HomeMy WebLinkAbout237858 10/08/14 o
CITY OF CARMEL, INDIANA VENDOR: 368458
ONE CIVIC SQUARE HANI SOUEIDAN CHECKAMOUNT: $********30.00*
CARMEL, INDIANA 46032 CARMEL WASTEWATER CHECK NUMBER: 237858
CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30.00 OTHER EXPENSES
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Bureau of Motor Vehicles IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Customer Transaction Receipt
>6IVY State Form 51717 (4-04)
Branch: CARMEL STARS(527) Date: 9/23/14 Time: 1:20:00 pm EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 196130471
Visit Customer: HANI YOUNAN SOUEIDAN
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
240124705 Driver-Renew License Renew $30.00
Subtotal: $30.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total: $30.00
Payment Method CREDIT Amount $ 30.00
Merchant ID advc80952we Card Type VISA Authorization Number 031856
Terminal ID 904Y9P1 Entry Method S Trans Sequence No 22134540
Batch No 0 Account Number ************5455
Total Due: $30.00
Amount Paid: $30.00
Change Due__ $0.00
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VOUCHER # 145639 WARRANT # ALLOWED
368458 IN SUM OF $
SOUEIDAN, HANI Y
SOUTH PLANT
9
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i I
SOUBDAN 01-7040-01 $30.00
r
Voucher Total $30.00 }
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
SOUEIDAN, HANI Y Purchase Order No.
SOUTH PLANT Terms
Due Date 9/30/2014
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
9/30/2014 SOUEIDAN ; $30.00
i
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
correct and I have audited same in accordance with IG 5-11-10-1.6
Date Officer