HomeMy WebLinkAbout255899 03/01/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 369425
ONE CIVIC SQUARE MATT LAFOLLETTE CHECKAMOUNT: $********17.00*
CARMEL, INDIANA 46032 - WASTEWATER PLANT CHECK NUMBER: 255899
CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 207852191 17.00 OTHER EXPENSES
VOUCHER # 157220 WARRANT # ALLOWED
{ IN SUM OF $
369425
LAFOLLETTE, MATT i
SOUTH PLANT
Carmel Wastewater Utility 4
ON ACCOUNT OF APPROPRIATION FOR
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y Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
LAFOLLETTE 01-7040-01 $17.00
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Voucher Total $17.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
.`*�?* . Bureau of Motor Vehicles IIIIIII IIIIII IIIIIIIIII II (IIIIIII
►*.k Customer Transaction Receipt
*BMV= State Form 51717 (4-04)
Branch: CARMEL STARS(527) Date: 2/11/16 Time: 10:51:03 am EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 207852191
Visit Customer: MATTHEW DAVID LAFOLLETTE
Transactions
Trans ID (PIN) Trans Twe Trans Subtype Amount
259414910 Driver-Issue CDL Learner New $17.00
Subtotal: $17.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total: $17.00
Payment Method-CREDIT Amount $ 17.00 _
Merchant ID 527BMV Card Type VISA Authorization Number 961440
Terminal ID 2UA5311 FW4 Entry Method S Trans Sequence No 56477186
Batch No 0 Account Number ************7337
Total Due: $17.00
Amount Paid: $17.00
Change Due: $0.00
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