319845 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 368199 '
it ONE CIVIC SQUARE FRAZIER JONES CHECK AMOUNT: S*`......36.00*
CARMEL, INDIANA 46032 C/O UTILITIES CHECK NUMBER: 319845
CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 286622914 36.00 OTHER EXPENSES
VOUCHER NO. 173618 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 368199 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
JONES, FRAZIER CITY OF CARMEL
CARMEL WATER 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,
numbers of units, price per unit, etc.
Payee
36.00 368199 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR ]ONES, FRAZIER Terms
Carmel Water Utility CARMEL WATER Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), '
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
286622914 01-6040-05 $36.00 and received except 12/11/2017 286622914 $36.00
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. , 20_
Clerk-Treasurer
Bureau of Motor Vehicles
7�:_ : Customer Transaction Receipt.� 117, I IIIIIIII III VIII VIII VIII VIII VIII VIII VIII Illf
=BMV*. State Form 61717 (R /4-16)
Branch: CARMEL STARS(527) Date: 12/8/17 Time: 2:01:09 pm EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 224659421
Visit Customer: FRAZIER LEE JONES
Transactions
Trans ID (PIN) Trans Tyne Trans Subtype Amount
286622914 Driver-Renew CDL Permit Renew $36.00
Subtotal: $36.00
Sales/Use Tax: $0.00
Credit Applied: $0:00
Total: $36.00
Payment Method.CREDIT Amount $ 36.00
Merchant ID 527BMV Card Type MASTERCARD Authorization Number 03222Z
Terminal ID 2UA5311 DOY Entry Method S Trans Sequence No 82254272
Batch No 0 Account Number ***********`1485
Total Due: $36.00
Amount Paid: $36.00
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.gov/bmvsurvey/start and enter the survey code 224659421 to get started. Thank you.
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11111111111111 11IITIIIIIIIIIIILIIIII11 Customer Copy
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