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Home My WebLink About260463 07/07/16 (9) CITY OF CARMEL, INDIANA VENDOR: 358941 ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF CoufflJECK AMOUNT: $*******201.45* CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 260463 CHECK DATE: 07/07/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 IN LICENSING 49.47 ORGANIZATION & MEMBER 1207 4355300 IN PERMIT 83.64 ORGANIZATION & MEMBER 1207 4359500 PERMIT 68.34 PETTY CASH VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) PETTY CASH - BROOKSHIRE GOLF COURSE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O PAM LISTER IN SUM OF$ 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. $68.34 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 Permit 43-595.00 $34.17 1 hereby certify that the attached invoice(s),or 6/27/16 Permit Permit for James Molin $34.17 1207 101 1207 101 Permit 43-595.00 $34.17 bill(s)is(are)true and correct and that the 6/28/16 Permit Permit Zachary Watson $34.17 1207 101 materials or services itemized thereon for 1207 1 101 which charge is made were ordered and received except Wednesday,June 29,2016 PV 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Welcome to Indiana Licensing Page 1 of 1 onlin 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". 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: James Wesley Molin License Number: Pending Authorization Code: 479434 Received Date: 6/27/2016 4:45:01 PM Transaction ID: 63409922 Credit Card Number: XXXX XXXX XXXX 0995 Fee Amount: $30.00 Enhanced Fee: $2.50 Instant Fee: $1.67 Total Payment: $34.17 ;Pant Receipto MvLicense Home Logout https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit card numb... 6/27/2016 Welcome to Indiana Licensing Page 1 of 1 dia r a 'On 40, Jdensing 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: Zachary Haase Watson License Number: Pending Authorization Code: 345542 Received Date: 6/28/2016 4:13:41 PM Transaction ID: 63455452 Credit Card Number: XXXX XXXX XXXX 0995 Fee Amount: $30.00 Enhanced Fee: $2.50 Instant Fee: $1.67 Total Payment: $34.17 F�Pnnf Rece:pt , MyLicense Home Logout https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit card numb... 6/28/2016 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) PETTY CASH -BROOKSHIRE GOLF COURSE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O PAM LISTER IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:Idnd 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 IN Licensing 43-553.00 $49.47 1 hereby certify that the attached invoice(s),or 6/29/16 IN Licensing Permit for Michael Giunta $49.47 1207 101 1207 101 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 Thursday,June 30,2016 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Welcome to Indiana Licensing Page I of 1 .:_ OnAn6... c nsrng 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: Michael Thomas Giunta License Number: Pending Authorization Code: 080517 Received Date: 6/29/2016 5:05:09 PM Transaction ID: 63504916 Credit Card Number: XXXX XXXX XXXX 8159 Fee Amount: $45.00 Enhanced Fee: $2.50 Instant Fee: $1.97 Total Payment: $49.47 �,Pnnt�Receipt '; MvLicense Home Logout https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit_card numb... 6/29/2016 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) PETTY CASH - BROOKSHIRE GOLF COURSE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O PAM LISTER IN SUM OF$ 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. $83.64 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 IN Permit 43-553.00 $34.17 1 hereby certify that the attached invoice(s),or 6/30/16 IN Permit K Vasil Permit Renewal $49.47 1207 101 1207 101 IN Permit 43-553.00 $49.47 bill(s)is(are)true and correct and that the 6/30/16 IN Permit J Smith Permit $34.17 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Thursday,June 30,2016 1 hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Welcome to Indiana Licensing Page 1 of 1 .__. .. Orllie.Licensng s 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: Jonah Kinnick Smith License Number: Pending Authorization Code: 051514 Received Date: 6/30/2016 2:15:27 PM Transaction ID: 63537170 Credit Card Number: XXXX XXXX XXXX 8159 Fee Amount: $30.00 Enhanced Fee: $2.50 Instant Fee: $1.67 Total Payment: $34.17 i.�.PrintReceipt ,' MvLicense Home Logout https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit card numb... 6/30/2016 Welcome to Indiana Licensing Page 1 of 1 po _. Online:Licensing f 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". Renewal • Completion of Server Training is required every 3 years. Click here to complete Server Trainina online • A BMV Operating While Intoxicated (OWI) Check is preformed on every application prior to renewing a permit. Please allow 24 - 48 hours to complete the check before your permit will be renewed. • 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: KATHLEEN M VASIL License Number: BR1640175 Authorization Code: 021215 Received Date: 6/30/2016 3:12:54 PM Transaction ID: 63541954 Credit Card Number: XXXX XXXX XXXX 8159 Fee Amount: $45.00 Enhanced Fee: $2.50 Instant Fee: $1.97 Total Payment: $49.47 Pnnf Receipt ,F,; Online Server Training Renew Another License Logout https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit card numb... 6/30/2016