HomeMy WebLinkAbout300784 07/20/16 CITY OF CARMEL, INDIANA VENDOR: 00351239
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ONE CIVIC SQUARE BUREAU OF MOTOR VEHICLES CHECK AMOUNT: $*******141.50*
9� ?a CARMEL, INDIANA 46032 CHECK NUMBER: 300784
1009 W MAIN ST CHECK DATE: 07/20/16
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201. 4358300 072016 141.50 OTHER FEES & LICENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCO UNTS.PAYABLE VOUCHER
BUREAU OF MOTOR VEHICLES
IN SUM OF$ CITY OF CARMEL
1009 W MAIN ST An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$141.50 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
0 43-583.00 $141.50 I hereby certify that the attached invoice(s),or 7/20/16 0 $141.50
2201 201 2201 201
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
Wednesday,July 20,2016
Dave Huffman
Director
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
� = STATE OF INDIANA
F * v fig
� BIIV" Michael R.Pence,Governor Donald M.Snemis, Commissioner
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MUNICIPAL CORPORATION AND LAW ENFORCEMENT TITLE AND REGISTRATION
Title Application Checklist
Title and registration applications for Municipal Corporations and Law Enforcement are processed by the BMV
Municipal Processing Department to improve the security and efficiency of these transactions. Prior to submitting each
application, please verify that all required information is included. Contact(888)692-6841 with any questions.
Title Apolication Reauirements
NFAmucation for Certificate of Title—State Form 44049
❑ Original Certificate of Title or Certificate of Origin
❑ Physical Inspection of a Vehicle or Watercraft—State Form 39530. Required for vehicles
purchased outside of Indiana.
t e0dometer Disclosure Statement—State Form 43230(if odometer statement is not completed on
the certificate of title or certificate of origin).Trailers and motor vehicles over 16,000 Ib. are exempt.
ST108E-Certificate of Gross Retail or Use Tax_Exemption—State Form 48841
❑ $15.00 title application fee. Payable by MasterCard or Visa, check, electronic check, or money
order. A$21.50 delinquent fee will be assessed on packets received thirty one(31)days after the
purchase date listed on the Certificate of Title or Certificate of Origin.
Reaistration Application Reauirements
RFAoplication for New andlor Transferred License Plates for Municipal Coroorations and Law
Enforcement—State Form 53565
Copy of Certificate of Title or Application for Certificate of Title—State Form 44049(if already r
titled to applicant)
❑ Copy of the lease agreement or Statement of Existing Lease Aargement—State Form 12787 if the
vehicle is being leased from a leasing company.
❑ Safety Inspection completed by ISP for all municipally owned school buses
If the BMV determines that sufficient credible evidence exists to substantiate the applicant's claim of
ownership, a title and registration will be issued. If all reauired documents are not submitf d or information
is incomplete the entire application will be returned.
For your convenience,the required forms are included with this checklist. The forms are also available at
mvBMV.com. Mail the completed packet to:
Central Office Municipal Processing
100 North Senate Avenue,Room N415
Indianapolis,IN 46204
Please include this checklist and contact information with your application.
Print Name: Amy Lunn Phone Number: 317-733-2001
Email: alunn carmel.in.aov
An Equal Opportunity Employer
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