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HomeMy WebLinkAbout177778 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 363379 Page 1 of 1 ONE CIVIC SQUARE NATL ASSOC OF MINIATURE ENTHUSIgg� s 0 CHECK AMOUNT: $2,774.87 CARMEL, INDIANA 46032 130 N RANGLEINE ROAD 't 2 0.. CARMEL IN 46032 CHECK NUMBER: 177778 CHECK DATE: 9/2912009 DEPA RTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION 902 4359012 2,774.87 CRC GRANTS Application Cover Sheet Carmel Redevelopment Commission Grant Request City of Carmel, Indiana Property Owner /s /fT L i V1 TUYC= /vfi/SlCtS�S P Property Location C D n f t he f�LA_(1Q,M l Describe Proposed Facade Renovation Project (Please note: this is not a maintenance, up -keep building program) Total Estimated Cost of Renovation Project $�Z 7 Grant Request 5 a�- -7 74' 3'7P7 (up to $5,000.00) Attachments: Photographs Description of the Rehabilitation Project Schedule Other (please describe re x;P Si ture of Owner(s) lb l Date Mailing Address ti CARMEL OLD TOWN BUSINESS RENOVATION PROGRAM CA M:EL REDEVELOPMENT COADUSSION CARMIEL, INDIANA 46032 March 2007 Thank you for your interest in the Carmel Redevelopment Commission's grants for the external fagade renovation program. To determine if your property qualifies for grant assistance please submit all information and materials as requested on the enclosed Application Cover Sheet to the President of the Carmel Redevelopment Commission (CRC), c/o the Director of Redevelopment Office, One Civic Square, Carmel, IN 46032. The Director of Redevelopment will recommend, if favorably inclined, your project to the full Commission for final approval. Final approval will be contingent on the availability of funds and the following terms and conditions. All work shall be done in accordance with all local and state building codes and rules and regulations. The owner will ensure the satisfactory completion of the work program as determined by an inspection by the CRC and a City Inspector, if required by building codes and permits. Grant requests must address fagade renovation. Partial renovation projects, including new signage, will be considered. All work must be completed within one (1) year of the date of notice that funds are available. Failure to complete work within one year will result in the cancellation of the grant. A condition of the financial grant is that the owner of the property permanently grant to the City the use of the business's surface parking for two hour maximum public parking during normal business hours. This condition is waived for all businesses having five or less parking spaces. If your project is approved, you will be eligible for a single payment (grant) of up to a maximum payment of $5,000.00 of approved expenditures. Grant funds will be available upon satisfactory completion (as per the above requirements) of the project. If you have any questions please call Les Olds, AIA, the Director for Redevelopment for the Carmel Redevelopment Commission at 