The URL can be used to link to this page

Home My WebLink About324390 04/25/18 •_CAq- <',' " CITY OF CARMEL, INDIANA VENDOR: 00351564 {; I*5 al ONE CIVIC SQUARE GARY CARTER CHECK AMOUNT: $********43.72* ?Q CARMEL, INDIANA 46032 4748 BISHOPSGATE OR CHECK NUMBER: 324390 9M._.,..-' CARMEL IN 46032 CHECK DATE: 04/25/18 t ITON.Cp. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4230200 13.72 OFFICE SUPPLIES 1120 4358300 30.00 OTHER FEES & LICENSES 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) vendor# 00351564 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GARY CARTER IN SUM OF$ CITY OF CARMEL 4748 BISHOPSGATE 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. CARMEL, IN 46032 Payee $13.72 Purchase Ord_ er# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 42-302.00 $13.72 1 hereby certify that the attached invoice(s),or 4/23/18 0 $13.72 1120 101 1120 101 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 Monday,April 23,2018 David Haboush Fire Chief 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 Office DEPOT. ®ffieelffax, CARMEL - (317) 818-2690 04/13/2018 9:54 AM I 11I I I III III11III 1IIIIIII III III I III 1111111111111 2PVTGQQP3Y35ERMWF SALE 6545-1-8138-282805-18.3.2 970443 CERTIFICATE,SE 7 @ 7.99 55.93 Business Solutions Prc 13.72 You Pau 13.72S Subtotal: 13.72 IN State Tax 7% 0.00 Total: 13.72 Account Billing 5347:. 13.72 PO# 0 As a Business Solution Customer, billing will be equal to or less than store receipt based on price plan. Tax Exemption Number 86102185 Total Savings: $42.21 WE WANT TO HEAR FROM YOU! Participate in our online customer survey and receive a coupon for $10 off your next qualifying Purchase of $50 or more on office supplies, -furniture and more. (Excludes Technology, Limit 1 coupon per household/business. ) Visit www.officedepot.com/feedback and enter the survey code below: K54M VDFA 28TY xxxx��c*�*xxxxx**�xx*x�*x�t�**xx�*�x*xxxxxxx Introducing our BizBox services with the team and tools to help your business succeed, Our specialists.will help with Logo Design, Website Design, Social Marketing and more. Learn more at BizBox.com VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00351564 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER - _ GARY CARTER IN SUM OF$ CITY OF CARMEL 4748 BISHOPSGATE 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. CARMEL, IN 46032 Payee $30.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 $30.00 1 hereby certify that the attached invoice(s),or 4/23/18 0 $30.00 1120 101 1120 101 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 Monday,April 23,2018 David Haboush Fire Chief 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 ! _� * I IIIIIIII III VIII VIII VIII VIII VIII VIII VIII IIII Customer Transaction Receipt k BMV k State Form 51717 (R/4-16) Branch: VEHICLE SERVICES- REGISTRATIONS(803) Date: 4/17/18 Time: 2:58:36 pm EDT 100 N SENATE AVE INDIANAPOLIS, IN 46204-2273 Visit ID: 228249392 Visit Customer: CITY OF CARMEL Transactions Trans ID (PIN) Trans Type Trans Subtype Amount 292399882 Title- Initial Title Issuance New $15.00 292400035 Registration- New Motor Vehicle Registration New $0.00 292400173 Title- Initial Title Issuance New $15.00 292400491 Registration- New Motor Vehicle Registration New $0.00 Subtotal: $30.00 Sales/Use Tax: $0.00 Credit Applied: $0.00 Total: $30.00 Payment Method CREDIT Amount $ 30.00 Merchant ID 803BMV Card Type MASTERCARD Authorization Number 05019Z Terminal ID 2UA52319CV Entry Method K Trans Sequence No 87075028 Batch No 0 Account Number ************4742 Total Due: $30.00 Amount Paid: $30.00 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). www.Facebook.com/inbmv www.7witter.com/inbmv www:myBMV.com IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII Customer Copy I (IIII VIII(IIII VIII VIII(IIII III 5 1 7 1 7 2 9 2 4 0 0 4 9 1 Page 1 of 2 Bureau of Motor Vehicles Customer* , Transaction Receipt I IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII k *BMV**RR�■■,yV��.y' * State Form 51717 (R/ 4-16) iR� t Branch: VEHICLE SERVICES-REGISTRATIONS(803) Date: 4/17/18 Time: 2:58:36 pm EDT 100 N SENATE AVE INDIANAPOLIS, IN 46204-2273 Visit ID: 228249392 Visit Customer: CITY OF CARMEL 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 228249392 to get started. Thank you. www.Facebook.com/inbmv 4 www.Twitter.com/inbmv ii3lui www.myBMV.com IIIIIIIIIIIIIIIIIIIIIII I VIII(11 11I 111 Customer Copy IIII II IIII VIII VIII III s i t z s z a o 0 4 9 1 Page 2 of 2 State Forth 48099(R517.17) Approved by State Board of INDIANA CERTIFICATE OF VEHICLE REGISTRATION Ar Accounts 2017 CLASS AGE I ISSUE DATE PUR DATE COUNTY TP PL YR PLATE PL TP I WEIGHT I PR YR LS TYPE PRIOR YR PL 04/17/2018 03/23/2018 29-HAMILTON N 17 MO N EXPIRATION DATE MUNICIPALITY VEHICLE YEAR MAKE MODEL VEHICLE IDENTIFICATION NUMBER TYPE I COLOR NO EXP 2018 FOR EXP 1 FM5K8ARXJGA99720 TK WHI/ CURRENT VEH EX TAX EX CREDIT DAV CREDIT NET EX TAX CO.WHEEUEX TAX UN.WHEEL/EX TAX STATE REG FEE ADMIN FEE TOTAL YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PRIOR VEH EX TAX EX CREDIT DAV CREDIT NE I hA 1AA CO.WHEEUEX TAX MUN.WHEEUEX TAX STATE REG FEE ADMIN FEE TOTAL YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 REGISTRATION LICENSE TYPE MUNICIPAL OWNED CITY OF CARMEL N 2 CIVIC SQ ML CARMEL, IN 46032-7543 IMPORTANT REGISTRATION INFORMATION The registrant acknowledges that the information provided on the front of this form is correct. The registrant understands that proof of financial responsibility(insurance)for this vehicle will be continuously maintained during the registration period. Additional taxes and/or fees may be due if an error or an adjustment to the amount due is made. CUSTOMER COPY jx State Form 48099(R517.77) Accounts Approved 20tttateBoard of INDIANA CERTIFICATE OF VEHICLE REGISTRATION CLASS AGE ISSUE DATE PUR DATE COUNTY TP PL YR PLATE PL TP WEIGHT PR YR LS TYPE PRIOR YR PL 04/17/2018 03/12/2018 29-HAMILTON N 17 MO I N EXPIRATION DATE MUNICIPALITY VEHICLE YEAR MAKE MODEL I VEHICLE IDENTIFICATION NUMBER TYPE COLOR NO EXP 2018 FOR F25 1FT7W21360JE691806 TK WHI/ CURRENT VEHEXTAX EX CREDIT DAV CREDIT NET EX TAX CO.WHEEUEX TAX UN.WHEEUEX TAX STATE REG FEE ADMIN FEE TOTAL YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PRIOR VEH EX TAX EX CREDIT DAV CREDIT NET EX TAY, CO.WHEEL/EX TAX MUN.WHEEL/EX TAX STATE REG FEE ADMIN FEE TOTAL YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 REGISTRATION LICENSE TYPE MUNICIPAL OWNED CITY OF CARMEL N 2 CIVIC SQ ML CARMEL, IN 46032-7543 IMPORTANT REGISTRATION INFORMATION The registrant acknowledges that the information provided on the front of this form is correct. The registrant understands that proof of financial responsibility(insurance)for this vehicle will be continuously maintained during the registration period. Additional taxes and/or fees may be due if an error or an adjustment to the amount due is made. CUSTOMER COPY Bureau of Motor Vehicles IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ��► r Customer Detailed Transaction Receipt * State Form 51714 (4-04) r , Branch: VEHICLE SERVICES- REGISTRATIONS Date: 04/17/2018 Time: 14:58 EDT Visit ID: (2gg28249392 CSR: ML Visit