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HomeMy WebLinkAbout170367 04/01/2009 r CITY OF CARMEL, INDIANA VENDOR: 362497 Page 1 of 1 ONE CIVIC SQUARE DEPARTMENT OF HOMELAND SECURITY CARMEL, INDIANA 46032 BOILER AND PRESS. VALVE SAFETY DIV CHECK AMOUNT: $25.00 s• 302 W WASHINGTON ST, RM 246 CHECK NUMBER: 170357 M INDIANAPOLIS IN 46204 -2739 CHECK DATE: 4/1/2009 DEPARTMENT ACCOUNT PO N UMBER INVO NU MBER AMOUNT DESCRIPTION 651 50.23990 031009 25.00 OTHER EXPENSES ti':: retain top portion for your records s.° *ga INVOICE FOR IN IPECTI CERTIFICATE FEES t. 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 INSTRUCTIONS: 2. Mail 2nd copy check to DEPARTMENT OF HOMELAND SECURITY Boiler and Pressure Vessel Safety Division y 302 W WASHINGTON ST., RM 246 INDIANAPOLIS IN 46204 -2739 Telephone: (317) 232 -1921 LATEST INVOICE INDIANA CARMEL CITY OF DATE PLEASE NUMBER PAY THIS ATTN ADMINISTRATOR AMOUNTI 290011 1 CIVIC SQ 03/10/2009 CARMEL, IN 46032 User Name Location of vessel WASTE WATER TREATMENT PLT Fee Owner number 9609 HAZEL DELL PKWY T INDIANAPOLIS IN 46280 25.00 Serial number Description of vessel Manufacturer Date Last Inspected FIRE TUBE FIRE BOX BOILER BURNHAM 02/20/2009 National Board No. Inspection agency Name of inspector (This fee is 28519 TRAVELERS LAW FORREST J prescribed by IC 22- 12 -6 -10) Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) I ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where t. performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 362497 DEPARTMENT OF HOMELAND SECURITY Purchase Order No. BOILER AND PRESSURE VESSEL SAFETY DI\ Terms 302 W WASHINGTON ST RM 246 Due Date 3/24/2009 INDIANAPOLIS, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/24/2009 031009 $25.00 ti hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer V�UCHER 095338 WARRANT ALLOWED 3r52497 IN SUM OF DEPARTMENT OF HOMELAND SECUF BOILER AND PRESSURE VESSEL SAF 302 W WASHINGTON ST RM 246 INDIANAPOLIS, IN 46204 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 031009 01- 7362 -05 $25.00 Voucher Total $25.00 Cost distribution ledger classification if claim paid under vehicle highway fund