571 -2492. Sincerely, Ronald E. Carter Q ro v e d 01 1 7 President, Carmel Redevelopment Commission cc: Les Olds zrmdev comm\grant application National Association of Miniature Enthusiasts 130 North Rangeline Road Carmel, IN 46032 317 -571 -8094 317 -571 -8105 Fax name(cD_miniatures.orq www.miniatures.org Receipt Break Down Paint Supplies: Sherwin- Williams 72.35 Landscaping: Oakland Nursery 10.65 Oakland Nursery 57.52 Home Depot 21.35 Home Depot 17.06 Absolute Landscaping 25.00 Replace Lighting: Norm Colby 325.00 Permit: City of Carmel 92.60 Bricks: Ceramica 162.75 General Shale Carmel 18.59 BDR Masonry Inc. 1,972.00 Total 2,774.87 National Association of Miniature Enthusiasts 130 North Rangeline Road Carmel, IN 46032 317 -571 -8094 317 -571 -8105 Fax name(i�miniatures.org www.miniatures.org ACTUAL COSTS Sign: Paint Supplies $72.35 Landscaping $131.58 Replace Lighting $325.00 Permit $92.60 Total Sign $621.53 Bricks: 77 Inscribed Bricks $.93ea $71.61 98 Blanks $.93 ea 91.14 30 Blanks $.62ea $18.59 Installation $1972.00 Total Bricks $2153.34 Total $2774.87 National Assocation of Miniature Enthusiasts 130 North Rangeline Road Carmel, IN 46032 317- 571 -8094 317 -571 -8105 Fax n;u»eW miniilwres.ur PROJECTED COSTS Sign: Paint Supplies $50.00 Landscaping $226.60 Replace Lighting $325.00 Permit $92.60 Total $694.20 Bricks: 77 Inscribed Bricks $15.00ea $_U-5-5 -90 98 Blanks $3.50 ea approx 343.00 Instalation $1772.00 S Total $370:00 30 1 k.�l� Yid.. 1 j� r r, ►z ''Ssva s V, ;p co U L ch f M ro. a� 4 M 1! 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Y fid 1 p, uj X11 r) LL t r 1 e� w rrr r r�• 4 1�4. xC F .'t .t.t. a.�: .Q 1 CITY OF CAF2MEL �Yt'em �'l of 1 PERMIT RECEIPT OPERATOR: rboone Jl' COPY 1 Sec: Twp:18 Rng:03 Sub:NHS Blk:25 Lot:3 PARCEL ID 1609251202011000 DATE ISSUED.......: 05/04/2009 RECEIPT 30131 REFERENCE ID 09050013 SITE ADDRESS 130 RANGE LINE RD N SUBDIVISION NATHAN HAWKINS SECOND ADDITION CITY CARMEL IMPACT AREA OWNER ADDRESS CITY /STATE /ZIP RECEIVED FROM NAME CONTRACTOR LIC COMPANY ADDRESS CITY /STATE /ZIP TELEPHONE FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL SIGNINSTAL SQUARE FEET 12.00 92.60 0.00 92.60 0.00 TOTAL PERMIT 92.60 0.00 92.60 0.00 METHOD OF PAYMENT AMOUNT NUMBER CHECK 92.60 17604 TOTAL RECEIPT 92.60 N. National Association of Miniature Enthusiasts General Fund 17604 CITY OF CARMEL 5/4/2009 SIGN PERMIT 92.60 Cash Checking Sign Permit 92.60 J SIGN COPY: I r" SIGN ADDRESS: '..fi'�_ V �:'Y� 1 1' -k- i, .j CITY OF CARMEL /CLAY TOWNSHIP, HAMILTON COUNTY, INDIANA SIGN PERMIT APPLICATION DATE RECEIVED: REQUIRED MATERIALS: (Please submit TWO copies of the required materials) COMPLETED APPLICATION O 11 SITE PLAN (depicting all dimensions, setbacks and proposed sign location) GN ELEVATIONS (depicting all dimensions, copy and color) (b `�O I NG OR TENANT SPACE ELEVATION (depicting frontage dimensions and proposed sign location) L DSCAPE PLAN: Required for ground signs S (depicting the planting, mature heights and