HomeMy WebLinkAbout326657 06/28/18 CITY OF CARMEL, INDIANA VENDOR: 370094
® ONE CIVIC SQUARE CURTIS MANIFOLD CHECK AMOUNT: $********35.00*
CARMEL, INDIANA 46032 1007 LANCASHIRE LN CHECK NUMBER: 326657
PENDLETON IN 46064 CHECK DATE: 06/28/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 35.00 OTHER EXPENSES
VOUCHER NO. 185794 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
Vendor # 370094 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
MANIFOLD, CURTIS 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
35.00 370094 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR MANIFOLD, CURTIS 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
MANIFOLD, 01-7042-05 $35.00 and received except 6/19/2018 MANIFOLD,CURT $35.00
CURT
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
* � Customer Transaction Receipt
IIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIII
k k State Form 51717 (R/4-16)
•BMV*.
Branch: CARMEL STARS (527) Date: 6/14/18 Time: 9:17:42 am EDT
271 MERCHANTS SQUARE DRIVE STE Al 00
CARMEL, IN 46032
Visit ID: 229948338
Visit Customer: CURTIS LEE MANIFOLD
Transactions
Trans ID (PINS Trans Tyne Trans Subtype Amount
295083198 Driver- Renew License Renew $35.00
295083408 Customer-Amend Customer Amend $0.00
Subtotal: $35.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Total: $35.00
Payment Method CASH Amount $ 40.00
Total Due: $35.00
Amount Paid: $40.00
Change Due: $5.00
`IMPORTANT NOTICE'
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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).
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