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HomeMy WebLinkAbout173795 06/24/3009 CITY OF CARMEL, INDIANA VENDOR: 362497 Page 1 of 1 0 ONE CIVIC SQUARE DEPARTMENT OF HOMELAND SECURITY CARMEL, INDIANA 46032 BOILER AND PRESS. VALVE SAFETY DIV CHECK AMOUNT: $75.00 302 W WASHINGTON ST, RM 246 oµ t o CHECK NUMBER: 973795 INDIANAPOLIS IN 46204-2739 CHECK DATE: 6/24/2009 DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION 1110 4350100 222697 25.00 BUILDING REPAIRS MA 1110 4350100 222698 25.00 BUILDING REPAIRS MA 1110 4350100 288872 25.00 BUILDING REPAIRS MA r�� FSTATe INVOICE FOR INSPECTION CERTIFICATE FEES o 4 ti lr Lo State Form 356 (R4 9 -93) Approved by the State Board of Accounts 1991 s Division of Fire and Building Safety 1. Marl checks payable to DEPARTMENT OF HOMELAND SECURITY INSTRUCTIONS: 2. Mail 2nd copy check to DEPARTMENT OF HOMELAND SECURITY Boiler and Pressure Vessel Safety Division 302 W WASHINGTON ST., RM 246 INDIANAPOLIS IN 46204 -2739 Telephone: (317) 232 -1921 LATEST INVOICE PLEASE INDIANA DATE PAY THIS NUMBER AMOUNT[ CARMEL CITY OF 222698 3 CIVIC SO 06/12/2009 CARMEL, IN 46032 Fee User Name Location of vessel POLICE DEPT Owner number 3 CIVIC SQ CARMEL IN 46032 25.00 Serial number Description of vessel Manufacturer Date Last Inspected AIR TANK /AIR AFTER- COOLER /AIR FILTER WOOD IND 05/27/2009 National Board No. Inspection agency Name of inspector (This fee is 5557840 TRAVELERS CALHOUN JOSEPH S prescribed by IC 22- 12 -6 -10) `r Y INVOICE FOR INSPECTION CERTIFICATE FEES 4 State Form 356 (R4 19 -93) 1 i Approved by the State Board of Accounts 1991 n Division of Fire and Building Safety Te' a 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY 2. Maii 2nd copy check to DEPARTMENT OF HOMELAND SECURITY INSTRUCTIONS: Boiler and Pressure Vessel Safety Division 302 W WASHINGTON ST., RM 246 INDIANAPOLIS IN 46204 -2739 Telephone: (317) 232 -1921 INDIANA LATEST PLEASE NUMBER INVOICE PAY THIS CARMEL CITY OF DATE AMOUNT! 288872 3 CIVIC SQ CARMEL, IN 46032 06/].2/2009 i Owner number User Name Location of vessel POLICE DEPT Fee V 3 CIVIC SQUARE 25.00 CARMEL IN 46032 Serial number Description of vessel Manufacturer Date Last Inspected SERVICE WATER HEATER LOCHINVAR 05/27/2009 National Board No. inspection agency Name of inspector (This fee is TRAVELERS CALHOUN JOSEPH S prescribed by IC 22- 12 -6 -10) Inspection Date Inspector Name Inspection Type Due 05/27/2009 CALHOUN JOSEPH S RE- INSPECTION -B- 288872,06/12/2009 25.00 INVOICE FOR INSPECTION CERTIFICATE FEES RECEIVED State Form 356 (R419 -93) Approved by the Slate Board of Accounts 1991 Division of Fire and Building Safety JUN 17 2009 ai6 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY 2. Mail 2nd copy check to DEPARTMENT OF HOMELAND SECURITY INSTRUCTIONS: Boiler and Pressure Vessel Safety Division CARMEL POLICE DEPT" 302 W WASHINGTON ST., RM 246 INDIANAPOLIS IN 46204 -2739 Telephone: (317) 232 -1921 INDIANA CARMEL CITY OF LATEST PLEASE NUMBER C/O M. FOGARTY INVOICE PAY THIS DATE AMOUNT! 222697 3 CIVIC SQ CAP-MEL, IN 46032 06/12/2009 d Owner number User Name Location of vessel POLICE DEPT Fee 651680 3 CIVIC SQ 25.00 CARMEL IN 46032 Serial number Description of vessel Manufacturer Date Last Inspected ELECTRIC BOILER /STEAM GENERATOR BRASCH 05/27/2009 National Board No. Inspection agency Name of inspector (This fee is 815 TRAVELERS CALHOUN JOSEPH S prescribed by IC 22- 12 -6 -10) Inspection Date Inspector Name Inspection Type Due 05/27/2009 CALHOUN JOSEPH S RE- INSPECTION -B- 222697,06/12/2009 25.00 'v A�s1R,F° INVOICE FOR INSPECTION CERTIFICATE FEES State Form 356 (R4 9 -93) a? p i'= Approved by the State Board of Accounts 1991 Division of Fire and Building Safety 7a;e 1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY 2, Mail 2nd copy check to DEPARTMENT OF HOMELAND SECURITY INSTRUCTIONS: Boiler and Pressure Vessel Safety Division 302 W WASHINGTON ST., RM 246 INDIANAPOLIS IN 46204 -2739 Telephone: (317) 232-1921 INDIANA LATEST PLEASE NUMBER CARMEL CITY OF INVOICE PAYTHIS DATE AMOUNT. 222698 3 CIVIC SQ CARMEL, IN 46032 06/12/2009 Owner number User Name Location of vessel POLICE DEPT Fee 3 CIVIC SQ 25.00 CARMEL IN 46032 Serial number Description of vessel Manufacturer Date Last Inspected I AIR TANK /AIR AFTER- COOLER /AIR FILTER WOOD IND 05/27/2009 National Board No. Inspection agency Name of inspector (This fee is _557840 TRAVELERS CALHOUN JOSEPH S prescribed by C 22- 12 -6 -10) Inspection Date Inspector Name Inspection Type Due 05/27/2009 CALHOUN JOSEPH S RE- INSPECTION -U- 222698,06/12/2009 25.00 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 D epartment of Homeland Security Purchase Order No. Boiler and Pressure Vessel Safety Division 302 W. Washington Street, Room 246 Terms Indianapolis, IN 46204-2739 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/12/09 288872 payment for inspection of service water heater 25.00 6/12/09 222697 payment for inspection of eleectric boiler steam gen 25.00 6/12/09 222698 payment for inspection of air tank /air after cooler/ 25.00 air filter Total 75.00 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 D epartment of Homeland Security IN SUM OF Boiler and Pressure Vessel Safet y Division 302 W. taashington Street, Room 246 I ndianapolis, IN 46204 -2739 75.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 222698 501 25.00 bill(s) is (are) true and correct and that the 1170 222697 501 25.00 materials or services itemized thereon for 1110 288872 501 25.00 which charge is made were ordered and received except June 17 2009 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund