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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 Summarynn �Qvtl Make Payments Transfer Funds Service Center Account Activity Welcome Friday, March 13, 2015 Account Options Account Activity . Account Summary . Account Statements&Documents Expo Histo Account: — ---- �� Current Statement Statement Period: Posted Transactions(M Advanced Search: Keyword Postine Date Transaction Date Debit+ Credit(-) Descrintion Action 03/10/2015 03/08/2015 03/10/2015 03/09/2015 Postine Date Transaction Date Debit(+) Credit(-) Description Action 03/10/2015 03/10/2015 -� 03/09/2015 03/05/2015 03/04/2015 03/03/2015 $139.50 IN BMV VEHICLE SER INDIANAPOLIS IN Transactions and other information that appear on this page have occurred since your last statement cycle date. Please select another statement period to review previous account activity. I Disclosure/ErrorResolution Copyright @'2015 Fifth Third Bank,Member FDIC, 16Equal Housing Lender,All Rights Reserved Contact Us Service Center Help FAQs Privacy&Security VOUCHER NO. WARRANT NO. ALLOWED 20 .Dave Huffman IN SUM OF$ $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