243997 04/08/15 G�q,
MF. CITY OF CARMEL, INDIANA VENDOR: 00351783
ONE CIVIC SQUARE ROB KINKEAD CHECK AMOUNT: $ ....'"36.00"
=4 CARMEL, INDIANA 46032 C/0 CARMEL WASTEWATER CHECK NUMBER: 243997
C/0 CARMEL WASTEWATE CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 36.00 OTHER EXPENSES
Bureau of Motor Vehicles VIII IIIIII IIIIIIII III IIIIIIII
Customer Transaction Receipt
State Form 51717 (4-04)
Branch: CARMEL STARS(527) Date: 3/27/15 Time: 2:57:06 pm EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 200247157
Visit Customer: ROBBIE L KINKEAD
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
247049806 Driver- Renew CDL License Renew $36.00
247049815 Customer-Amend Customer Amend $0.00
Subtotal: $36.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Totat $36.00
Payment Method CREDIT Amount $ 36.00
Merchant ID advc80952we Card Type MASTERCARD Authorization Number H39384
Terminal ID 8ZSZ9P1 Entry Method S Trans Sequence No 33005156
Batch No 0 Account Number ************9964
Total Due: $36.00
Amount Paid: $36.00
Change Due: $0.00
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�I�IIIIII�IIIII�IIIIIIIII 1111II 11I I11I� I Customer Copy
5 1 7 1 7 2 4 7 0 4 9 8 1 5 Page 1 of 1
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
T9976
KINKEAD, ROBBIE Purchase Order No.
CARMEL WASTEWATER Terms
Due Date 4/1/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2015 KINKEAD, RI $36.00
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
Date Officer
r
Y
VOUCHER # 155251 WARRANT # ALLOWED
T9976 IN SUM OF $
KINKEAD, ROBBIE
CARMEL WASTEWATER
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
KINKEAD, RC 01-7042-05 $36.00
Voucher Total $36.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
i