The URL can be used to link to this page

Home My WebLink About219569 04/30/2013 a CITY OF CARMEL, INDIANA VENDOR: 367111 Page 1 of 1 ONE CIVIC SQUARE A-1 EXPEDITORS € CARMEL, INDIANA 46032 8841 MUD CREEK ROAD CHECK AMOUNT: $4,317.00 INDIANAPOLIS IN 46256 CHECK NUMBER: 219569 CHECK DATE: 4130/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 102 . 00 REFUND 609 5023990 2, 615 . 00 REFUND 651 5023990 102 . 00 REFUND 659 5023990 1, 498 . 00 REFUND CITY OF CARMEL 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: plux COPY # 1 i Sec:20 Twp: 18 Rng:4 Sub:SPL Blk:3 Lot :36 PARCEL ID . . . . . . . . : 1710200006001000 DATE ISSUED. . . . . . . : 04/23/2013 RECEIPT #. . . . . . . . . : BC000005298 REFERENCE ID # . . . : 13040153 SITE ADDRESS . . . . . : 14363 ALDERBROOK TRAIL SUBDIVISION . . . . . . : STAFFORD PLACE CITY . . . . . . . . . . . . . . CARMEL IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : DREES PREMIER HOMES ADDRESS . . . . . . . . . . : 6650 TELECOM DR #200 CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46278 RECEIVED FROM . . . . : A-1 EXPEDITORS CONTRACTOR . . . . . . . : BUTTZ EXCAVATING ID-XBUTTEXC COMPANY . . . . . . . . . . : BUTTZ EXCAVATING ADDRESS . . . . . . . . . . : 12008 GREENFIELD AVE CITY/STATE/ZIP . . . : NOBLESVILLE, IN 46060 TELEPHONE . . . . . . . . : (317) 773-3091 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- USEWERINSP FLAT RATE 1 . 00 102 . 00 0 . 00 102 . 00 0 . 00 USFSEWCONN FLAT RATE 1.00 1498 . 00 0 . 00 1498 . 00 0 . 00 USFWATCONN FLAT RATE 1 .00 2615 . 00 0 . 00 2615 .00 0 . 00 UWATERTAP FLAT RATE 1 . 00 102 . 00 0 . 00 102 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 4317. 00 0 . 00 4317. 00 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 4, 317 . 00 17280 --------------- TOTAL RECEIPT 4, 317 . 00 Prescribed by State Board of Accounts Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER to ADDRESS Invoice Date Invoice Number Item Amount �O �JLrv► �1 ,w�c� 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 e ept Mo. Day Yr. 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. Mo. Day Yr. Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA /4 f_fX7cn j-706 Favor Of /� 1Mot) CLEFd- -DAO Total Amount of Voucher $ Deductions 0 r7 Amount of Warrant Month of tL I VOUCHER RECORD Acct. No. Source of Supply Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation-Mai nte nance J Utility Plant in Service Constr.Work in Progress Materials and Supplies 1 01-1 Customers Deposits i Total Allowed Board of Control Filed Official Title ROYCE FORMS•SYSTEMS 1-800-382-8702 325 CITY OF CARMEL 4 ITEMS OF 4 PERMIT RECEIPT OPERATOR: plux COPY # 1 f Sec :20 Twp:18 Rng:4 Sub:SPL Blk:3 Lot:36 PARCEL ID . . . . . . . . : 1710200006001000 DATE ISSUED. . . . . . . : 04/23/2013 RECEIPT # . . . . . . . . . : BO000005298 REFERENCE ID # . . . : 13040153 SITE ADDRESS . . . . . : 14363 ALDERBROOK TRAIL SUBDIVISION . . . . . . : STAFFORD PLACE CITY . . . . . . . . . . . . . : CARMEL IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : DREES PREMIER HOMES ADDRESS . . . . . . . . . . : 6650 TELECOM DR #200 CITY/STATE/ZIP . . . : INDIANAPOLIS, IN 46278 RECEIVED FROM . . . . : A-1 EXPEDITORS CONTRACTOR . . . . . . . : BUTTZ EXCAVATING ID-XBUTTEXC COMPANY . . . . . . . . . . : BUTTZ EXCAVATING ADDRESS . . . . . . . . . . : 12008 GREENFIELD AVE CITY/STATE/ZIP . . . : NOBLESVILLE, IN 46060 TELEPHONE . . . . . . . . : (317) 773-3091 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- USEWERINSP FLAT RATE 1 .00 102 . 00 0 . 00 102 . 00 0 . 00 USFSEWCONN FLAT RATE 1 .00 1498 . 00 0 . 00 1498 .00 0. 00 USFWATCONN FLAT RATE 1 .00 2615 . 00 0 . 00 2615 . 00 0. 00 UWATERTAP FLAT RATE 1 . 00 102 . 00 0 . 00 102 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 4317 . 00 0 . 00 4317. 00 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 4, 317. 00 17280 --------------- TOTAL RECEIPT 4, 317 . 00 Prescribed by State Board of Accounts Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VgUCHER TO ADDRESS ��Y1 up Cjj4 k o" 1 Qo//LA,Mtti T64� qG;-�L Invoice Date Invoice Number Item Amount k Vvfyll-) 4,ufG� "M RA-6 _ / w 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 ex ept 25 of � A c 7 Mo. Day Yr. Signature Title I hereby certify that the attached invoice(s), or bill(s), is (are)true an correct and I have audited same in accordance with IC 5-11-10-1.6. Mo. Day Yr. icer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WASTEWATER UTILITY ACC . NOT CARMEL, INDIANA A-1 Favor Of CIL �oAD P 0"S S 1-6k Total Amount of Voucher $ Deductions 5-3cz 1 u� 45 Amount of Warrant $ �lY� Month of Acct. VOUCHER RECORD No. Collection System Pumping Treatment&Disposal Customer Accounts Administrative&General Reclaimed Water Treatment Reclaimed Water Distribution Total Allowed Board Members Filed BOYCE FORMS•SYSTEMS 1.800-382-8702 325