Customer: CITY OF CARMEL Transactions Trans ID Trans TVge Trans Subtvge Amount 292399882 Title-Initial Title Issuance New Title-Vehicle $15.00 Vehicle: 1 FM5K8ARXJGA99720 2018 FOR EXP UT Lien Holder: None Customer: CITY OF CARMEL - Purchase Date: 03/23/2018 292400173 Title- Initial Title Issuance New Title-Vehicle $15.00 Vehicle: 1 FT7W21360JE1391806 2018 FOR F25 PK Lien Holder: None Customer: CITY OF CARMEL Purchase Date: 03/12/2018 $30.00 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 Bureau of Motor Vehicles I II I I I IIIIIIIIIIIIIIIIIIIIIIIIIII Customer Registration Fees Detailed Receipt IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIII * T * •BMV: State Form 51718(4-04) Branch:VEHICLE SERVICES- REGISTRATIONS(803) Date:04/17/2018 Time: 14:52 EDT Visit ID: 228249392 Tran ID: 292400035 Visit Customer: CITY OF CARMEL STARS Trans#. 04171880300091 Transaction Typec New Motor Vehicle Registration Registration License Type: MUNICIPAL OWNED r PlatelPermitlRegistration Number: Vehicle Identification Number: 1 FM5K8ARXJGA99720 Vehicle Year: 2018 Vehicle Make: FORD Vehicle Model: EXPLORER POLICE INTER Registration Year Fee Type Subtotal Total 2018 Total for 2018: 2017 NONE 2017 $0.00 CITY OF CARMEL Total NONE 2017: $0.00 Total for 2017: 0.00 Transaction Total: 0.00 II I III VIII VIII VIII III 5 1 7 1 8 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 Bureau of Motor Vehicles * * ; IIIIIIIIIIII III IIIIIIII VIII IIIIIIIIIIII IIIIIIIII IIII II III -: ,'��_►�'; Customer Registration Fees Detailed Receipt SMV State Form 51718(4-04) Branch:VEHICLE SERVICES-REGISTRATIONS(803) Date:04/17/2018 Time: 14:52 EDT Visit ID: 228249392 Tran ID:292400491 Visit Customer: CITY OF CARMEL STARS Trans#. 04171880300092 Transaction Types New Motor Vehicle Registration Registration License Type: MUNICIPAL OWNED PlatelPermitlRegistration Number: Vehicle Identification Number: 1 FT7W2B60JE691806 Vehicle Year: 2018 Vehicle Make: FORD Vehicle Model: F250 SUPER DUTY Registration Year Fee Type Subtotal Total 2018 Total for 2018: 2017 NONE 2017 $0.00 CITY OF CARMEL Total NONE 2017: $0.00 Total for 2017: 0.00 Transaction Total: 0.00 II IIIII IIIII IIIII IIIII III 5 1 7 1 8 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 APPLICATION FOR CERTIFICATE OF TITLE FOR A VEHICLE ° State Form 205(R9/7-16) AW, ' Approved by State Board of Accounts,2016 f' INDIANA BUREAU OF MOTOR VEHICLES *This agency is requesting disclosure of your Social Security Number/Federal Identification Number in accordance with IC4-1-8-1;disclosure is mandatory,and this record cannot be processed without it To be completed by a police officer,BMV official,or BMV certified I swear and affirm that I am authorized to perform this transaction,and dealer signee for out-of-state titles. I hereby certify that I personally I agree to indemnify and hold harmless the Indiana BMV from any and examined the following vehicle and find the identification number to all liability arising from this transaction. be as follows. I swear and affirm that the information that I have entered on this form Vehicle Identification Number is correct.I understand that making a false statement on this form may constitute the crime of perjury. Applicant Signature: Year Make Model Type Date(mm/dd/yyyy) Printed Name: Inspector's Printed Name and Title City Applicant Signature: Printed Name: Inspector's Signature Badge,Branch,or Dealer Plate Number Date(mm/dd/yyyy): Transaction Number Branch Number Invoice Number BMV Use Only 04171880300238 803 MV-GOVERNMENT-CERTIFICATE OF ORIGIN Social Security Number/Federal