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312491 06/13/17 (9) CITY OF CARMEL, INDIANA VENDOR: 358941 ONE CIVIC SQUARE PETTY CASH -BROOKSHIRE GOLF COUQl9ECK AMOUNT: $********68.44* CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 312491 CHECK DATE: 06/13/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 18.97 FOOD & BEVERAGES 1207 4355300 49.47 ORGANIZATION & MEMBER o 0 T < « W G \ 3 k ? i q ¥ # 2 Q 0 c K n ® m / 0 U ;oE 2 2 ?/ 2 2 f / \ § -1 = q t O E k O O U) % # 2 - # O CD D $ q 0 C -0 ® a: # k X f Z.) = / 0 O D / \ § E q 0 m � C) 53 > / 2 � 0 a \ z % z > $ ) � e 0 m m § § | .7 w w 6 ) a E e � - 2 A r k / / r k k % A & ; ¥ m • 0 = G \ § = ( ƒ R - � 7 CL ( { k C- ° - E 7 , ) 0 } \ / / i ± J 7 Pi k ƒ CL } / w C \ j \ § E , m 3 q m - � f %I G % ? § e k/ -4 -4 � ) \ } ; # [ (D =r � �® ) \ # ( \ \ k \ CD 0 ƒ e ( 2 q ƒ \ r 0 ^ � \ 4 { / %6 / \ � � e® © c D / \ :01,3E _ > D e\ \ \ COD ;Ur CD - § 0 / 0 / 2. 0j E c \ \ I ¥ 2 � « § � C cn w / ( $ k § ƒ § / 0 I } R k CL } § \ ] CA [ > \ \ \ 69 _ & § � -4 \ 6/7/2017 Welcome to Indiana Licensing eindiana Online Licensing Y 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 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: Deanna Lynn Kivett License Number: Pending Authorization Code: 170555 Received Date: 6/7/2017 10:51:34 AM Transaction ID: 75346722 Credit Card Number: XXXX XXXX XXXX 6072 Fee Amount: $45.00 Enhanced Fee: $2.50 Instant Fee: $1.97 Total Payment: $49.47 Print Receipt MvLicense Home Logout https://mylicense.in.gov/EGov/PaymentResult.aspx?answer=processed&credit_card number=6072&license_id=2484991&process=app&instant fee=1.97&fee_... 1/1 o _n -0 < « G m 3 0 k ? \ > k / ? n E > w m /CL m \ 0 / 9 § w 2 k 0 & CD D OD A k G) o � ) � > K X f = n O » D \ § \ § Cl q 0 0 A A © 2 7 -n CL m n 2 z / 2 \ > 7 O O 7 o E X | \ m co $ ) i e R - � # z m $ [ p « / \ § i g E / o m ° 0 § CD 7 [ :3a - ; # f fCL ) \ § C- 2 » E - CD ! ( § \ G 0 k k y ƒ «� � k 2 @ E 5 co CL @ - w CL / / § NJ Z / } / , ƒ xv @ G G # / m § k$ CD o\ \ ® ) \ \ M. ; # E m5 cr4 n 3 \ ( � ` c \ }/ G § o cn 0 / \ \ CD/ ^ Z > » CD \ C-)3 § \ \ / �` \f } § > CD ; f ) §\ g = . 7 C) > ou mm o \ \ / \ K m 0 ? j E M E # z E § g c z 7 # f c f G _ § # / i p B E � 2 _� M / cn S m ] 2 k ^ \ \ ( , \ / m CL / / 3 ( 7 7 c CD + + � k