240560 12/31/2014 CITY OF CARMEL, INDIANA VENDOR: 357349
.`I
ONE CIVIC SQUARE LISA STEWART CHECKAMOUNT: $********75.00*
CARMEL, INDIANA 46032 6537 BUTTONWOOD DRIVE CHECK NUMBER: 240560
NOBLESVILLE IN 46060 CHECK DATE: 12/31/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 75.00 LICENSE PLATES
Bureau of Motor Vehicles
k -= ► Customer Transaction Receipt IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
u5"iV } State Form 51717 (4-04)
Branch: CARMEL STARS(527) Date: 12/30/14 Time: 1:21:27 pm EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 197973548
Visit Customer: CITY OF CARMEL
Transactions
Trans ID (PIM Trans Type Trans Subtype Amount
243060337 Title- Initial Title Issuance New $15.00
Subtotal: $15.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total $15.00
Payment Method CREDIT Amount $ 15.00
Merchant ID advc80952we Card Type MASTERCARD Authorization Number 132210
Terminal ID 2YLPNN1 Entry Method S Trans Sequence No 26110560
Batch No 0 Account Number ************6421
Total Due: $15.00
Amount Paid: $15.00
Change Due: $0.00
Within 10 business days, you will receive your registration or title through the United States mail:You will be able to track the
progress of your registration or title by using your PIN number listed above when calling the BMV Customer Service Center at
888-myBMV-411 (888-692-6841).
If you have questions or comments, please call our Customer Service Center at 888-myBMV-411.
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 197973548 to get started. Thank you.
www.Facebook,.com/inbmv ^r'wpm www.Twitter.com/inbmv � www.my13MV.com
1111 11I 111 t 11 111111111111 III11 1111 VIII 1111111 Customer Copy
5 1 7 1 7 2 4 3 0 6 0 3 3 7 Page 1 of 1
Bureau of Motor Vehicles
-- ►' * Customer Transaction Receipt IIIIIIIII VIII I IIIIII I IIIIIIII VIII IIII
B V,o (4-04)
State Form 51717p
Branch: CARMEL STARS(527) Date: 12/30/14 Time: 1:13:21 pm EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 197972856
Visit'Customer: CITY OF CARMEL
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
243059264 Title-Amend Title Amend $15.00
243059467 Title-Amend Title Amend $15.00
243059610 Title-Amend Title Amend $15.00
243059741 Title-Amend Title Amend $15.00
Subtotal: $60.00
Sales/Use Tax: $0.00
Credit Applied: $O.UO
Total $60.00
Payment Method CREDIT Amount $ 60.00
Merchant ID advc80952we Card Type MASTERCARD Authorization Number 131405
Terminal ID 2YLPNN1 Entry Method S Trans Sequence No 26109100
Batch No 0 Account Number ************6421
Total Due: $60.00
Amount Paid: $60.00
Change Due: $0.00
Within 10 business days, you will receive your registration or title through the United States mail. You will be able to track the
progress of your registration or title by using your PIN number listed above when calling the BMV Customer Service Center at
888-myBMV-411 (888-692-6841).
If you have questions or comments, please call our Customer Service Center at 888-myBMV-411.
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 197972856 to get started. Thank you.
www.Facebook.com/inbmv C www.Twitter.com/inbmv www.myBMV.com
II IIIII IIIII IIIII IIIII III II VIII(IIII IIIII IIIII I III VIII(IIII VIII III Customer Copy
5 1 7 1 7 2 4 3 0 5 9 7 4 1 Page 1 of'l
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHERCity Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
n� ✓� ALLOWED 20
IN SUM OF $
i
i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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 except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund