245078 5 /13/2015 1°�"'qAM
CITY OF CARMEL, INDIANA VENDOR: 00351564
�= °• ONE CIVIC SQUARE GARY CARTER
CHECK AMOUNT: $********30.00*
+' CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CHECK NUMBER: 245078
9,;•_ CARMEL IN 46032 CHECK DATE: 05/13/15
[TON GO'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4358300 30.00 OTHER FEES & LICENSES
r r•
'........... Bureau of Motor Vehicles
Customer Transaction Receipt
I II I I II I III IIII VIII VIII VIII VIII VIII VIII III
yBMU State Form 51717 (4-04)
Branch: VEHICLE SERVICES- REGISTRATIONS (803) Date: 4/30/15 Time: 11:37:40 am EDT
100 N SENATE AVE
INDIANAPOLIS, IN 46204-2273
Visit ID: 201132962
Visit Customer: CITY OF CARMEL
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
248484776 Title- Initial Title Issuance New $15.00
248485376 Registration - New Motor Vehicle Registration New $0.00
248485825 Title- Initial Title Issuance New $15.00
248486055 Registration - New Motor Vehicle Registration New $0.00
Subtotal: $30.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total: $30.00
Payment Method CREDIT Amount -$ 30.00
Merchant ID advc80952we Card Type Authorization Number 02120B
Terminal lD 59T18P1 Entry Method K Trans Sequence No 36122856
Batch No 0 Account Number *********'*`X,--
Total Due: $30.00
Amount Paid: $30.00
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 201132962 to get started. Thank you.
rm
. www.Facebook.com/inbmv www.Twitter.com/inbmv ,� www.myBMV.com
IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Customer Copy
5 1 7 1 7 . 2 4 8 4 8 6 0 5 5 Page 1 of 1
State Form 48099(R2/11-10)
Approved by State Board of INDIANA CERTIFICATE OF VEHICLE REGISTRATION
ccountsCLASS I AGE JISSUE DATE PUR DATE COUNTY TP PL YR PLATE PL TP WEIGHT PR YR LS I TYPE
04/30/2015 04/20/2015,29-HAMILTON N 2014 MO IN
EXPIRATION DATE I PRIOR PLATE I VEHICLE YEAR I MAKE TYPE MODEL COLOR VEHICLE IDENTIFICATION NUMBER
NO EXP 2015 FOR 4W WHI/ 1 FM5K8ARXFGC41183
CURRENT EX TAX EX CREDIT DAV CREDIT EX TAX DUE WHEEUSUR STATE REG FEE ADMIN FEE TOTAL DUE
YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
PRIOR EX TAX EX CREDIT DAV CREDIT EX TAX DU WHEEUSUR STATE REG FEE ADMIN FEE TOTAL DUE
YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
CITY OF CARMEL N
1 CIVIC SQ LB
CARMEL,IN 460322584
IMPORTANT REGISTRATION INFORMATION
The registrant acknowledges that the information provided on the front of this
form is correct. The registrant understands that proof of financial
responsibility(insurance)for this vehicle will be continuously maintained
during the registration period. Additional taxes and/or fees may be due if an
error or an adjustment to the amount due is made.
CUSTOMER COPY
State Form 48099(R2/11-10)
Approved
by State Board of INDIANA CERTIFICATE OF VEHICLE REGISTRATION
A
CLASS AGE I ISSUE DATE I PUR DATECOUNTY TP PL YR PLATE PL TP WEIGHT PR YR ILS TYPE
04/30/2015 04/20/2015 29-HAMILTON N 2014 MO N
EXPIRATION DATE I PRIOR PLATE VEHICLE YEAR I MAKE TYPE MODEL COLOR VEHICLE IDENTIFICATION NUMBER
NO EXP 1 2015 FOR 4W WHI/ 1 FM5K8AR1 FGC41184
CURRENT EX TAX EX CREDIT DAV CREDIT EX TAX DUE WHEEUSUR STATE REG FEE ADMIN FEE TOTAL DUE
YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
PRIOR EX TAX EX CREDIT DAV CREDIT EX TAX Duq WHEEUSUR STATE REG FEE ADMIN FEE TOTAL DUE
YEAR TAX 0.00 10.00 0.00 0.00 0.00 0.00 0.00 0.00
CITY OF CARMEL N
1 CIVIC SQ LB
CARMEWN 460322584
IMPORTANT REGISTRATION INFORMATION
The registrant acknowledges that the information provided on the front of this
form is correct. The registrant understands that proof of financial
responsibility(insurance)for this vehicle will be continuously maintained
during the registration period. Additional taxes and/or fees may be due if an
error or an adjustment to the amount due is made.
CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gary Carter
IN SUM OF$
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1120 43-583.00 $30.00 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
MAY 1 1 2015
Fire Chief _
l Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 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))
$30.00
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
, 20
Clerk-Treasurer