243237 3 /18/2015 ��y.4�eb
�� \ CITY OF CARMEL, INDIANA VENDOR: 00351325
d 4ij• ONE CIVIC SQUARE DAVID HUFFMAN CHECK AMOUNT: $*******139.50*
,rQ CARMEL, INDIANA 46032 C/0 STREET DEPARTMENT CHECK NUMBER: 243237
���TON�°' C/0 STREET DEPARTMEN CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4358300 139.50 OTHER FEES & LICENSES
Y' r � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
_ Bureau of Motor Vehicles
Customer Detailed Transaction Recei t
p
State Form 51714 (4-04)
Branch: VEHICLE SERVICES- REGISTRATIONS Date: 03/03/2015 Time: 12:41 EDT
Visit ID: (19907446 CSR: LB
Visit Customer: CITY OF CARMEL
Transactions
Trans ID Trans Tyne Trans Subtype Amount
245837082 Title-Title Transfer Transfer
- Title Fee-Vehicle-
DELINQUENT
ehicle DELINQUENT TITLE FEE, VEHICLE $21.50
Vehicle: 1 GCGK24R5YR1 96036 2000 CHE GK2 PK
Lien Holder: None
Customer: CITY OF CARMEL
Purchase Date: 09/10/2013
245837468 Title- Initial Title Issuance New
Title Fee-Vehicle $15.00
Vehicle: 1 FTBF21367FEC40968 2015 FOR F2S PK
Lien Holder: THE HUNTINGTON NATIONAL BANK
105 E 4TH ST
CINCINNATI, OH 45202
Customer: CITY OF CARMEL
Purchase Date: 01/20/2015
245838388 Title-Initial Title Issuance New
Title Fee-Vehicle $15.00
Vehicle: 1 FTBF21369FEC40969 2015 FOR 172S PK
Lien Holder: THE HUNTINGTON NATIONAL BANK
105 E 4TH ST
CINCINNATI, OH 45202
Customer: CITY OF CARMEL
Purchase Date: 01/20/20.15 _
245839225 Title- Initial Title Issuance New
Title Fee-Vehicle $15.00
DELINQUENT TITLE FEE, VEHICLE $21.50
Vehicle: 1 FTBF2B65FEC40967 2015 FOR 172S PK
Lien Holder: THE HUNTINGTON NATIONAL BANK
105 E 4TH ST
CINCINNATI, OH 45202
Customer: CITY OF CARMEL
Purchase Date: 01/12/2015
245839625 Title- Initial Title Issuance New
Title Fee-Vehicle $15.00
DELINQUENT TITLE FEE, VEHICLE $21.50
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 2
' A Bureau of Motor Vehicles IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Customer Detailed Transaction Receipt
BU State Form 51714 (4-04)
Branch: VEHICLE SERVICES-REGISTRATIONS Date: 03/03/2015 Time: 12:41 EDT
Visit ID: MA07446 CSR: LB
Visit Customer: CITY OF CARMEL
Vehicle: 1FTBM65FEC40970 2015 FOR F2S PK
Lien Holder: THE HUNTINGTON NATIONAL BANK
105 E 4TH ST
CINCINNATI, OH 45202
Customer: CITY OF CARMEL
Purchase Date: 01/12/2015
$139.50
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 2 of 2
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VOUCHER NO. WARRANT NO.
ALLOWED 20
.Dave Huffman
IN SUM OF$
$139.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept., INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 43-583.00 $139.50 1 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
ua" r
5
S m t rnmmiccinnoar
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
r
ACCOUNTS PAYABLE VOUCHER
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))
03/13/15 $139.50
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