HomeMy WebLinkAbout207024 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 362497 Page 1 of 1
ONE CIVIC SQUARE DEPARTMENT OF HOMELAND SECURITY
i CARMEL, INDIANA 46032 BOILER AND PRESS. VALVE SAFETY DIV CHECK AMOUNT: $49.00
302 W WASHINGTON ST, RM 246
CHECK NUMBER: 207024
INDIANAPOLIS IN 46204 -2739
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 317065 49.00 CONT SVS —OTHER
ords
P FICATE FEES
a
State Form 356 (R4 9 -93)
Approved by the State Board of Accounts 1991
Division of Fire and Building Safety
You can pay all your payments online at IDHS web site
1. Mail checks payable to DEPARTMENT OF HOMELAND SECURITY https:l lmyoracle. in. gov /dfbs /idhsFeesFines /start.do
INSTRUCTIONS: 2. Mail 2nd copy check to DEPARTMENT OF HOMELAND SECURITY with Visa /Master Card /Discover cards. Use Owner Id on
Boiler and Pressure Vessel Safety Division this letter or Indiana State Number on the invoice to pull
302 W WASHINGTON ST., RM 246 up information when paying the dues online.
INDIANAPOLIS IN 46204 -2739
Telephone: (317) 232-1921
INDIANA STATE LATEST
NUMBER INVOICE
317065 CARMEL WASTE WATER PLANT DATE PLEASE
PAY THIS
ATTN JOE FAUSETT AMOUNT!
Owner Id 9609 HAZEL DELL 02/02/2012
787451 INDIANAPOLIS, IN 46280
Owner number User Name Location of vessel CARMEL WASTE WATER PLANT Fee
9609 HAZEL DELL
INDIANAPOLIS IN 46280 49.00
Serial number Description of vessel Manufacturer Date Last Inspected
ALUMINUM BOILER HARSCO P &K 01/06/2012
National Board No. Inspection agency Name of inspector (This fee is
STATE OF INDIANA PARKEY LARRY E prescribed by
675 IAC 12 -3-13)
FEB 2 7 2012
VOUCHER 116890 WARRANT ALLOWED
362497 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
317065 01- 7362 -05 $49.00
Voucher Total $49.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 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 3/5/2012
INDIANAPOLIS, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2012 317065 $49.00
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