caliper) See Samples Attached .e SIGN PERMIT FEES: (Please do NOT submit check until permit has been issued) v b PERMIT APPLiCA T ION: $88.50 SIGN ERECTION: $35.50 PER SIGN FACE PLUS $1.85 PER SQUARE FOOT PERMIT NUMBER: REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET: j f J J j $35.50 PLUS $1.85 PER SQUARE FOOT NAME OF BUSINESS: I Ste'. �J 1 111 QTU(C IC1S1� PHONE: 3 r I p q 4 ADDRESS: HD NEi' ik) 6 ameu hP CITY: b f jNl�� STATE:. ZIP4 J PROPERTY OWNER: )yE�(1 Pr Gh1 j nloJ f�' 1fYl �rl arI� C YHONE: ��r7 ADDRESS: I) Iyl -3� I �l I Vim. t Ul CITY: l _I� YY� STATE: ZIP:�a ZONING DISTRICT: OVERLAY ZONE: 31 421 431 Carmel Dr./Rangeline Rd. Old Town: PARCEL ED -D 0 a -S1 I I .00D REQUIRED APPROVALS: P.C. Docket BZA Docket Improvement Location Permit SIGN STATUS: NEW EXISTING (P TEMPORARY SIGN TYPE: WALL GROUIV ROOF PROJECTING SUSPENDED PORCH WINDOW BANNER OTHER OVERALL SIGN HEIGHT FROM GROUND: 5' 0" FT. OVERALL SIGN DIMENSIONS: FT. x FT. TOTAL SIGN AREA: Requested 1 SQ.FT. PERMISSIBLE: I SQ.FT. NUMBER OF SIDES: cZ BUILDING OR TENANT SPACE FRONTAGE DIMENSION: 19L0 FT. COLORS: I X bU CS( &I 5 A ew�d 1_ w Res i eA.6(i 8rd S SETBACK OF SIGN FROM NEAREST RIGHT- OF- WAY: `,�-fe0- )3 FT. BUILDING TYPE: d� ri- m U5c M LOGO DIMENSIONS: a FT. x FT. a SQ. FT. LOGO PERCENT OF SIGN AREA: ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, PLEASE EXPLAIN: 5e SHOPPING CENTER OR COMPLEX NAME: (Continued On Page 2) Page 2 of 2 City of Carmel /Clay Township, Hamilton County, Indiana Sign Permit Application THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT, AND THIS SIGN WILL BE ERECTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE LAWS OF THE STATE OF INDIANA, AND THE ZONING ORDINANCE OF CARMEL /CLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL BE ERECTED WITHIN SIX (6) MONTHS OF THE DATE OF ISSUANCE OR THIS PERMIT IS NULL AND VOID. FURTHER, THE UNDERSIGNED CERTIFIED BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES OF THE DEPART ENT OF COMM NITY SERVICES ARE ADVISORY. SIGNATURE BUSINESS OWNER'S SIGNATURE obi (e m Igsh P W 4S NAME (please print) BUSINESS OWNER'S NAME (please print) 066cc anaser SIGN COMPANY: CONTACT PERSON: ADDRESS: CITY: STATE: ZIP: EMAIL ADDRESS: PHONE: THE FOLLOWING ITEMS ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT MUST BE ADHERED TO AS A CONDITION OF THE ISSUANCE OF THIS PERMIT (PLEASE INITIAL EACH ITEM INDIVIDUALLY): 1) x 2) x 3) x I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF COMMUNITY SERVICES WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN. -OR- I WOULD PREFER A $119.00 INSPECTION FEE BE ADDED TO THE COST OF THIS PERMIT TO COVER THE COST OF THE STAFF OF THE DEPARTMENT OF COMMUNITY SERVICES TAKING THIS PICTURE. SIGN PERMIT APPLICATION SIGN ERECTION 1 INSPECTION FEE (Required if photography not provided) $119.00 OR l Photo will be provided TOTAL FEE PERMIT ISSUED BY: L t r (!s -I`EE RECEIVED BY: RELEASED STAMP: PAID STAMP: MM PAID M0 0 4 2009 1.. r ti f tin• t 4. f y r T 4... WY. d ?M ssr'� 4r a,1$ s t a< yap •t tx P i 4t dr A ..tt� i 1,1s�= `S'v.t�a d i a f f Tk+IC' 7Ne.