HomeMy WebLinkAbout322412 03/01/18 CITY OF CARMEL, INDIANA VENDOR: 361022
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ONE CIVIC SQUARE LARRY EIDSON CHECK AMOUNT: $**...***17.00*
CARMEL, INDIANA 46032 9010 EAST 500 NORTH CHECK NUMBER: 322412
9y,roN_ SHERIDANIN 46069 CHECK DATE: 03/01/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 REIMB 17.00 OTHER EXPENSES
VOUCHER NO. 177466 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 361022 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
EIDSON, LARRY CITY OF CARMEL
CARMEL WASTEWATER 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 361022 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR EIDSON, LARRY Terms
Carmel Wasterwater Utility CARMEL WASTEWATER 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
EIDSON, 01-7040-01 $17.00 and received except 2/20/2018 EIDSON, LARRY $17.00
LARRY
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
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*BMV.* State Form 51717 (R/4-16)
Branch: CARMEL STARS(527) Date: 2/20/18 Time: 9:27:02 am EDT
12955 OLD MERIDIAN ST STE 107
CARMEL, IN 46032-7106
Visit ID: 226384922
Visit Customer: LARRY L EIDSON JR
Transactions
Trans ID (PINI Trans Type Trans Subtype Amount
289486664 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 082708
Terminal ID 2UA5311 FX5 Entry Method S Trans Sequence No 84623598
Batch No 0 Account Number ************7575
Total Due: $17.00
Amount Paid: $17.00
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 226384922 to get started. Thank you.
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Customer Copy
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