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Home My WebLink About198573 06/22/2011 a CITY OF CARMEL, INDIANA VENDOR: 229400 Page 1 of 1 ONE CIVIC SQUARE INDIANA DEPT OF HOMELAND SECURIT HECK AMOUNT: $75.00 CARMEL, INDIANA 46032 DIV OF ELEVATOR SAFETY- FISCAL OFFI 302 W WASHINGTON ST, RM E221 CHECK NUMBER: 198573 INDIANAPOLIS IN 46204 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 75.00 BUILDING REPAIRS MA �arfi INVOICE FOR INSPECTION CERTIFICATE FEES a's 1Ytf State Form 356 (R419 -93) r it Approved by the State Board of Accounts -1991 s Division of Fire and Buildin Safety You can pay all your payments online at g y IDHS web site oEU 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY ht tpsa/ myoracle .in.govldtbslidhsFeesFines 2. Mail2ndcopy &check to DEPARTMENT OF HOMELAND SECURITY INSTRUCTIONS: /start.do with Visa /Master Card /Discover Boiler and Pressure Vessel Safety Division 302 W WASHINGTON ST., RM 246 cards.Use Owner Id on this letter or Indiana INDIANAPOLIS IN 46204 -2739 State Number on the invoice to pull up Telephone: (317) 232 -1921 information when paying the dues online. INDIANA STATE NUMBER CARMEL CITY OF LATEST PLEASE 222697 j CIO ROBERT ROBINSON INVOICE AMOUNT DATE Owner Id THREE CIVIL SQUARE 640037 i CARMEL, IN 46032 06/07/2011 7 Owner number User Name Location of vessel Fee pOLICE DEPT 651680 THREE CIVIL SQUARE 25.00 CARMEL IN 46032 Serial number Description of vessel Manufacturer Date Last Inspected ELECTRIC BOILER /STEAM GENERATOR BRASCH 05/24/2011 National Board No. Inspection agency Name of inspector (This fee is 815 TRAVELERS CALHOUN JOSEPH S prescribed by 675 LAC 12 -3.13) Inspection Date Inspector Name Inspection Type Due 0512412011 CALHOUN JOSEPH S RE- INSPECTION -B- 222697,06/07/201 I S 25.00 ��rt'ap`a INVOICE FOR INSPECTION CERTIFICATE FEES 2 State Form 356 (R4 9 -93) 4 i Approved by the State Board of Accounts -1991 Division of Fire and Building Safety You can pay all your payments online at nie 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY IDHS web site 2. Mail2nd copy& check to DEPARTMENT OF HOMELAND SECURITY https:/I myoracle .in.gov /dfbsiidhsFeesFines INSTRUCTIONS: Bailer and Pressure Vessel Safety Division lstart.do with Visa /Master Card /Discover 302 W WASHINGTON ST., RM 246 cards.Use Owner Id on this letter or Indiana INDIANAPOLIS IN 46204 -2739 State Number on the invoice to pull up Telephone: (317) 232 -1921 information when paying the dues online. `INDIANA STATE NUMBER CARMEL CITY OF LATEST PLEASE INVOICE PAY THIS 288872 j C/O ROBERT ROBINSON AMOUNT! DATE Owner Id THREE CIVIL SQUARE 640037 CARMEL, IN 46032 06/07/2011 Owner number User Name& Location of vessel POLICE DEPT Fee 651680 3 CIVIC SQUARE 25.00 CARMEL IN 46032 Serial number Description of vessel Manufacturer Date Last Inspected J -Z IF3 857 8 44 SERVICE WATER HEATER LOCHINVAR 05/24/2011 National Board No. enc Inspection a Name of inspector (This fee is P 9 Y TRAVELERS CALHOUN JOSEPH S prescribed by 6751AC 12 -3 -13) Inspection Date I nspcctor Name Inspection Type Due 05/24/201 I CALHOUN JOSEPH S RE- INSPECTION -B- 288872,06/07/2011 25.00 Tanr hero nnri—tain tnn nnn;nn fnr—nr —rd INVOICE FOR INSPECTION CERTIFICATE FEES State Form 356 (R4 9 -93) ji Approved by the State Board of Accounts -1991 Division of Fire and Building Safety You can pay all your payments online at 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY IDHS web site 2. Ma02ndcopy &check to DEPARTMENTOF HOMELAND SECURITY httpsllmyoracle .in.govfdfbs /idhsFeesFines INSTRUCTIONS: Boiler and Pressure Vessel Safety Division /start.do with Visa /Master Card /Discover 302 W WASHINGTON ST_ RM 246 cards.Use Owner Id on this letter or Indiana INDIANAPOLIS IN 46204 -2739 State Number on the invoice to pull up Telephone: (317) 232 -1921 information when paying the dues online. (INDIANA STATE NUMBER CARMEL CITY OF LATEST i PLEASE 311211 CIO ROBERT ROBINSON INVOICE PAY THIS DATE AMOUNT! Owner Id THREE CIVIL SQUARE 640037 CARMEL, IN 46032 06/07/2011 Owner number User Name& Location ofvessel POLICE DEPT Fee 3 CIVIC SQ 25.00 CARMEL IN 46032 Serial number Description of vessel Manufacturer I Date Last Inspected SERVICE WATER HEATER LOCHINVAR 05/24/2011 j inspection agency Name of inspector (This fee is National Board No. TRAVELERS CAL14OLN JOSEPH S prescribed by 675 AC 12 -3.13) Inspection Date Inspector Name Inspection Type Due 05/24/2011 CALHOUN JOSEPH S RE- INSPECTION -B- 311211,06/07/2011 25.00 Tear here and retain top po rtio n for your records VOUCHER NO. WARRANT NO. ALLOWED 20 Department of Homeland Security Boiler Pressure Vessel Safety Division IN SUM OF 302 W. Washington Street, RM 246 Indianapolis, IN 46204 -2739 $75.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 43- 501.00 $25.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 43- 501.00 $25.00_ materials or services itemized thereon for 1110 43- 501.00 $25.00 which charge is made were ordered and received except Friday, June 17, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/07/11 payment for inspection of water heater $25.00 06/07/11 payment for inspection of water heater $25.00 06/07/11 payment for inspection of electric boiler /steam generator $25.00 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