HomeMy WebLinkAbout155769 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 229400 Page 1 of 1
ONE CIVIC SQUARE INDIANA DEPT OF HOMELAND SECURI CHECK AMOUNT: $240.00
CARMEL, INDIANA 46032 DIVISION OF ELEVATOR SAFETY
302 W WASHINGTON ST, RM E221 CHECK NUMBER: 155769
INDIANAPOLIS IN 46204
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350100 11012007 240.00 BUILDING REPAIRS MA
I
.J
ELEVATOR OPERATING CERTIFICATE INVOICE
,CARMEL /CLAY BOARD OF PARKS RECREATION 760 THIRD AVE STE 100 CARMEL IN 46032
Codet= 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 Due Over Due State No Due Over Due State No Due Over Due
111704 $120.00 0.00 111978 $120.00 0.00
2008 DEC. T 7 2007
Reference Number Invoice Date DETACH THIS STUB FOR YOUR RECORDS.
734241- 11012007 11/01/2007 Unit(s) 2 Total Due upon receipt 240.00
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.
IN Department of Homeland Security Date Due
Fiscal Dept., 302 W. Washington St., Rm E221
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
01- Nov -07 11012007 Elevator operating cert. 240.00
Total 240.00
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.
Allowed 20
IN Department of Homeland Security
Fiscal Dept., 302 W. Washington St., Rm E221
Indianapolis, IN 46204 In Sum of
240.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 11012007 4350100 240.00 1 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
17 -Jan 2008
Sign re
240.00 Business Servi s nager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund