259765 06/16/16 4�1,CAgf(
�,® t CITY OF CARMEL, INDIANA VENDOR: 354963
ONE CIVIC SQUARE PETER BRENNAN CHECK AMOUNT: $*******389.17*
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CARMEL, INDIANA 46032 11601 NORTH STRONG ROAD CHECK NUMBER: 259765
9��ioN� ; ALBANY IN 47320 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 BRENNAN 389.17 OTHER EXPENSES
VOUCHER # 165496 WARRANT # ALLOWED
354963 IN SUM OF $
BRENNAN, PETE
CARMEL WASTEWATER
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO* INV# ACCT# AMOUNT Audit Trail Code
BRENNAN,P 01 7042— 8 $355.00
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Voucher Total $355.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Brennan, Pete R. -
From: Auto-Receipt <noreply@mail.authorize.net>
Sent: Friday,June 03, 2016 6:40 PM
To: Brennan, Pete R.
Subject: Transaction Receipt from Approved Environment Inc for $355.00 (USD)
Description: Wastewater Certification Classes/Seminars
Invoice Number 673CR
Billing Information Shipping Information
Peter Brennan Peter Brennan
11601 N Strong Rd 11601 N Strong Rd
11601 N Strong Rd,IN 47320 11601 N Strong Rd,IN 47320
USA USA
]2brennan@car-mel.in.gov
765-748-7188
Total: $355.00(USD)
Date/Time: 3-Jun-2016 18:39:56 EDT
Transaction ID: 8464547721
Payment Method: Visa xxxx7295
Transaction Type: Purchase
Auth Code: 109090
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Approved Environment Inc
INDIANAPOLIS, IN 46217
US
supportaoprovedce.com
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617/2016 Welcome to Indiana Licensing
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_ Payment ec
This page serves as your receipt for this transaction. Your payment will appear on your credit card
statement as "State of Indiana License Fee" or something similar. To maintain this page for your
records, you may print this page by clicking the "Print Receipt" button below.
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Payment received - thank you.
Licensee: Peter R. Brennan
License Number: WW020150
Authorization Code: 128052
Received Date: 6/7/2016 2:11:28 PM
Transaction ID: 62661930
Credit Card Number: XXXX XXXX
XXXX 7295
Fee Amount: $30.00
Enhanced Fee: $2.50
Instant Fee: $1.67
Total Payment: $34.17
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