HomeMy WebLinkAbout252563 12/15/15 �� "p';� - CITY OF CARMEL, INDIANA VENDOR: 354888
d r ONE CIVIC SQUARE JAMES BUTLER CHECK AMOUNT: $********40.00*
,. CARMEL, INDIANA 46032 4806 W STONEHAVEN LANE CHECK NUMBER: 252563
•.wiroN�, NEW PALESTINE IN 46163 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 40.00 TRAINING SEMINARS
Page 1 of 1
Application#170940041 Submitted:10/25/2015
Action: ADD OBJECTION v Status:PENDING ISP APPROVAL
Application Type:4Yr.Personal Protect.($30)
Paid Local:LOCAL FEE RECORDED
Applicant: JAMES ALLEN BUTLER
(0 Objections)
Previous Names:None
Gender: MALE Date of birth: 2/17/1965 Occupation: OWNER/OPERATOR•MCDONALD'S Contact Info:317.445-0960(Primary)
Height: 5'8" Place of birth: NC Employer: BOSCO MANAGEMENT GROUP boscol965(a)att.net
Weight: 210 US Citizen: Yes Employer Address:484 EAST CARMEL DRIVE
Race: BLACK Slate of Residence:IN CARMEL,,IN 46032 HAMILTON
Hair Color:BALD/UNKNOWN Scars Marks Tattoos:N/A
Eye Color:BROWN
Addresses
FROM TO ADDRESS CITY STATE ZIP COUNTY
2012 Present 110 WEST MAIN ST.445 CARMEL IN 46032 HAMILTON
Mailing Address 484 EAST CARMEL DRIVE 378 CARMEL IN 46032
Uploaded Documents
No items
` Criminal History Questions
NO Have you had a previous Indiana handgun license?
NO Has your handgun license ever been suspended/revoked?
NO Have you ever been convicted of any misdemeanor violation that has not been expunged by a mutt?Including DUI?
NO Have you ever been convicted of any felony violation that has not been expunged by a court?Including DUI?
NO Have you ever been treated for psychiatric health care or an emotional or mental illness?
NO Fre you prohibited by court or protective order from possessing a firearm?
lnco-
https:Hlea.ariesportal.com/LEA/app.aspx 12/7/2015
Page 1 of 1
Application#170940041 <A9 Submitted:10/25/20151_]
Action: ADD OBJECTION v
® Status:PENDING ISP APPROVAL
Application Type:4Yr.Personal Protect(530)
Paid Local:LOCAL FEE RECORDED
Applicant: JAMES ALLEN BUTLER 8(0 Objections)
Previous Names:None
Gender: MALE Dale of birth: 2/1711965 Occupation: OWNER/OPERATOR-MCDONALD'S Contact Info:317-445-0960(Primary)
Height: 5'8" Place of birth: NC Employer: BOSCO MANAGEMENT GROUP boscol965QD,att.net
Weight: 210 US Citizen: Yes Employer Address:484 EAST CARMEL DRIVE
Race: BLACK State of Residence:IN CARMEL,IN 46032 HAMILTON
Hair Color:BALD/UNKNOWN Scars Marks Tattoos:N/A
Eye Color:BROWN
Addresses
FROM TO A_DD_RESS CITY STATE ZIP COUNTY
2012 Present 110 WEST MAIN ST.445 CARMEL IN 46032 HAMILTON
Mailing Address 484 EAST CARMEL DRIVE 378 CARMEL IN 46032
Uploaded Documents
Noitems
Criminal History Questions
NO Have you had a previous Indiana handgun license?
NO Has your handgun license ever been suspended/revoked?
NO Have you ever been convicted of any misdemeanor violation that has not been expunged by a court?Including DUI?
NO Have you ever been convicted of any felony violation that has not been expunged by a court?Including DUI?
NO Have you ever been treated for psychiatric health care or an emotional or mental illness?
NO Are you prohibited by court or protective order from possessing a firearm?
vc
https://lea.ariesportal.com[LEA/app.aspx 12/7/2015
PLC #: 4891 p �/(�� T
Carmel Police Department ®-�®V U-���� 1
3 Civic Square
The Simple Way To Pay
Carmel,IN 46032
Tel: 317-571-2520
TRANSACTION INFORMATION:
Name: James Butler Reference#: 15701351
Company Name: Date/Time: 2015-12-02 16:02:07.0
Employee ID: 1071
Reason: Gun Permit Accepted: 2015-12-02 16:02:07.0
Accident# : Payout Date: 2015-12-03 15:09:00.0
#FingerPrint Cards:
Comments: 170940041
CREDIT CARD INFORMATION: PAYMENT INFORMATION:
Name: JAMES BUTLER
Address: MSR Approval#: 061991
Address Line 2: MSR
City: MSR PAYMENT TYPE: $50.00
State: AL Service Fee: $1.50
Zip: 00000
Phone: 000-000-0000 Total Amount: $51.50
Card#:
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
I. 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))
12/07/15 Refund $40.00
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
James Butler
IN SUM OF $
110 W. Main St. Apt. 445
Carmel, IN 46032
$40.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 -570.00 $40.00
I 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
Monday, December 07, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund