n 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY G.L. 2. Mail2nd copy& check to DEPARTMENT OF HOMELAND SECURITY Budget INSTRUCTIONS: Boiler and Pressure Vesse' Safety Division Line Descr 302 W WASHINGTON ST., RM 246 INDIANAPOLIS IN 46204 2'73!1 Purchaser Date Telephone: (317) 232 -1 PP A roval Date 1 1 PLEASE {�6{� INDIANA j CARMEL CLAY PARKS RECREATION LATEST PAY THIS NUMBER ATTN TERRY MYERS INVOICE AMOUNT! 304624 MAR R 201 1 DATE 1411 E 116TH ST 03/25/2011 �j CARMEL, IN 46032 BY AA o oe, oeae•e..e••.•.•eo•. Owner number User Name Location of vessel THE MONON CTR Fee i 1235 CENTRAL PARK DR E 25.00 Serial number i Description 46032 ionof vessel i Manufacturer Date Last Inspected —{I 1 W T Boiler LOCHINVAR 03 /14/2011 National Board No. Inspection agency Name of inspector (This fee is 195396 TRAVELERS CALHOUN JOSEPH S prescribed by 675 IAC 12 -3 -13) Inspection Date Inspector Name Inspection Type Due 03/14/2011 CALHOUN JOSEPH S RE-INSPECTION-- S 2.00 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 3/25/11 304619 Boiler safety inspections 25.00 3/25/11 304620 Boiler safety inspections 25.00 3125/11 304621 Boiler safety inspections 25.00 3/25/11 304622 Boiler safety inspections 25.00 3/25/11 304623 Boiler safety inspections 25.00 3/25/11 304624 Boiler safety inspections 25.00 Total 150.00 1 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 150.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1093 304619 4350100 25.00 1 hereby certify that the attached invoice(s), or 1093 304620 4350100 25.00 bill(s) is (are) true and correct and that the 1093 304621 4350100 25.00 materials or services itemized thereon for 1093 304622 4350100 25.00 which charge is made were ordered and 1093 304623 4350100 25.00 received except 1093 304624 4350100 25.00 7 -Apr 2011 Signature 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund