322131 02/21/18 y�. CITY OF CARMEL, INDIANA VENDOR: 372255
ONE CIVIC SQUARE TIM BROWNING CHECK AMOUNT: $********17.00*
CARMEL, INDIANA 46032 19629 WAGON TRAIL DR. CHECK NUMBER: 322131
9iruN,c�� NOBLESVILLE IN 46060 CHECK DATE: 02/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4358300 0 17.00 OTHER FEES & LICENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 372255 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
TIM BROWNING IN SUM OF$ CITY OF CARMEL
19629 WAGON TRAIL 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.
NOBLESVILLE, IN 46060
Payee
$17.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order,#
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 $17.00 1 hereby certify that the attached invoice(s),or 2/19/18 0 $17.00
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
r
Tuesday, February 20,2018
Lunn,Amy
Admin Assistant
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
' Bureau of Motor-Vehicles !
=� ► *. Customer Transaction Receipt IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII
-BMV'* State Form 51717 (R/4-16)
-Branch: CARMEL STARS(527) Date: 2/8/18 Time: 4:05:33 pm EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 226054438
Visit Customer: TIMOTHY D BROWNING
Transactions
Trans ID (PIN) Trans Tyne Trans Subtype Amount
288949224 Driver-Issue CDL Learner New $17_.00----___
Subtotal: $17.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total: $17.00
Payment Method-CREDIT Amount $ 17.00
Merchant ID 527BMV Card Type MASTERCARD Authorization Number 050538
Terminal ID 2UA5311CTW Entry Method S Trans Sequence No 84184080
Batch No 0 Account Number ************8310
Total Due: $17.00
Amount Paid: $17.00
Change Due: $0.00
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