HomeMy WebLinkAbout258673 05/13/16 04;
4�p CITY OF CARMEL, INDIANA VENDOR: 358941
® °I• ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUQUECK AMOUNT: $....."""83.64•
s• _�; CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 258673
*;�oN��� CHECK DATE: 05/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 CORBINCLARK 83.64 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO.
ALLOWED 20
PETTY CASH-BROOKSHIRE GOLF COURSE
C/O PAM LISTER
IN SUM OF$
$83.64
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
I Corbin Clark I 43-553.00 I $34.17 1 hereby certify that the attached invoice(s), or
Permit
1207 101 bill(s) is (are)true and correct and that the
C Minnaar Permit 43-553.00 $49.47
1207 101 materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 09, 2016
l
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
05/09/16 Corbin Clark Permit Corbin Clark Allcohol Permit $34.17
1207 101
05/09/16 C Minnaar Permit Chloe Minnaar Alcohol Permit $49.47
1207 101
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
5/9/2016 Welcome to Indiana Licensing
MNU
HE
n
. _. Online L "eensing
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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".
SERVER TRAINING IS REQUIRED BEFORE THIS PERMIT WILL BE ISSUED
• Click here to complete Server Training online
• A BMV Operating While Intoxicated (OWI) Check is preformed on every application prior to
issuing a permit. Please allow 24 - 48 hours after completing Server Training for the check to be
completed and your permit to be issued.
• You may print this receipt and use it to work for 60 days, or until your new permit arrives in
the mail.
Payment received - thank you.
Licensee: Corbin James Clark
License Number: Pending
Authorization Code: 219805
Received Date: 5/9/2016 4:32:43 PM
Transaction ID: 61625660
Credit Card Number: XXXX XXXX XXXX 0995
Fee Amount: $30.00
Enhanced Fee: $2.50
Instant Fee: $1.67
Total Payment: $34.17
>>Phit�Receipt
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5/9/2016 Welcome to Indiana Licensing
Indi
Online Li6ensing ;.
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".
New Application
• Completion of Server Training is required within 120 days of issuance of this permit. Click here
to complete Server Training online
• A BMV Operating While Intoxicated (OWI) Check is preformed on every application prior to
issuing a permit. Please allow 24 - 48 hours to complete the check before your permit will be
issued.
• 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: Chloe Kathleen Minnaar
License Number: Pending
Authorization Code: 214363
Received Date: 5/9/2016 3:42:56 PM
Transaction ID: 61623804
Credit Card Number: XXXX XXXX XXXX 0995
Fee Amount: $45.00
Enhanced Fee: $2.50
Instant Fee: $1.97
Total Payment: $49.47
Pant Receipt
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