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245509 05/20/15 r CAq� CITY OF CARMEL, INDIANA VENDOR: 00351325 (� ONE CIVIC SQUARE DAVID HUFFMAN CHECK AMOUNT: $********75.00* CARMEL, INDIANA 46032 C/O STREET DEPARTMENT CHECK NUMBER: 245509 •M_oN_Lo; C/O STREET DEPARTMEN CHECK DATE: 05/20/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4358300 75.00 OTHER FEES & LICENSES Bureau of Motor Vehicles Customer Transaction Receipt II►NIIIIIIIIIIIIIIIIIIIIIIIfiIIIIIII11111111811111N1 B V<. ' State Form 51717 (4-04) Branch: VEHICLE SERVICES-REGISTRATIONS(803) Date: 5/11/15 Time: 3:59:47 pm EDT 100 N SENATE AVE INDIANAPOLIS, IN 46204-2273 Visit 1D: 201404979 Visit Customer: CITY OF CARMEL Transactions Trans ID (PINJ Trans Type Trans Sub vae Amount 248924345 Title-Initial Title Issuance New $15.00 248924584 Registration-New Motor Vehicle Registration New $0.00 248924715 Title-Initial Title Issuance New $15.00 248924823 Registration -New Motor Vehicle Registration New $0.00 248924898 Title-Initial Title Issuance New $15.00 248924969 Registration- New Motor Vehicle Registration New $0.00 248925018 Title- Initial Title Issuance New $15.00 248925139 Registration- New Motor Vehicle Registration New $0.00 248925235 Title- Initial Title Issuance New $15.00 248925439 Registration- New Motor Vehicle Registration New $0.00 Subtotal: $75.00 Sales/Use Tax: $0.00 Credit Applied: $0.00 Total: $75.00 Payment Method CREDIT Amount $ 75.00 Merchant ID advc80952we Card Type Authorization Number 015915 Terminal ID 59T18P1 Entry Method K Trans Sequence No 37015544 Batch No 0 Account Number ************ Total Due: $75.00 Amount Paid: $75.00 Change Due: $0.00 www.Facebook.comlinbmv www.Twitter.comlinbmv i3Mu www.myBMV com ��iII��I�Ii��11��i��I II111IIlifllfllll(11l�llil ll++ II II Customer Co �IIII��I��IIIII� p 5 1 7 1 7 2 4 8 9 2 5 4 3 9 y Page 1 of 2 ' Bureau of Motor Vehicles Customer Transaction Receipt �I��IflllIIIIII�IIII��I�I�IIIIIIIIIIIIIIII�I�� B�IV State Form 51717 (4-04) Branch: VEHICLE SERVICES-REGISTRATIONS(803) Date: 5/11/15 Time: 3:59:47 pm EDT 100 N SENATE AVE INDIANAPOLIS, IN 46204-2273 Visit ID: 201404979 Visit Customer: CITY OF CARMEL 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/bmvsurveybtart and enter the survey code 201404979 to get started. Thank you. wwww,Facebook.com/inbmv www.Twitter.corrUinbmv www.mvBMV.com illillili"'IllllllllillillillillillilICustomer Copy 9 5 1 7 1 7 2 4 8 9 2 5 4 3 9 Page 2 of 2 Bureau of Motor Vehicles IIIIlIl�II�IIIfIIIII�IfIIIIIIIIIIIIIIIIIIIIIIIIII�IIiIIII r Customer Detailed Transaction Receipt ElV.,. State Form 51714 (4-04) HM�. Branch: VEHICLE SERVICES-REGISTRATIONS Date: 05/11/2015 Time: 15:59 EDT Visit ID: t28H1�04979 CSR: LB Visit Customer: CITY OF CARMEL Transactions Trans ID Trans Tvoe Trans Subtype Amount 248924345 Title-Initial Title Issuance New Title Fee-Vehicle $15.00 Vehicle: 1 FVHG5CY1 FHGS0905 2015 FRT SD8 CC Lien Holder: None Customer: CITY OF CARMEL Purchase Date: 04/24/2015 248924715 Title-initial Title Issuance New Title Fee-Vehicle $15.00 Vehicle: 1FVHG5CY3FHGS0906 2015 FRT SD8 CC Lien Holder: None Customer: CITY OF CARMEL Purchase Date: 04/24/2015 248924898 Title-Initial Title Issuance New Title Fee-Vehicle $15.00 Vehicle: 1 FVHG5CY5FHGS0907 2015 FRT SD8 CC Lien Holder: None Customer: CITY OF CARMEL Purchase Date: 04/24/2015 248925018 Title-Initial Title Issuance New Title Fee-Vehicle $15.00 Vehicle: 1FVHG5CY7FHGS0908 2015 FRT SD8 CC Lien Holder: None Customer: CITY OF CARMEL Purchase Date: 04/24/2015 248925235 Title- Initial Title Issuance New Title Fee-Vehicle $15.00 - Vehicle: 1 FVHG5CY9FHGS0909 2015 FRT SD8 CC Lien Holder: None Customer: CITY OF CARMEL Purchase Date: 04/24/2015 $75.00 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Dave Huffman IN SUM OF $ $75.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 1 43-583.001 $75.00 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 T rsd 1 15 SUM Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 05/13/15 $75.00 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