HomeMy WebLinkAbout202758 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: T360754 Page 1 of 1
ONE CIVIC SQUARE PAUL SHOOPMAN HOME BLDR GROUP CHECK AMOUNT: $2,701.00
CARMEL, INDIANA 46032 12070ABNEY RUN DRIVE
ZIONSVILLE IN 46077 CHECK NUMBER: 202758
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 86.00 OTHER EXPENSES
609 5023990 2,615.00 OTHER EXPENSES
CITY OF CARMEL
4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: edruley
COPY V I
SeC:31 Twp:1B Rng :3 Sub:S116 Blk:3 Lot:106
PARCEL ID 170931.0008021000
DATE ISSUED.......: 07/06/2011
RECEIPT 4 BC000001777
REFERENCE ID #'r 11070021
SITE ADDRESS 11710 COLD CREEK CT
SUBDIVISION THE SANCTUARY AT 116TH STREET
CITY ZIONSVILLE
IMPACT AREA
OWNER PAUL SHOOPPIAN CUSTOM HOMES-
ADDRESS 12070 ABNEY RUN DR.
CITY /STATE /ZIP ZIONSVILLE, IN 46077
RECEIVED FROM PAUL SHOOPMAN CUSTOM
CONTRACTOR ATKINS EXCAVATING, INC ID- XATKIEXC
COMPANY ATKINS EXCAVATING, INC
ADDRESS 8728 N ATKINS WAY
CITY /STATE /ZIP MARTINSVILLE, IN 46151
TELEPHONE (812) 422 -9467
FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL
USEWERINSP FLAT RATE 1.00 20.00 0.00 20.00 0.00
USFSEWCONN FLAT RATE 1.00 775.00 0.00 775.00 0.00
USFWATCONN FLAT RATE 1.00 2615.00 0.00 2615.00 0.00
UWATERTAP FLAT RATE 1.00 86.00 0.00 86.00 0.00
TOTAL PERMIT 3496.00 0.00 3496.00 0.00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CHECK 3,496.00 8526
TOTAL RECEIPT 3,496.00
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
To
ADDRESS j�l< 7' t+� u r' O'er
Invoice Date Invoice Number Item Amount
I 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
(U
Ala
Signature Title
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.
19
icer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
4000rnr}-4 or Of
NAY Rev
Total Amount of Voucher
Deductions
yU u o
C3 D
Amount of Warrant JO L
Month of G q ,'i9
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation Maintenance QX
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1.600- 382 -8702 325