• z 1 j y ek r r ;.r+s•:t,� -#:gyp v 'y 1 n�`R t,.r A v, l faf l� a� r l 7 t 'a `,r�i t tq s P x r 1- i`" :;ti ,rr f� �f. r do is T a Planting diagram for NAME office sign bed 130 N. Rangeline Rd. Carmel, IN Evergreens -2 $29.95 Abies nieiformis Bird's Nest Spruce 0 O sign O O O Perennials 16 $9. O Echinacea Purpura -6 Salvia nemorosa -10 Groundcover: Alchemilla Mollis- Lady's Mantle (donated) 6 bags of garden soil $1.25 each 7.50 2 Evergreens @29.95 each 59.90 16 Perrenials 9.95 each 159.20 226.60 mulch from buck delivery for other beds fxrrtS �3 t Y N C 7„ H S f X t.. y e #a a- s�", s 4' k�4 t� x�` s t g a p 4 y F? v at lr 34 Tks d a° F b q vE yM y d ",x+as. Trza Y 9 !:9 �n$�`'k h C e C S 4 �y, ,s,y�y°'Y.' J 1 `k 1'"f M r YS G� .�d s :S A ��P3 v .�d �t 4 ��+.�`k5 f fi` 7 J +!rY.r,. Q r.s 4 5p f k x? hR• .f'i! 1 9Y. Y"a{.`kP t i 1p C. y 7 Y J gyp. }'t12 xJ 4 r�T t" _�.4 ��'Y 7 II >E a� R -M.-SW t a� t `xY t -„s �3 t11 a c• :d �s �x z e• 1 NY My 645 i Y g bsk k I 40 11P I*iS 0 ,0t l 61 CE JUt g Planting diagram for NAME office sign bed 6/01/09 R 130 N. Rangeline Rd. Carmel, IN Actual costs: We were able to get some nice plants on sale and with a coupon, so we saved a lot of-money. And we did not need the soil. Evergreens -2 Abies nieiformis Bird's Nest Spruce O sign O 0 0 Perennials 14 El 0 Echinacea Purpura -6� Salvia nemorosa -8 Groundcover: Alchemilla Mollis- Lady's Mantle (donated) 6 bags of garden soil -0- 2 Evergreens 38.41 3 14 Perennials 68.17 includes tax, receipts attached 106.58 mulch from buck delivery for other beds o�s M 'I l Please pay: Dan Zerkel 1528 Francisco Rd., Columbus, OH 43220 k� /�`��n�L�� Uuk\a� Nurser Oakland Nursery 4261 Dublin-Grnnv|UoRond 420 Dublin-Granvil Road mu 4�'r/ OH 43017 Dublin, OH 43017 614-874-2400 614-874-2400 User: MNA c US�[' JM ��3 dN Dr�wer� 80lA3 3:44 pm Drawer: 804A7 Item 4 Qty priC8 T0tO] Item 0 aty Price Total Description i O8Snr1ptiOn_______ 1000871 1 $26,09 26�S8 24 2O 8O lUl403l 12 �Z. JAPANE3[ KBRIk 43 E8 CoN0ona at �*2S'88 74'R-- CU0�d[� at ��2 S8 You saved 0.00 (l0%) 1014369 l $14.99 14.89 MAGIC CARPET 3PIREA 03 ERE l $14 AS 14 AS h-V/e MAGIC CARPE| l w/ua^" 12 $4.4 ruxEnnI*L wv»`/ .0\ �umpu/" You saved 8.00 (l0�� Tender O.O1 110.85 XXXXl348 Subtotal 4S lax 118.34 Total i Tend Credit Cdnj 11 8 XXXXl348 /J z� \ii porc|m�ad� \5 Cash N8lk-ln Warranty YCu| trees an woody shrubs' O months roses (or Dec l)' 30 days houseplants and ypn*x)1al5, Nua| rph/rn nlan|s and receipt to obtain u 1 I THE '31 j' Dl1BL!iv, OH 43017 .I (614)761 -7770 THE HOME DEPOT 3831. 