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Home My WebLink About220192 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 229400 Page 1 of 1 e�s. ONE CIVIC SQUARE INDIANA DEPT OF HOMELAND SECURIT` AMOUNT: $150.00 yHECK :o CARMEL, INDIANA 46032 DIV OF ELEVATOR SAFETY-FISCAL OFFI 302 W WASHINGTON ST,RM E221 CHECK NUMBER: 220192 INDIANAPOLIS IN 46204 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4358300 304619 25 . 00 OTHER FEES & LICENSES 1093 4358300 304620 25 . 00 OTHER FEES & LICENSES 1093 4358300 304621 25 . 00 OTHER FEES & LICENSES 1093 4358300 304622 25 . 00 OTHER FEES & LICENSES 1093 4358300 304623 25 . 00 OTHER FEES & LICENSES 1093 4358300 304624 25 . 00 OTHER FEES & LICENSES LAP R 1 � 2013 FR ED INVOICE FOR INSPECTION / CERTIFICATE FEES State Form 356(R4/9-93) Approved by the State Board of Accounts-1991 Division of Fire and Building Safety �eia 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 hops:/lmyoracle.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 CARMEL CLAY PARKS & RECREATION 304619 ATTN DAWN KOEPPER INVOICE PAY THIS DATE AMOUNT. Owner Id 1411 E 116TH ST 759531 CARMEL, IN 46032-3455 04/05/2013 Owner number User Name&Location of vessel MONON COIMMUNITY CTR Fee 1235 CENTRAL PARK DR E $ 25.00 CARMEL IN 46032 Serial number Description of vessel Manufacturer Date Last Inspected W T Blr - Hot Water Heating ; BRYAN 03/13/2013 I � INational Board No. Inspection agency Name of inspector (This fee is 53252 I TRAVELERS CALHOUN JOSEPH S prescribed by 6751AC 12-3-13) Inspection Date Inspector Name Inspection Type Due 03/13/2013 CALHOUN JOSEPH S RE-INSPECTION--304619,04/05/2013 $ 25.00 PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON LINE AND RETURN BOTTOM COPY WITH PAYMENT T.—k. n.l _°- _._ i INVOICE FOR INSPECTION / CERTIFICATE FEES APR 1 2013 d, `o State Form 356(R4/9-93) W( 1. Approved by the State Board of Accounts-1991 Division of Fire and Building Safety v You can pay all your payments online aFIIDDHS web.site-- mo 1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY ----- -------_._ 2. Mail 2nd copy&check to DEPARTMENT OF HOMELAND SECURITY https://myoracle.in.gov/dfbs/ldhsFeesFines/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 i CARMEL CLAY PARKS & RECREATION LATEST PLEASE INVOICE PAY THIS 304620 ATTN DAWN KOEPPER DATE AMOUNT! Owner Id 1411 E 116TH ST � 759531 CARMEL, IN 46032-3455 04/05/2013 Owner number User Name&Location of vessel Fee i i MONON COMMUNITY CTR i 1235 CENTRAL PARK DR E $ 25.00 CARMEL IN 46032 Serial number i Description of vessel Manufacturer Date Last Inspected i iW Blr - Hot Water Heating BRYAN 03/13 e s/ 13 1 National Board No. I Inspection a agency Name of inspector 53259 TRAVELERS CALHOUN JOSEPH S prescribed by 675 IAC 12-3-13) J Inspection Date Inspector Name Inspection Type Due 03/13/2013 CALHOUN JOSEPH S RE-INSPECTION--304620,04/05/2013 $ 25.00 PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON LINE AND RETURN BOTTOM COPY WITH PAYMENT - ear hemp-and retpjnfan nnrtinn fny,mU L-Y': 8 2013 INVOICE FOR INSPECTION / CERTIFICATE FEES State Form 356(R4/9-93)Approved by the State Board of Accounts-1991 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 INDIANA STATE NUMBER LATEST PLEASE CARMEL CLAY PARKS & RECREATION INVOICE PAY THIS 304621 ATTN DAWN KOEPPER DATE AMOUNT! Owner Id 1411 E 116TH ST 759531 CARMEL, IN 46032-3455 04/05/2013 -1\ I i Owner number User Name&Location of vessel MONON COMMUNITY CTR Fee 1235 CENTRAL PARK DR E i $ 25.00 i CARMEL IN 46032 Serial number Description of vessel i Manufacturer Date Last Inspected W T Boiler LOCHINVAR 03/13/2013 National Board No. Inspection agency (This fee is 184627 I TRAVELERS CALHOUN JOSEPH S prescribed by Name of inspector I 675 IAC 12-3-13) Inspection Date Inspector Name Inspection Type Due 03/13/2013 CALHOUN JOSEPH S RE-INSPECTION--304621,04/05/2013 $ 25.00 PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON LINE AND RETURN BOTTOM COPY WITH PAYMENT TPAr_hp.rp anrf retain rnn nn.tinn fnr Vn `nrds - Hrrq INVOICE FOR INSPECTION / CERTIFICATE FEES LAPRI �3State 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 2. Mail 2nd copy 8 check to DEPARTMENT OF HOMELAND SECURITY https://myorac!e.