237991 10/08/14 J,. CITY OF CARMEL, INDIANA VENDOR: 368714
ONE CIVIC SQUARE JEFFREY TRAGESSER CHECK AMOUNT: $********40.00*
=a; CARMEL, INDIANA 46032 C/O UTILITIES CHECK NUMBER: 237991
*roN CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 40.00 OTHER EXPENSES
_ 1 (g70-7 cel- 7OIfo-o(
Bureau of Motor Vehicles IIIIIIIII
� ! � I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII I
Customer Transaction Receipt
BMV;, State Form 51717 (4-04)
Branch: CARMEL STARS(527) Date: 9/24/14 Time: 1:44:12 pm EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 196165283
Visit Customer: JEFFREY W TRAGESSER
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
240180975 Driver-Renew License Renew $40.00
Subtotal: $40.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total $40.00
Payment Method CREDIT Amount $ 40.00
Merchant ID advc80952we Card Type MASTERCARD Authorization Number 134409
Terminal ID 8ZYZ9P1 Entry Method S Trans Sequence No 22182470
Batch No 0 Account Number ************4908
Total Due: $40.00
Amount Paid: $40.00
Change Due: $0.00
Within 10 business days, you will receive your permanent drivers license or identification card through the United States mail.
You will be able to track the progress of your credential review by visiting www.myBMV.com and logging into your personal
account. If you do not receive your credential within 10 business days or you have questions/comments, please call the BMV
Customer Service Center at 888-myBMV-411 (888-692-6841).
Please help us improve our service by completing a one-minute customer satisfaction survey. Your responses are completely
confidential. Visit http://www.in.gov/bmvsurvey/start and enter the survey code 196165283 to get started. Thank you.
www.Facebook.com/inbmv www.Twitter.com/inbmv y www.myBMV.com
IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Customer Copy
5 1 7 1 7 2 4 0 1 8 0 9 7 5 Page 1 of 1
VOUCHER # 145640 WARRANT # ALLOWED
368707 IN SUM OF $
TRAGESSER, JEFFREY W.
SOUTH PLANT
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
TRAGESSER 01-7040-01 $40.00
,I
;f
;I
y.
Voucher Total $40.00
Cost distribution ledger classification if
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
368707
TRAGESSER, JEFFREY W. Purchase Order No.
SOUTH PLANT Terms
Due Date 9/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/30/2014 TRAGESSEF $40.00
1 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
P
Date O ' er