5858 SAWMILL ROAD 3831 00013 936 05/05/09 DUBLIN, OH 43017 (614)761 -7770 SALE 41 SWL322 10;38 AM D 3831 00013 06752 05/12/09) SALE 41 SWL322 1'1 °:03 AM P 05 8 10 UB <A> 19.97 032247433730 MGPOTTING 270172 TOP SOIL <A> 8'47 703287102329 SHRUB <A> 1 -gr 7 1001.19 11.90 MAX REFUND VALUE"' SUBTOTAL 099167206929 5,OMMLAUAN <A> 40.34 3 ®3.9 11.9 SALES TAX 2.72 MAX REFUND VALUE $10.11/3 XXXXXXXX4422 GIFT $12.70 842276002902 VIVA COLEUS <A> CARD BALANCE 3 ®4.48 13.44 0.00 MAX REFUND VALUE $11.40/3 XXXXXXXXXXXX1348 MASTERCARD 30.36 894873001079 ACNTWTHRTUGH <A> AUTH CODE 005805/0130912 3 @2.79 8.37 1 9 9-7 TA MAX REFUND VALUE $7.11/3 4-- j r 703287101537 ANNUAL <A> 6,98 051115036811 TAPERIX60D-A ALUE $5.93 MAX REFUND VALUE 4,645 47 IIIIIIIIIIIII Garden Club Welcome Kit IIIIIIIIIIIIIIII�III�IIIII 66.14 $10 off $50 purchase -10.00 IIIIIIIIIIIIIIII MUST R 3831 13 93651 05/05/2009 4945 ETURN ALL ITEMS FOR A FULL REFUND RETURN POLICY DEFINITIONS SUBTOTAL 56.14 SALES TAX POLICY ID DAYS POLICY EXPIRES ON 9.79 A 1 90 08/03/2009 XXXXXXXXXXXX1348 MASTERCARD 59.93 THE HOME DEPOT RESERVES THE RIGHT TO AUTH CODE 012862/3132186 TA LIMIT DENY RETURNS. PLEASE SEE THE C IU S` Z4 2 RETURN POLICY SIGN IN STORES FOR DETAILS. GUARANTEED LOW PRICES LOOK FOR THOUSANDS OF LOWER PRICES STOREWIDE ENTER FOR A CHANCE TO WIN A $5,000_ HOME DEPOT GIFT CARD Share Your Opinion With Usl Complete the brief survey about your store visit and enter for a chance to win at: www.homedepot.com /onini i� Absolute Landscaping, Inc. Inv oice 1801 West 151st Street Date Invoice Westfield, IN 46074 Mem. B.B.B. 6/1/2009 3838 317- 714 -0658 Bill To Ship To National Ass. of Miniature Enthusiasts 130 N. Rangeline Rd. ®(}Q Carmel IN 46032 N Sr P.O. Number Terms Rep Ship Via F.O.B. Project 6/1/2009 Quantity Item Code Description Price Each Amount Mowing Schedule Mowed all lawn areas and used weed eater for trimming. 4/9/09 30.00 30.00 Mowing Schedule Mowed all lawn areas and used weed eater for trimming. 30.00 30.00 4/16/09 Mowing Schedule Mowed all lawn areas and used weed eater for trimming. 30.00 30.00 4/23/09 Mowing Schedule Mowed all lawn areas and used weed eater for trimming. 30.00 30.00 4/30/09 Mowing Schedule Mowed all lawn areas and used weed eater for trimming. 5/8/09 30.00 30.00 Mowing Schedule Mowed all lawn areas and used weed eater for trimming. 30.00 30.00 5/15/09 Mowing Schedule Mowed all lawn areas and used weed eater for trimming. 30.00 30.00 5/22/09 Mowing Schedule Mowed all lawn areas and used weed eater for trimming. 30.00 30.00 6/01/09 8 Mulch Mulch per sq. yd. 25.00 200.00 50.00 50.00 Haul charge Haul charge National Association of Miniature Enthusiasts General Fund 17661 ABSOLUTE LANDSCAPING, INC 6/9/2009 MULCH FOR LANDSCAPING 200.00 MOWING 4/9 TO 6/1,2009 290.00 Cash -Checking INV #3838 490.00 INVOICE 486466 SOLO TO: SHIP TO i .ADDRESS ADDRESS CITY, STATE, ZIP, CITY, STATE, ZIP 0A a CUSTOMER S ORDER N0 SALESPERSON TERMS x F O B DATE h y��,% €3ar s¢ a t£ r7r #',�a z.af.