The URL can be used to link to this page

Home My WebLink About219295 04/24/2013 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: $75.00 302 W WASHINGTON ST,RM 246 CHECK NUMBER: 219295 INDIANAPOLIS IN 46204-2739 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 290011 25 . 00 OTHER EXPENSES 651 5023990 308699 25 . 00 OTHER EXPENSES 651 5023990 317065 25 . 00 OTHER EXPENSES r-" INVOICE FOR INSPECTION / CERTIFICATE FEES & io State Form 356(R4/9-93) wj ja Approved by the State Board of Accounts-1991 i' Division of Fire and Building Safety 1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY You can pay all your payments online at IDHS web site 2. Mail 2nd copy&check to DEPARTMENT OF HOMELAND SECURITY https://myoracle.in.gov/dfbs/idhsFeesFines/start.do INSTRUCTIONS: Boiler and Pressure Vessel Safety Division with Visa/Master Card/Discover cards.Use Owner Id on 302 W WASHINGTON ST.,RM 246 this letter or Indiana State Number on the invoice to pull INDIANAPOLIS IN 46204-2739 up information when paying the dues online. Telephone:(317)232-1921 IiIIN NA STATE i NUMBER CARMEL CITY OF LATEST PLEASE 308699 INVOICE PAY THIS C/O LISA KEMPA DATE AMOUNT! I Owner Id 760 3RD AVE SW SUITE 110 03/25/2013 I 651680 CARMEL, IN 46032 \/ Owner number User Name&Location of vessel Fee I CARMEL WASTE WTR UTILITIES 9609 HAZEL DELL PKWY $ 25.00 CARMEL IN 46280 Serial number I Description of vessel Manufacturer Date Last Inspected i FT Boiler I HURST 02/27/2013 National Board No. Inspection agency Name of inspector (This fee is 14935 TRAVELERS CALHOUN JOSEPH S prescribed by 675 IAC 12-3-13) Inspection Date Inspector Name Inspection Type Due 02/27/2013 CALHOUN JOSEPH S RE-INSPECTION-B-308699,03/25/2013 $ 25.00 PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON LINE AND RETURN BOTTOM COPY WITH PAYMENT retain top portion for your records ------ - I ; �' RTIFI Mal jT-"- � INVOICE FOR INSPECTION / CERTIFICATE FEES State Form 356(R4/9-93) v i; Approved by the State Board of Accounts-1991 �L Division of Fire and Building Safety 1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY You can pay all your payments online at IDHS web site 2. Mail 2nd copy&check to DEPARTMENT OF HOMELAND SECURITY https:/I myoracle.in.gov/dfbs/idhsFeesFines/start.do INSTRUCTIONS: Boiler and Pressure Vessel Safety Division with Visa/Master Card/Discover cards.Use Owner Id on 302 W WASHINGTON ST.,RM 246 this letter or Indiana State Number on the invoice to pull INDIANAPOLIS IN 46204-2739 up information when paying the dues online. Telephone:(317)232-1921 INDIANA STATE NUMBER CARMEL CITY OF LATEST PLEASE 290011 INVOICE PAY THIS C/O LISA KEMPA DATE AMOUNT! Owner Id 760 3RD AVE SW SUITE 110 651680 CARMEL, IN 46032 03/25/2013 —--- ---- ------ -------- --- --- -- ------------------------- -- Owner number User Name&Location of vessel WASTE WATER TREATMENT PLT Fee 9609 HAZEL DELL PKWY $ 25.00 INDIANAPOLIS IN 46280 Serial number Description of vessel Manufacturer Date Last Inspected j FT Boiler BURNHAM 02/27/2013 National Board No. Inspection agency Name of inspector (This fee is 28519 TRAVELERS CALHOUN JOSEPH S prescribed by 675 IAC 12-3-13) Inspection Date Inspector Name Inspection Type Due 02/27/2013 CALHOUN JOSEPH S RE-INSPECTION-B-290011,03/25/2013 $ 25.00 PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON LINE AND RETURN BOTTOM COPY WITH PAYMENT nd retain top portion for y�records ----^p I INVOICE FOR INSPECTION / CERTIFICATE FEES o To State Form 356(R4/9-93) Approved by the State Board of Accounts-1991 �t Division of Fire and Building Safety Haig' 1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY You can pay all your payments online at IDHS web site 2. Mail 2nd copy&check to DEPARTMENT OF HOMELAND SECURITY https://myoracle.in.gov/dfbs/idhsFeesFines/start.do INSTRUCTIONS: Boiler and Pressure Vessel Safety Division with Visa/Master Card/Discover cards.Use Owner Id on 302 W WASHINGTON ST.,RM 246 this letter or Indiana State Number on the invoice to pull INDIANAPOLIS IN 46204-2739 up information when paying the dues online. Telephone:(317)232-1921 � INDIANA STATE -------------------------------- NUMBER LATEST PLEASE INVOICE PAY THIS i 317065 CARMEL WASTE WATER PLANT DATE AMOUNT! Owner Id 9609 HAZEL DELL 787451 INDIANAPOLIS, IN 46280 03/25/2013 Owner number User Name&Location of vessel CARMEL WASTE WATER PLANT Fee 9609 HAZEL DELL $ 25.00 CARMEL IN 46032 r erial number Description of vessel Manufacturer Date Last Inspected 726L05555 ALUMINUM BOILER HARSCO P&K 02/27/2013 National Board No. Inspection agency Name of inspector �. (This fee is TRAVELERS CALHOUN JOSEPH S prescribed by 675 IAC 12-3-13) Inspection Date Inspector Name Inspection Type Due 02/27/2013 CALHOUN JOSEPH S RE-INSPECTION--317065,03/25/2013 S 25.00 PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON LINE AND RETURN BOTTOM COPY WITH PAYMENT h—P and retain top portion for your records = CERTIFICAT � '�`L` ;r., i