HomeMy WebLinkAbout322414 03/01/18 1�/,C4gF CITY OF CARMEL, INDIANA VENDOR: 37.1577
ONE CIVIC SQUARE GUADALUPE ESPARZA CHECK AMOUNT: $*******
*17.00*
r CARMEL, INDIANA 46032 CHECK NUMBER: 322414
CHECK DATE: 03/01/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 REIMB 17.00 OTHER EXPENSES
VOUCHER NO. 177475 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 371577 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER.
ESPARZA, GUADALUPE CITY OF CARMEL
SOUTH SEWER PLANT 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
17.00 371577 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR ESPARZA,GUADALUPE Terms
Carmel Wasterwater Utility SOUTH SEWER PLANT 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 DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
ESPARZA, 01-7040-01 $17.00 and received except 2/22/2018 ESPARZA, $17.00
GUADALUPE GUADALUPE
�fts4s.
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
=� *k. Customer Transaction Receipt I IIIIIIII IIIIIIIIIIIII VIII IIIIIIIIIIIIIII IIIIIIIII
State Form 51717 (R/4-16)
a .
Branch: CARMEL STARS(527) Date: 2/21/18 Time: 4:22:14 pm EDT
12955 OLD MERIDIAN.ST STE 107
CARMEL, IN 46032-7106
Visit ID: 226466285
Visit Customer: GUADALUPE ESPARZA
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
289621880 Driver- Issue CDL Learner New $17.00
Subtotal: $17.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total: $17.00
Payment Method CASH Amount $ 20.00
Total Due: $17.00
Amount Paid: $20.00
Change Due: $3.00
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