HomeMy WebLinkAbout322416 03/01/18 ��.�,A,f. . CITY OF CARMEL, INDIANA VENDOR: 372266
d j ONE CIVIC SQUARE JEFF HICKS CHECK AMOUNT: $""*" 19.00
:° CARMEL, INDIANA 46032 119 N HARMONY DRIVE CHECK NUMBER: 322416
"iM„ __..'� ELWOODIN 46036 CHECK DATE: 03/01/18
.. f iON GO
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4358300 19.00 OTHER FEES & LICENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372266 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
.
JEFF HICKS IN SUM OF$ CITY OF CARMEL
119 N HARMONY DRIVE 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.
ELWOOD, IN 46036
Payee
$19.00
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 $19.00 1 hereby certify that the attached invoice(s),or 2/23/18 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
Tuesday, February 27, 2018
Huffman, Dave
Director
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
' 20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
� *
Bureau of Motor Vehicles
Customer Transaction Recei 0t I IIIIIIII III IIIA VIII VIII IIIII IIIII VIII IIIII IIII
* .T p
State Form 51717 (R/4-16)
Branch: CARMEL STARS(527) Date: 2/21/18 Time: 9:46:32 am EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 226436543
Visit Customer: JEFFREY D HICKS
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
289572035 Driver- Upgrade/Downgrade CDL License Upgrade/Downgrade $19.00
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 094628
Terminal ID 2UA5311 FT4 Entry Method S Trans Sequence No 84688380
Batch No 0 Account Number ************5323
Total Due. $19.00
Amount Paid: $19.00
Change Due: $0.00
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