HomeMy WebLinkAbout257144 04/05/16 4i u!'C�,�+Jf
CITY OF CARMEL, INDIANA VENDOR: 370451
`/ CHECK AMOUNT: $********50.00*
.;; d ?• ONE CIVIC SQUARE KELLI DUGAN
r'.. ,+° CARMEL, INDIANA 46032 2338 ACADEMY LANE EAST DR. CHECK NUMBER: 257144
9a;,�ioN.�, CARMEL IN 46032 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 4/1/16 50.00 TRAINING SEMINARS
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 Date invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
03/28/16 0 $50.00
1110 210
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
KELLI DUGAN
2338 ACADEMY LANE EAST DR. IN SUM OF$
CARMEL, IN 46032
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmei Police
PO#/Dept.I INVOICE NO. I ACCT#/Fund AMOUNT Board Members
j 0 j 43-570.00 $50-00 1 hereby certify that the attached invoice(s), or
1110 21 — 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, March 28, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Page 1 of 1
PLC#: 4891 -
Carmel Police Department ®®
3 Civic Square Q,,GovPAr To
The SiMPIQ Way Carmel,IN 46032
Tel:317-571-2520
TRANSACTION INFORMATION:
Name: Kelli Dugan Reference#: 16453844
Company Name: Date/Time: 2016-03-03 09:53:48.0
Employee ID: 1071
Reason: Gun Permit Accepted: 2016-03-03 09:53:27.0
Accident#: Payout Date: 2016-03-04 15:15:17.0
#FingerPrint Cards:
Comments: 171114520
CREDIT CARD INFORMATION: PAYMENT INFORMATION:
Name: KELLI DUGAN
Address: MSR Approval#: 225305
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#: xxxx-xxxx-xxxx-1005
https://www.proviewexp.com/ProviewEXP/29069AED770C75E6139550D78A21 FBA8-ca... 3/28/2016
Applicant Informa77tio�diataa Stael�errrcr�n License
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Application # 171114520
Name SSN 478-04-5234
Kell! Dugan DL#
D.O.B.
8/8/1969 Age 46
Address Race white
2338 ACADEMY LANE EAST DR
Permit Type04?
Lifetime Personal Protection w/o Valid License $50.00 V 10\,�,5
Criminal History Questions
N Have you had a previous Indiana handgun license?
N Has your handgun license ever been suspended/revoked?
N Have you ever been convicted of any misdemeanor violation that has not been
expunged by a court? Including DUI?
N Have you ever been convicted of any felony violation that has not been expunged by
a court? Including DUI?
N Have.you ever been treated for psychiatric health care:or an emotional or mental
illness?
N Are you prohibited by court or protective order from possessing a firearm?
Misdemeanor Convictions
Charge Location State Year
Felony Convictions
Charge Location State Year
Approved by Denied by Reason