HomeMy WebLinkAbout235496 07/30/14 a` 4,p'• CITY OF CARMEL, INDIANA VENDOR: 368506
.l; ,• ONE CIVIC SQUARE HANI SOUEIDAN
CHECK AMOUNT: $RR"RRRRR16.00•
CARMEL, INDIANA 46032 1134 FARMVIEW LN CHECK NUMBER: 235496
CARMEL IN 46032 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 16.00 OTHER EXPENSES
3�8 q 5q
Bureau of Motor Vehicles
M Customer Transaction Receipt IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
B 1l g State Form 51717 (4-04)
Branch: CARMEL STARS(527) Date: 7/22/14 Time: 11:04:01 am EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 194647824
Visit Customer: HANI YOUNAN SOUEIDAN
Transactions
Trans ID (PIN) Trans Tyne Trans Subtype Amount
237717327 Driver- Issue CDL Learner New $16.00
Subtotal: $16.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total: $16.00
Pay meet-Method-CREDIT -_ ---Amount- $ 16.00-- - - —----- - _- -- -
Merchant ID advc80952we Card Type Authorization Number 022238
Terminal ID 8ZYX9P1 Entry Method S Trans Sequence No 19644754
Batch No 0 Account Number
Total Due: $16.00
Amount Paid: $16.00
Change Due: $0.00
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VOUCHER # 145189 WARRANT# ALLOWED
368458 IN SUM OF $
SOUEIDAN, HANI Y
SOUTH PLANT
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
SOUDDAN, F 01-7040-01 $16.00
d
SI
ii
Voucher Total $16.00
Cost distribution ledger classification if i
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
368458
SOUBDAN, HANI Y Purchase Order No.
SOUTH PLANT Terms
Due Date 7/25/2014
it
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/25/2014 SOUEIDAN, $16.00
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
Date Officer