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Home My WebLink About216081 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 229400 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA DEPT OF HOMELAND SECURTIHECK AMOUNT: $360.00 CARMEL, INDIANA 46032 DIV OF ELEVATOR SAFETY-FISCAL OFFI ', ua 302 W WASHINGTON ST,RM E221 CHECK NUMBER: 216081 INDIANAPOLIS IN 46204 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4358300 734241112920 240 . 00 OTHER FEES & LICENSES 1091 4358300 734241122720 120 . 00 OTHER FEES & LICENSES I ELEVATOR OPERATING CERTIFICATE INVOICE ARMEL/CLAY BOARD OF PARKS & RECREATION 1411 E 116TH ST Pat Schlemmer CARMEL IN 46032 l.If Code = * An annual test report is due before a permit is issued. 2.If Code = # A 5 year Test report is due before a ermit is issued. 3.Over due fees must be paid before as permit is issued. If elevator(s) are not in service please request an "ELEVATOR OUT OF SERVICE AFFIRMATION" form. State No.Code Due Over Due Location Address 111704 * $120.00 $ 0.00 1235 CENTAL PARK DR EAST, CARMEL IN 46032 111978 $120.00 $ 0.00 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 .A13 **Wsp1 1 purchase C� G=,scription P or F P.O.# e.�.# � �—' LN V 30 2012 i i3i;rJGPt L.Ii1P Des cr Date - ,urchaser I I Reference Number Invoice Date Please submit ENTIRE document with payment 734241-11292012 -1 11/29/2012 Unit(s) 2 Total Due upon receipt of 2 $ 240.00 of $ 240.00 Owner Id 734241 Ref.Num. :734241-11292012 - 1 $240 of $ 240.00 Invoice Date 11/29/2012 I If Paying by check, include a check made payable to the Department of Homeland security. You can pay all your payments online at IDHS web site https://myoracle.in.gov/dfbs/idhsFeesFines/start.do with Visa/Master Card/Discover cards. 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Y-Y y ` ♦1 ��T YT F�� y l Y ..<<79 iT ♦ ��.7 ,�'C�!•wC 4 C 5 .�'I-� (�' 4s.'� .+.�I�t ��,�5'•�f;'”��-.e2�t��;•;��l�R'..S�l�''f-,. �r,r2i•: �-' } i_ S]�',.Y•�� -T.,;r ��r•a•t :A•�} � �� •e,.t� `b '��.�(,' `b.. ��i b° � b !� 'i b �•�'°`� ' b �� ►tt�� .:.-. ti, 1. -_ at-*r,_��, .: t. ew.••.^:cn.r �. 1 _ `va r.,J. f` w �r r,• ,: 'h .! ',�-:.t � .. (:- �w•yet r,r:e-.�. ! -��w �.�,� GLGVt11 VSl VC GSlA11lYV VG[\L 1L-1L.A1G VV1l.G CARMEL/CLAY BOARD OF PARKS & RECREATION 1411 E 116TH ST Pat Schlemmer CARMEL IN 46032 l.If Code = * An annual test report is due before aermit is issued. 2.If Code = # A 5 year Test report is due before a-permit is issued. 3.0ver due fees must be paid before a_permit is issued. If elevator(s) are not in service please request an "ELEVATOR OUT OF SERVICE AFFIRMATION" form. State No.Code Due Over Due Location Address 111703 $120.00 $ 0.00 1235 CENTRAL PARK DR EAST, CARMEL IN 40632 Purchase o2u 13 Description finnU&�- P.O.# PorF G.L.# lll- 43`Jc�3� Budget Line escr Purchaser Date Approval 4:1 Date / z !3 Reference Number Invoice Date Please submit ENTIRE document with payment 734241-12272012 -1 12/27/2012 Unit(s) 1 Total Due upon receipt of 1 $ 120.00 of $ 120.00 Owner Id 734241 Ref.Num. :734241-12272012 - 1 $120 of $ 120.00 Invoice Date 12/27/2012 If Paying by check, include a check made payable to the Department of Homeland security. You can pay all your payments online at IDHS web site https://myoracle.in.gov/dfbs/idhsFeesFines/start.do with Visa/Master -card/Discover cards. 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'��• T ,l�f" f T. _,y�f" :•� T ,4� T •4�f' f r f2 r 1 r. 1l�+ 1 r <I�'.r 1 •' ,<'��.r 1 r .r<� 1 r�.,de -r '1 r f�t -r 1 r f� ! ♦:Irate..: :l.�. ♦ ua'�0' 4•, ♦ tra'w' 1 ! ,► fir' ` ♦ Ira' '• '!:.' ► 'Ja '� -4•:' ► 'ra `�, rk W A r. I 1�•,'•`;!"r"� a.�. r I,1 Ili: 4'`A " r I.1 '+-`A: ! r'f.,l�. 4'`A]�! v.'I 1+�.:•`!"`•'"�. r I)+�1'•`+'`r.a�.� r I•��^ ,�!.J►:?a! ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Purchase Order No. 229400 Indiana Department of Homeland Security Terms Fiscal Department 302 W Washington St., Rm E221 Indianapolis, IN 46204 Invoice . Invoice, Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 12/27/12 734241122720121 Annual elevator permit 111703 $ 120.00 11/29/12 734241112920121 Annual elevator permit 111704/111978 $ 240.00 Total $ 360.00 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. 229400 Indiana Department of Homeland Security Allowed 20 Fiscal Department 302 W Washington St., Rm E221 Indianapolis, IN 46204 In Sum of$ $ 360.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 734241122720121 4358300 $ 120.00 1 hereby certify that the attached invoice(s), or 1091 734241112920121 4358300 $ 240.00 bill(s) is (are)true and correct and that the materials or services itemized thereon for i which charge is made were ordered and received except 3-Jan 2013 Signature $ 360.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund