HomeMy WebLinkAbout309064 03/07/17 Q
CITY OF CARMEL, INDIANA VENDOR: 358941
ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COURISICK AMOUNT: S""""""""49.47CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 309064
CHECK DATE: 03/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 71642548 49.47 ORGANIZATION & MEMBER
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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".
New Application
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Payment received - thank you.
Licensee: Joseph E Dodge
License Number: Pending
Authorization Code: 141279
Received Date: 3/2/2017 3:51:57 PM
Transaction ID: 71642548
Credit Card Number: XXXX XXXX XXXX
Fee Amount: $45.00
Enhanced Fee: $2.50
Instant Fee: $1.97
Total Payment: $49.47
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