319188 11/30/17 ,Cqq
CITY OF CARMEL, INDIANA VENDOR: 00351564
1 ONE CIVIC SQUARE GARY CARTER CHECK AMOUNT: $**"'***15.00*
?a CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CHECK NUMBER: 319188
vM,raN„ CARMEL IN 46032 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4358300 15.00 OTHER FEES & LICENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00351564 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GARY CARTER IN SUM OF$ CITY OF CARMEL
4748 BISHOPSGATE DR 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.
CARMEL, IN 46032
Payee
$15.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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 $15.00 1 hereby certify that the attached invoice(s),or 11/22/17 0 Boat Title and Registration $15.00
1120 101 1120 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
Tuesday, November 28,2017
Ve - -= ,A
David Haboush
Fire Chief
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
Bureau of Motor Vehicles
Customer Transaction Receipt IIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
BMV. State Form 51717 (R/4-16)
Branch: VEHICLE SERVICES- REGISTRATIONS(803) Date: 11/14/17 Time: 1:16:48 pm EDT
100 N SENATE AVE
INDIANAPOLIS, IN 46204-2273
Visit ID: 224125216
Visit Customer: CITY OF CARMEL FIRE DEPT
Transactions
Trans ID (PIN2 Trans Type Trans Subtype Amount
285787125 Title- Initial Title Issuance New $15.00
285787877 Registration-New Watercraft Registration New $0.00
Subtotal: $15.00
Sales/Use Tax: $0:00
Credit Applied: $0.00
Total: $15.00
Payment Method CREDIT Amount $ 15.00
Merchant ID 803BMV Card Type MASTERCARD Authorization Number 08974Z
Terminal ID 2UA52319CV Entry Method K Trans Sequence No 81412144
Batch No 0 Account Number ************4742
Total Due: $15.00
Amount Paid: $15.00
Change Due: $0.00.
***IMPORTANT NOTICE***
If you do not receive your credential, registration or title within 14 days or you have questions regarding the print/mailing status of
your credential, registration or title, please visit www.myBMV.com and create or log into your account or call the BMV Contact
Center at 888-692-6841. You will be able to track the progress of your registration or title by using your Transaction ID PIN
number listed above and calling 888-692-6841. Please allow 30 days to receive an approved Personalized.License Plate.
You may renew your motorcycle learner's permit only one time for one year. If you do not obtain a motorcycle endorsement
before the expiration of the renewed motorcycle learner's permit, you must wait one year to apply for a new permit(IC 9-24-8-3).
Please help us improve our service by completing a one-minute customer satisfaction survey. Your responses are completely
confidential.Visit http://.www.in:qov/bmvsurvey/sta and enter the survey code 224125216 to get started. Thank you.
` www.Facebook.com/inbmv www.Twitter.com/inbmv Bww www.myBMV.com
!cr%
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State Form 43662(R7f7-17)
;;• 1' Approved by State Board of INDIANA CERTIFICATE OF WATERCRAFT REGISTRATION
Accounts 2017
Transaction Type Registration Number Ex.Tax Expiration Date WC Year WC Purchase Date Hull Mtl. Additional Owners
New Watercraft Registration IN2558AA 2018 09/25/2017 OT
Watercraft Make Model Hull Identification Number WC Type Use Propulsion Length
INMAR 430-SR-L IMG4SLXOE718 COM GO OB 14-0"
Address where Watercraft is located County WC located Township
2 CIVIC SQ,CARMEL,IN 46032-7543 HAMILTON Clay .
CURRENT Excise Tax Excise Tax Credit Excise Tax Due DNR Fee Lake/River En Fee Reg Fee A min Fee Total Due Total
YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Amount
PRIOR Excise Tax Excise Tax Credit Excise Tax Due DNR Fee Lake/River En Fee Reg Fee Admin Fee Total Due Paid
YEARTAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
CITY OF CARMEL FIRE DEPT
2 CIVIC SQ
CARMEL, IN 46032-2584
IMPORTANT. Registration must be signed to be valid
I swear or affirm under penalty of perjury that the information contained in this form is correct.Additional
taxes and/or fees may be due if an error is made.
Watercraft Registrant Signature(s)(All watercraft registrants must sign in ink to be valid)
X
CUSTOMER COPY
Bureau of Motor Vehicles
Transaction Receipt
Customer Detailed Tran III IIIIIIIIIIIIII IIII IIIIIIIIIIIIIIIIIIIIIIIII
BMV. State Form 51714 (4-04)
Branch: VEHICLE SERVICES- REGISTRATIONS Date: 11/14/2017 Time: 13:16 EDT
Visit ID: (22425216 CSR: ML
Visit Customer: CITY OF CARMEL FIRE DEPT
Transactions
Trans ID Trans Type Trans Subtype Amount
285787125 Title- Initial Title Issuance New
Title-Watercraft $15.00
Watercraft: IMG4SLXOE718 2018 INMAR 430-SR-L
Lien Holder: CITY OF CARMEL FIRE DEPT
2 CIVIC SQ
CARMEL, IN 46032-2584
Customer: CITY OF CARMEL FIRE DEPT
2 CIVIC.SQ
CARMEL, IN 46032-2584
Purchase Date: 09/25/2017
Speed titles are processed in a period of time that is substantially shorter
than the normal processing period. If mailed to a standard mailing address,
the title will be mailed FedEx Ground. If mailed to a PO BOX,the title will be
mailed USPS Priority.