��z LI, v '+a 1 T5080 1 National Association of Miniature Enthusiasts General Fund 17603 NORM COLBY 4/22/2009 ELECTRIC WORK ON SIGN, FLAG AND BARN 365.00 Cash Checking ELECTRIC WORK ON SIGN; FLAG`AND BARN 365.00 SF5GO7 -1 TO REORDER, CALL YOUR LOCAL SAFEGUARD DISTRIBUTOR AT 317- 7262625 HLW1RR0020000 G055FOO8689 SAFEGUARD., uTHOUSA SFSLIGS CK7S087115 CERAMICA INC. s 'Invoice IN 09- 267756 y 6695'East 34th Street INDIANAPOLIS, IN 46226 k r nvoice Date x:4/23/2009 x t as srh Due Date s 5/23/2009 317- 546 -0087 y x �J Teem{ Net 30 F 4 N.A.M. E. N.A.M.E. 130 North Rangeline Road 130 North Rangeline Road 4 Carmel, IN 46032 Carmel, IN 46032 Notes= Item Qty Units Description Price Ea. Ext Price 4X8BLANK 98 Each 4X8 BLANK CONC. PAVERS (PO:n /a) $0.93 $91.14 CONPAV48 77 Each 4X8 CONCRETE NAME PAVER -UVS (PO:n /a) Dee Dee Whipple et al. $15.00 $1,155.00 0 L l National Association of Miniature Enthusiasts General Fund 1760 CERAMICA, INC 5/5/2009 77 BRICKS INSCRIBED $15 PER LESS $.93 PAID 1,083.39 98 BLANK BRICKS PLUS 77 INSCRIBED BRICKS 162.75 Cash Checking INVOICE# IN -09 -26775 1,246.14 SF5001 -1 TO REORDER, CALL YOUR LOCAL SAFEGUARD DISTRIBUTOR AT 317- 726 -2625 HLWlPP0020000 G05SFW8689 N AC-EGUARD., I- miousS scsucs c:;soal +..s .;ustomer rv. n/a Sub Total $1,246.14 Tax $0.00 Freight $0.00 Invoice Total $1,246.14 SAFEGUARD uTHOUsA sFSUCS,cKisoe ils ,u, Invoice BDR Masonry Inc. 5420 W. 96th St. Date Invoice Zionsville, IN 46077 5/7/2009 9153 Phone 317 818 -0700 Bill To Mail To Kim Ash ft 130 N Rangeline Road Carmel, In 46032 BDR Masonry 5420 W 96th Street Zionsville In 46077 317 -818 -0700 Terms Rep Invoice Date Net 5 Days RC 5/7/2009 Quantity Item Code Description Price Each Amount Construction remove concrete install 6" crushed stone I" sand bed 37 1,772.00 1,772.00 sq ft pavers 21 ft edging per proposal Construction Additional concrete and labor 200.00 200.00 REGWD MAY 1 5 2WS National Association of Miniature Enthusiasts General Fund 17613 BDR MASONRY INC. 5/7/2009 BRICK.SIDEWALK 1,972.00 Cash Checking BRICK SIDEWALK 1,972.00 HLW1PP0020000 GOSS F008689 SF5001 1 TO REORDER; CALL YOUR LOCAL SAFEGUARD DISTRIBUTOR AT 317 726-2625 www.miniatures.org kim @miniatures.org From: Marshall, Stephanie L [mailto:smarshall @carmel.in.gov] Sent: Monday, April 27, 2009 3:37 PM To: kim @miniatures.org Subject: FW: Name Signage Original Message---- From: Mielke, Sherry S Sent: Sunday, April 26, 2009 6:21 PM To: Marshall, Stephanie L Subject: Name Signage Stephanie, Has Kim turned in their sign permit request to Rachel? I will need them to pay and then we can reimburse them. Thank you. Sherry 2 Prescribed by 4tate Board of Accounts City Farm 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 7iUns /3Sbc,.yog dr /i��,' 41si`s Purchase Order No. l30 !V. R qh�4✓l�J<" ka4"I Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) glz6 /oy a P2�o G r a7� 2 7 75! c 9 Total P7 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. 20 r Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 �I�y�iUh4/ /1�siaG.y byo1 &h19l �n 1s IN SUM OF 11V 41-6© 2 ON ACCOUNT OF APPROPRIATION FOR Board Members r PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 9�2 42-6 cif 11 3 5 90 12 2 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 Sign re Director of Aerations Cost distribution ledger classification if Title claim paid motor vehicle highway fund