251686 11/18/15 Q
CITY OF CARMEL, INDIANA VENDOR: 358941
ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUQ19JCK AMOUNT: S"""""'98.94"
CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 251686
CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 BALLARD 49.47 ORGANIZATION & MEMBER
1207 4355300 CALVERT 49.47 ORGANIZATION & MEMBER
Welcome to Indiana Licensing Page 1 of 1
nd
in
Online Lr ensing
n..
Payment Receipt
This page serves as your receipt for this transaction. Your payment will appear on your credit
card statement as "STATE OF IN WWW INGOV 800-236-5446 IN".
Renewal
• Completion of Server Training is required every 3 years. Click here to complete Server
Training online
• A BMV Operating While Intoxicated (OWI) Check is preformed on every application prior to
renewing a permit. Please allow 24 - 48 hours to complete the check before your permit will
be renewed.
o You may print this receipt and use it to work for 60 days, or until your new permit arrives
in the mail..
o This receipt must be printed now. You will not be albe to reproduce it at a later time.
o All permit application and renewal fees are now non-refundable.
Payment received - thank you.
Licensee: BRIAN S. BALLARD
License Number: BR1614295
Authorization Code: 939833
Received Date: 11/10/2015 12:39:32 PM
Transaction ID: 50787750
Credit Card Number: XXXX XXXX XXXX
3362
Fee Amount: $45.00
Enhanced Fee: $2.50
Instant Fee: $1.97
Total Payment: $49.47
CPrint.Redeipt
Online Server Training
Renew Another License
Logout
https:Hmylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit_card num... 11/10/2015
Welcome to Indiana Licensing Page 1 of 1
11A,
t ; �.
@Indiana
Online Licensing
Payment Receipt
This page serves as your receipt for this transaction. Your payment will appear on your credit
card statement as "STATE OF IN WWW INGOV 800-236-5446 IN".
Renewal
• Completion of Server Training is required every 3 years. Click here to complete Server
Training online
A BMV Operating While Intoxicated (OWI) Check is preformed on every application prior to
renewing a permit. Please allow 24 - 48 hours to complete the check before your permit will
be renewed.
• You may print this receipt and use it to work for 60 days, or until your new permit arrives
in the mail..
• This receipt must be printed now. You will not be albe to reproduce it at a later time.
• All permit application and renewal fees are now non-refundable.
Payment received - thank you.
Licensee: MICHAEL D. CALVERT
License Number: BR1617292
Authorization Code: 109642
Received Date: 11/10/2015 12:31:45 PM
Transaction ID: 50786330
Credit Card Number: XXXX XXXX XXXX
3362
Fee Amount: $45.00
Enhanced Fee: $2.50
Instant Fee: $1.97
Total Payment: $49.47
Prin Receipt
Online Server Training
Renew Another License
Logout
https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit_card num... 11/10/2015
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))
11/10/15 B Ballard Permit $49.47
11/10/15 M Calvert Permit $49.47
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash
IN SUM OF $
$98.94
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#1T'ITLE AMOUNT Board Members
1207 B Ballard 43-553.00 $49.47 1 hereby certify that the attached invoice(s), or
1207 M Calvert 43-553.00 $49.47 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
Tuesday,Povember 10, 2015
Director, Brooks re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund