HomeMy WebLinkAbout207287 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: T0002116 Page 1 of 1
ONE CIVIC SQUARE RYLAND HOMES
CARMEL, INDIANA 46032 9025 N RIVER ROAD #100 CHECK AMOUNT: $2,701.00
INDIANAPOLIS IN 46240 CHECK NUMBER: 207287
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 86.00 OTHER EXPENSES
609 5023990 2,615.00 OTHER EXPENSES
CITY OF CARMEL
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: edruley
COPY 1
Sec:29 Twp:18 Rng:03 Sub:STP Blk:l Lot:7
PARCEL ID 1709290010007000
DATE ISSUED.......: 02/13/2012
RECEIPT BC000002843
REFERENCE ID 12020060
SITE ADDRESS 3537 CARDINAL WAY
SUBDIVISION STANFORD PARK
CITY CARMEL
IMPACT AREA
OWNER RH OF INDIANA LP
ADDRESS 9025 RIVER RD N
CITY /STATE /ZIP INDIANAPOLIS, IN 46240
RECEIVED FROM RH OF INDIANA LP
CONTRACTOR SENIOUR CONSTRUCTION ID- XSENICON
COMPANY SENIOUR CONSTRUCTION
ADDRESS 6024 ROCKLANE RD
CITY /STATE /ZIP GREENWOOD, IN 46143
TELEPHONE (317) 862 -6889
FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL
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 2701.00 0.00 2701.00 0.00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
CHECK 2,701.00 2254
TOTAL RECEIPT 2,701.00
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO 14
ADDRESS 1 Od iiL UAL ��0Y q .2Z
Invoice Date Invoice Number Item Amount
7 T 4t J j—w- M L 4io �wfCt_
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 exce
t D I'y J Cr
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
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. A CCT. NO.
NO.
CARMEL, INDIANA
r� 14 T Favor Of
I A-1,1 Vn t+ 5 ,i c (4 u o
Total Amount of Voucher
Deductions
(p I o
Amount of Warrant 0f Vo
Month of 19
Acct.
VOUCHER RECORD No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- aintenance
u L
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
V
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1- 800 382 -8702 325