326327 06/14/18 CITY OF CARMEL, INDIANA VENDOR: 354963
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ONE CIVIC SQUARE PETER BRENNAN CHECK AMOUNT: $********34.17*
9� ,a CARMEL, INDIANA 46032 11601 NORTH STRONG ROAD CHECK NUMBER: 326327
ALBANY IN 47320 CHECK DATE: 06/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 34.17 OTHER EXPENSES
VOUCHER NO. 185697 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 354963 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
BRENNAN, PETE 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
402.17 354963 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR BRENNAN, PETE 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
BRENNAN, 01-7042-05 $34.17 6/6/2018 BRENNAN, PETER $34.17
PETER
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
Payment Result https://mylicense.in.gov/eGov/PaymentResult.aspx?answer=process...
Renewal Submitted
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: 4_June 2018
Applicant Name: Peter R. Brennan ?
License Number: WW020150
Agency: HPB
Process: Renew License process
Payment Information
Authorization Code: 140092
Received Date: 6/4/2018 6:45:53 PM
Transaction#: 89416024
Credit Card Number: XXXX XXXX XXXX 8816
Fee Amount: $30.00
ServiceFee: $2.50
Instant Fee: $1.67
Total Fee: $34.17 —�
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