309191 03/07/17 (9)
CITY OF CARMEL, INDIANA VENDOR: 358941
ONE CIVIC SQUARE PETTY CASH - BROOKSHIRE GOLF COU�IdiCK AMOUNT: S""'*'*""72.45*
CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 309191
CHECK DATE: 03/14/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 22.98 EQUIPMENT REPAIRS & M
1207 4355300 49.47 ORGANIZATION & MEMBER
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Welcome to Indiana Licensing rage i or 1
FA
War
Indiana
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".
Renewal
• Completion of Server Training is required every 3 years. Click here to complete Server
Training 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 90 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: Christina Kratz
License Number: BR1766947
Authorization Code: 491030
Received Date: 3/3/2017 11:15:00 AM
Transaction ID: 71670314
Credit Card Number: XXXX XXXX
XXXX 0995
Fee Amount: $45.00
Enhanced Fee: $2.50
Instant Fee: $1.97
Total Payment: $49.47
Print Receipt
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https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit card_numbe... 3/3/2017
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