Identification Number* Name of Applicant BMV Use Only CITY OF CARMEL Residence Address(number and street) City State ZIP Code 2 CIVIC SQ CARMEL IN 46032-7543 Vehicle Identification Number Vehicle Year Vehicle Make Vehicle Model Vehicle Type Odometer ACTUAL 1 FT7W2B60JEB91806 2018 FOR F25 TK 111M Former Title Number Purchase Date(mm/dd/yyyy) Lien(YIN) Speed(Y/N) Dealer Number BMV Use Only C OF O 03/12/2018 5 No Holder of First Lien,Mortgage,or Other Encumbrance/Special Mailing Address Mailing Address(number and street) CITY OF CARMEL 2 CIVIC SQ City State ZIP Code BMV Use Only CARMEL IN 46032-7543 Holder of Second Lien,Mortgage,or Other Encumbrance Mailing Address(number and street) city State ZIP Code License Number License Year Forms Use BMV Use Only ML Gross Retail and Use Tax Affidavit-IMe hereby certify that sales or use tax on this vehicle was paid as indicated below. Selling Price Less Trade-In!Discount Amount Subject to Tax Amount of Tax Dealer Branch Exempt Exemption Code $ 0.00 $ 0.00 0.00 $ 0.00 $ X 1 II VIII VIII III IIII I II I VIII VIII VIII IIII IIII III 2 0 5 2 9 2 4 0 0 1 7 3 CUSTOMER COPY r s riiB APPLICATION FOR CERTIFICATE OF TITLE FOR A VEHICLE State Form 205(R9/7-16) t; f Approved by State Board of Accounts,2016 INDIANA BUREAU OF MOTOR VEHICLES *This agency is requesting disclosure of your Social Security Number/Federal Identification Number in accordance with IC4-1-8-1;disclosure is mandatory,and this record cannot be processed without it To be completed by a police officer, BMV official,or BMV certified I swear and affirm that I am authorized to perform this transaction,and dealer signee for out-of-state titles.I hereby certify that I personally I agree to indemnify and hold harmless the Indiana BMV from any and examined the following vehicle and find the identification number to all liability arising from this transaction. be as follows. I swear and affirm that the information that I have entered on this form Vehicle Identification Number is correct.I understand that making a false statement on this form may constitute the crime of perjury. Applicant Signature: Year Make Model Type Date(=Vdd/yyW) Printed Name: Inspector's Printed Name and Title City Applicant Signature: Printed Name: Inspector's Signature Badge,Branch,or Dealer Plate Number Date(mm/dd/yyyy): Transaction Number Branch Number Invoice Number BMV Use Only 04171880300237 803 MV-GOVERNMENT-CERTIFICATE OF ORIGIN Social Security Number/Federal Identification Number* Name of Applicant BMV Use Only CITY OF CARMEL Residence Address(number and street) City State ZIP Code 2 CIVIC SQ CARMEL IN 46032-7543 Vehicle Identification Number Vehicle Year Vehicle Make Vehicle Model Vehicle Type Odometer ACTUAL 1 FM5K8ARXJGA99720 2018 FOR EXP TK 13 M Former Title Number Purchase Date(mm/dd/yyyy) Lien(YIN) Speed(Y/IV) Dealer Number BMV Use Only C OF O 03/23/2018 5 No Holder of First Lien,Mortgage,or Other Encumbrance/Special Mailing Address Mailing Address(number and street) CITY OF CARMEL 2 CIVIC SQ - City State ZIP Code BMV Use Only CARMEL IN 46032-7543 Holder of Second Lien,Mortgage,or Other Encumbrance Mailing Address(number and street) City State ZIP Code License Number License Year Forms Use BMV Use Only ML Gross Retail and Use Tax Affidavit-I/We hereby certify that sales or use tax on this vehicle was paid as indicated below. Selling Price Less Trade-In/Discount Amount Subject to Tax Amount of Tax Dealer Branch Exempt Exemption Code $ 0.00 $ 0.00 0.00 $ 0.00 $ X 1 II VIII VIII III II VIII VIII VIII VIII VIII VIII III VIII III 2 0 5 2 9 2 3 9 9 8 8 2 CUSTOMER COPY