HomeMy WebLinkAbout321994 02/15/18 %` '• CITY OF CARMEL, INDIANA VENDOR: 360860
j ® ONE CIVIC SQUARE CRYSTAL EDMONDSON CHECK AMOUNT: S""""""*'19.00`
CARMEL, INDIANA 46032 C/O STREET CHECK NUMBER: 321994
CHECK DATE: 02/15/18
�ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4358300 19.00 OTHER FEES & LICENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 360860
CRYSTAL EDMONDSON IN SUM OF$ CITY OF CARMEL
C/O STREET 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.
Payee
$19.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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 $19.00 1 hereby certify that the attached invoice(s),or 2/9/18 0 $19.00
2201 2201 2201 2201
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
Thursday, February 15,2018
Huffman, Dave
Director
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Bureau of Motor Vehicles
� =* Customer Transaction Receipt IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
State Form 51717 (R /4-16)
Branch: CARMEL STARS(527) Date: 1/26/18 Time: 2:25:36 pm EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 225649625
Visit Customer: CRYSTAL ELLEN EDMONDSON
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
288272985 Driver-Upgrade/Downgrade CDL License Upgrade/Downgrade $19.00
288273478 Customer-Voter Registration New $0.00
Subtotal: $19.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total: $19.00
Payment Method CREDIT Amount $ 19.00
Merchant ID 527BMV Card Type MASTERCARD Authorization Number 06001B
Terminalll) 2UA5311 FWZ Entry Method S Trans Sequence No 83649328
Batch No 0 Account Number ***********"6908
Total Due: $19.00
,Amount Paid: $19.00
Change Due: $0.00
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