HomeMy WebLinkAbout325360 05/23/18 i ur_C�gM
r F. CITY OF CARMEL, INDIANA VENDOR: 372262
ONE CIVIC SQUARE BRAD PEASE CHECK AMOUNT: $*******105.57*
r. a CARMEL, INDIANA 46032 12214 COLD STREAM RD. CHECK NUMBER: 325360
9MIr`tiN�o` NOBLESVILLE IN 46060 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4355300 REIMB 105.57 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372262 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BRAD PEASE IN SUM OF$ CITY OF CARMEL
12214 COLD STREAM RD. 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
$105.57
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Enaineerinq 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
09064B 43-553.00 $105.57 1 hereby certify that the attached invoice(s),or 5/18/18 09064B PE Renewal-B.Pease $105.57
2200 2200 2200 2200
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, May 22,2018
Jeremy Kashman
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Renewal Submitted 22 °O - 4 3 5 59 Do
Your renewal has been submitted and all fees have been applied to your credit card. Please print this page as
your proof of submission and receipt of payment.
To renew another license,click the License Home Page link on the left menu.
Renewal Information
Date Submitted: 18 May 2018
Applicant Name: Bradley Stephen Pease
License Number: PE11400763
Agency: HPB
Process: Renew License process
Payment'Information
Authorization Code: 09064B
Received Date: 5/18/2018 8:33:03 AM
Transaction#: 88690616
Credit Card Number: XXXX XXXX XXXX 2268
Fee Amount: $100.00
ServiceFee: $2.50
Instant Fee: $3.07
Total Fee: $105.57