$15.00
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1
Bureau of Motor Vehicles
Customer Registration Fees Detailed Receipt
BMV. State Form 51718(4-04)
Branch:VEHICLE SERVICES-REGISTRATIONS Date: 11/14/2017 Time: 13:01 EDT
Visit ID: 1204325216 Tran ID: 285787877
Visit Customer: CITY OF CARMEL FIRE DEPT STARS Trans#. 11141780300046
Transaction Type: New Watercraft Registration
Registration License Type: WATERCRAFT 26, MOTORIZED, PUBLIC WATERS
PlatelPermitlRegistration Number: IN2558AA
Vehicle Identification Number: IMG4SLXOE718
Vehicle Year: 2018
Vehicle Make: INMAR
Vehicle Model: 430-SR-L
Registration Year Fee Type Subtotal Total
2017
Boat Excise Tax 2017 $0:00
CITY OF CARMEL FIRE DEPT
Total Boat Excise Tax2017: $0.00
LARE 2017 $0.00
CITY OF CARMEL'FIRE DEPT
Total LARE 2017: $0.00
Total for 2017: 0.00
Transaction Total: 0.00
, 1
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1
t 4i'::q� APPLICATION FOR CERTIFICATE OF WATERCRAFT TITLE
fs �
� .::., •-. State Form 38529(R7/7-16)
Approved by State Board of Accounts,2016
INDIANA BUREAU OF MOTOR VEHICLES
'This agency is requesting disclosure of your Social Security Number/Federal Identification Number in accordance with IC4-1-8-1;
disclosure is mandatory,and this record cannot be processed without it
To be completed by a police officer, BMV official,or BMV certified dealer I*swear and affirm that I am authorized to perform this transaction,and 1
signee for out-of-state titles. I hereby certify that I personally examined the agree to indemnify and hold harmless the Indiana BMV from any and all
following watercraft'and find the identification number to be as follows. liability arising from this transaction.
I swear and affirm that the information that I have entered on this form is
Hull Identification Number correct.I understand that making a false statement on this form may
constitute the crime of perjury.
Year Make Registration Number Date(mm/dd/yyyy) Applicant Signature:
Printed Name:
Inspector's Printed Name and Title City Applicant Signature:
Printed Name:
Inspector's Signature Badge,Branch,or Dealer Plate Number
Date(mm/dd/yyyy):
Transaction Number Branch Number Invoice Number BMV Use Only
11141780300149 803 WC-GOVERNMENT-NEW ISSUE
Registration Number Former Title Number Purchase Date(mrn/dd/yyyy) I Make
C OF O 09/25/2017 INMAR
Series or Model Hull Identification Number Length Year Hull Type
430-SR-L IMG4SLXOE718 14 2018 OTHER
Watercraft Type Watercraft Use Propulsion Type Fuel Type
COMMERCIAL GOVERNMENT AGENCIES OUTBOARD GASOLINE
Social Security Number/Federal Identification NumberHorsepower Applicant's County of Residence
50 HAMILTON
Name of Applicant Street Address(number and street)
CITY OF CARMEL FIRE DEPT 2 CIVIC SQ
city State ZIP Code
CARMEL IN 46032-2584
Holder of First Lien,Mortgage,or Other Encumbrance/Special Mailing Address Mailing Address(number and street)
CITY OF CARMEL FIRE DEPT 2 CIVIC SQ
City State ZIP Code BMV Use Only
CARMEL IN 46032-2584
Holder of Second Lien,Mortgage,or Other.Encumbrance Mailing Address(number and street)
city State ZIP Code Dealer Number
Gross Retail and Use Tax Affidavit-UWe hereby certify that sales or use tax on this watercraft was paid'as indicated below.
Selling Price Less Trade-In/Discount Subject to Tax Amount of Tax Dealer Branch Exempt P Exemption Code
$ 0.00 $0.00
TAmount
0.00 $ X 1
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CUSTOMER COPY
ASSETS.-SCREEN .
Asset Number F009002
"Location Code CFD45 Ig 'Last Inventory/Update Date , 9/18/2017,1- "
t
I Asset Code.: WATER RESC i¢. Follow-Up Date.
i Manufacturer INMAR I
Asset Description: 14 Inflate Boat .
Model 430SR 1-14 I Sena] mbe IMG4SLXOE718 s .Status. rACTIVE °1
Acquired From:' Rescue Gear Warranty Expires f
PO Number:., Irivoice Number:
" Asset Value $3 207.00
I Asset Cost �E.
f
Department:
� i .Purchase.Date:. i 8/10/2017` custodian:r
-.Estimated Lif ; Disposal Date: Fund I (;
- - -- i
Asset Type: Dollar Amount: #
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