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 j NUMBER CARMEL CLAY PARKS & RECREATION LATEST PLEASE INVOICE PAY THIS 304622 ATTN DAWN KOEPPER DATE AMOUNT! I Owner Id 1411 E 116TH ST CARMEL, IN 46032-3455 04/05/2013 \ j 759531 i Owner number User Name&Location of vessel MONON COMMUNITY CTR Fee { i 1235 CENTRAL PARK DR E $ 25.00 CARMEL IN 46032 i Serial number Description of vessel Manufacturer Date Last Inspected j � W T Boiler LOCHINVAR j 03/13/2013 National Board No. Inspection agency Name of inspector (This fee is i 182397 i TRAVELERS CALHOUN JOSEPH S prescribed by 675 IAC 12-3-13) Inspection Date Inspector Name Inspection Type Due 03/13/2013 CALHOUN JOSEPH S RE-INSPECTION--304622,04/05/2013 $ 25.00 PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON LINE AND RETURN BOTTOM COPY WITH PAYMENT - __ Tear here @nj retain ton nortinn for vni-r rPrnr is _-_ _-- - - - ---- —, �� r4 INVOICE FOR INSPECTION / CERTIFICATE FEES Fleat'IDH 1 g 11e State Form 356(R4/9-93) 2013 � Approved by the State Board of Accounts-1991 Division of Fire and Building Safety nT� 1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY You can pay all your payments :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 j CARMEL CLAY PARKS & RECREATION 304623 ATTN DAWN KOEPPER INVOICE PAY THIS I i DATE AMOUNT. 1 I Owner Id 1411 E 116TH ST 759531 CARMEL, IN 46032-3455 04/05/2013 I Owner number User Name&Location of vessel MONON COMMUNITY CTR Fee 1235 CENTRAL PARK DR E $ 25.00 CARMEL IN 46032 Serial number Description of vessel f Manufacturer Date Last Inspected IW T Boiler LOCHINVAR X03/13/2013 I National Board No. I Inspection agency Name of inspector (This fee is 184067 i TRAVELERS CALHOUN JOSEPH S prescribed by -- -- --- - ——------ 675 1AC 12-3-13)--- -- - Inspection Date Inspector Name Inspection Type Due 03/13/2013 CALHOUN JOSEPH S RE-INSPECTION--304623,04/05/2013 $ 25.00 PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON LINE AND RETURN BOTTOM COPY WITH PAYMENT T-r horn+4.efofn+—n...r;—s......... INVOICE FOR INSPECTION / CERTIFICATE FEES APR 18 2013 o 'tie State Form 356(R4/9-93) Approved by the State Board of Accounts-1991 N' Division of Fire and Building Safety r You can pay all your payments_online at-IDHS:web,site 1.Mail checks payable to DEPARTMENT OF HOMELAND SECURITY - - - 2. Mail 2nd copy&check to DEPARTMENT OF HOMELAND SECURITY https://myoracle.in.gov/dtbs/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 CLAY PARKS & RECREATION LATEST PLEASE j 304624 ATTN DAWN KOEPPER j INVOICE PAY THIS DATE AMOUNT. Owner Id 1411 E 116TH ST j 759531 CARMEL, IN 46032-3455 04/05/2013 7 ✓" i Owner number User Name&Location of vessel MONON COMMUNITY CTR Fee 1235 CENTRAL PARK DR E $ 25.00 j CARMEL IN 46032 j I Serial number Description of vessel j Manufacturer Date Last Inspected IW T Boiler iLOCHINVAR 03/13/2013 National Board No. Inspection agency Name of inspector (This fee is i 195396 TRAVELERS CALHOUN JOSEPH S prescribed by I 675 1AC 12-3-13) Inspection Date Inspector Name Inspection Type Due 03/13/2013 CALHOUN JOSEPH S RE-INSPECTION--304624,04/05/2013 $ 25.00 PLEASE NOTE THIS SHEET CONTAINS 2 DUPLICATED INVOICE, PLEASE CUT SHEET ON LINE AND RETURN BOTTOM COPY WITH PAYMENT Tear here and retain top portion for your records -- ----- - - - -- - - - -- -- -- 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 4/5/13 304619 Boiler certificates $ 25.00 4/5/13 304620 Boiler certificates $ 25.00 4/5/13 304621 Boiler certificates $ 25.00 4/5/13 304622 Boiler certificates $ 25.00 4/5/13 304623 Boiler certificates $ 25.00 4/5/13 304624 Boiler certificates $ 25 00 Total $ 150.00 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 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$ $ 150.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center Po#or Board Members INVOICE NO. ACCT#/TITL AMOUNT Dept# 1093 304619 4358300 $ 25.00 1 hereby certify that the attached invoice(s), or 1093 304620 4358300 $ 25.00 bill(s) is (are)true and correct and that the 1093 304621 4358300 $ 25.00 materials or services itemized thereon for 1093 304622 4358300 $ 25.00 which charge is made were ordered and 1093 304623 4358300 $ 25.00 received except 1093 304624 4358300 $ 25.00 16-May 2013 Signature $ 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund