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Home My WebLink About260059 06/28/16 ,CAq CITY OF CARMEL, INDIANA VENDOR: 358941 ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUflIglaCK AMOUNT: $.....**"98.94* :9 ?� CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 260059 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 63178074 49.47 ORGANIZATION & MEMBER 1207 4355300 63279170 49.47 ORGANIZATION & MEMBER Prescribed by State Board of Accounts City Form No.201(Rev.1995) VOUCHER NO. WARRANT NO. PETTY CASH -BROOKSHIRE GOLF COURSE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O PAM LISTER IN SUM OF$ CITY OF CARMEL An invoice or bill to be property 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. $49.47 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND.# (or note attached invoice(s)or bill(s)) AMOUNT Indiana Beverage 43-553.00 $49.47 1 hereby certify that the attached invoice(s),or 6/23/16 Indiana Beverage Permit for Collin Yust $49.47 Permit Permit 1207 101 bill(s)is(are)true and correct and that the 1207 101 materials or services itemized thereon for which charge is made were ordered and received except Thursday,June 23,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Welcome to Indiana Licensing Page 1 of 1 a '. 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: Collin Yust License Number: Pending Authorization Code: 829366 Received Date: 6/23/2016 12:38:48 PM Transaction ID: 63279170 Credit Card Number: XXXX XXXX XXXX 0995 Fee Amount: $45.00 Enhanced Fee: $2.50 Instant Fee: $1.97 Total Payment: $49.47 p Fr t�R�eceipt f MvLicense Home Logout https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit card numb... 6/23/2016 Prescribed by State Board of Accounts City Form No.201(Rev.1995) VOUCHER NO. WARRANT NO. PETTY CASH -BROOKSHIRE GOLF COURSE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O PAM LISTER IN SUM OF$ 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. $49.47 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT Indiana Online 43-553.00 $49.47 1 hereby certify that the attached invoice(s),or 6/21/16 Indiana Online Ashley Bryan Permit $49.47 Licensing Licensing 1207 101 bill(s)is(are)true and correct and that the 1207 101 materials or services itemized thereon for which charge is made were ordered and received except Wednesday,June 22,2016 I � V 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Welcome to Indiana Licensing rage 1 or 1 Aff Q0�1111hdran Online Licensing 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: Ashley Marie Bryan License Number: Pending Authorization Code: 092510 Received Date: 6/21/2016 10:26:02 AM Transaction ID: 63178074 Credit Card Number: XXXX XXXX XXXX 8159 Fee Amount: $45.00 Enhanced Fee: $2.50 Instant Fee: $1.97 Total Payment: $49.47 ��PrmtReceipt;;; MvLicense Home Logout https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit card numb... 6/21/2016