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Home My WebLink About331894 11/07/18 CITY OF CARMEL, INDIANA VENDOR: 00351564 ® ONE CIVIC SQUARE GARY CARTER CHECK AMOUNT: $*******283.80* CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CHECK NUMBER: 331894 CARMEL IN 46032 CHECK DATE: 11/07/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 268.80 OTHER CONT SERVICES 1120 4358300 15.00 OTHER FEES & LICENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00351564 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GARY CARTER IN SUM OF$ 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 $283.80 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 43-509.00 $268.80 1 hereby certify that the attached invoice(s),or 11/6/18 0 Composite Framing $268.80 1120 101 1120 101 0 43-583.00 $15.00 bill(s)is(are)true and correct and that the 11/6/18 0 Title Work-2018 Ford Explorer VIN 5527 $15.00 1120 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Tuesday, November 6,2018 DamDr '_ZS- David Haboush Fire Chief 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 Bureau of Motor Vehicles Customer.-Transaction Receipt IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ** V#* State Form 51717.(R/4-16) 1 Branch: VEHICLE SERVICES-REGISTRATIONS(803) Date: 10/29/18 Time: 4:21:56 pm EDT 100 N SENATE AVE INDIANAPOLIS, IN 46204-2273 Visit ID: 233795632 Visit Customer: CITY OF CARMEL Transactions Trans ID (PIN) Trans Type Trans Subtype Amount 301213945 Registration-New Motor Vehicle Registration New $0.00 301213744 Title- Initial Title Issuance New $15.00 Subtotal: $15.00. Sales/Use Tax: $0.00 Transaction Fee: $0.00 Credit Applied: $0.00 Total: . - $15.00 Payment Method CREDIT Amount $ 15.00 - Merchant ID 803BMV Card Type MASTERCARD Authorization Number 04626Z Terminal ID 2UA52319K4 Entry Method K Trans Sequence No 95015042 Batch No 0 Account Number ************4742 Total Due: $15.00 Amount Paid: $15.00 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 233795632 to get started. Thank you. www.Facebook.com/inbmv www.Twitter.com/inbmv www.myBMV.com II IIIIIIIIIIIIIIIIIIIIIII II IIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII IIIIIIII Customer Copy 5 1 7 1 7 3 0 1 2 1 3 7 4 4 Pagel of 1 APPLICATION FOR CERTIFICATE OF TITLE FOR A VEHICLE 71' State Form 205(R9/7-16) 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 IC 4-1-8-1;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. ItHLHI III 11ILL; Applicant Signature: Year i Make Madel 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): - i Transaction Number Branch Number Invoice Number BMV Use Only 10291880300202 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 I Vehicle Year Vehicle Make Vehicle Model Vehicle Type Odometer Vehicle Identification Number yp 1 FM5K8AR9JGC75527 2018 FOR EXP 4W 19 M ACTUAL Former Title Number Purchase Date(mirV043yy) Lien(YM) Speed(YM) Dealer Number BMV Use Only i C OF O 09/21/2018 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) i i I City State ZIP Code License Number License Year Forms Use BMV Use Only I KEC Gross Retail and Use Tax Affidavit-Me hereby certify that sales or use tax on this vehicle was paid as indicated below. Selling Price I 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 IIVIIIVIIIIII I III II VIII VIII VIII VIII IIIIIIIIIIIIII4II 2 0 5 3 0 1 2 1 3 7 4 4 CUSTOMER COPY State Form 46099(8517.77) Acwunta2617eSoardaf INDIANA CERTIFICATE OF VEHICLE REGISTRATION CLASS I AGE I ISSUE DATE I PUR DATE COUNTY TP IPLYR I PLATE I PL TP I WEIGHT PR YR I LS I TYPE I PRIOR YR PL 10/29/2018 09/21/2018 29-HAMILTON N 17 MO N EXPIRATION DATE MUNICIPALITY VEHICLE YEAR MAKE I MODEL I VEHICLE IDENTIFICATION NUMBER I TYPE COLOR NO EXP 2018 FOR EXP 1 FM5K8AR9JGC75527 4W WHI/ CURRENT VEH EX TAX EX CREDIT DAV CREDIT NET EX TAX I 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 PRIOR VEH EX TAX EX CREDIT DAVCREDITINhihAlAA ICO.WHEEUEXTAXMUN.WHEEUEXTAX 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 2 CIVIC SQ N CARMEL, IN 46032-7543 KEC 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 * * I IIIIIIIIIII IIIIII IIIIIIII IIIIIIIIIIIIII II � .'*��►j`t Customer Registration Fees Detailed Receipt III IIIIIIIIIIIIIIIII III r *BMV* State Form 51718 (4-04) Branch:VEHICLE SERVICES- REGISTRATIONS(803) Date: 10/29/2018 Time: 16:11 EDT Visit ID: 233795632 Tran ID: 301213945 Visit Customer: CITY OF CARMEL STARS Trans# 10291880300059 Transaction Type: New Motor Vehicle Registration Registration License Type: MUNICIPAL OWNED PlatelPermitlRegistration Number: Vehicle Identification Number: 1FM5K8AR9JGC75527 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 VIII 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 Visit us at www.hobbylobby.com to find custom frame sales and other great deals in your area! H BLOBBY - O B� HL #��Z Location ��„�,�� order1of Cust.Notified Custom Framing Phone# (sly )?t S - 4 217 _ 1 p �`7 CUSTOMER INFORMATION��_ `�cr �� Date Due 3 P7 - 5-7 Date Ordered / t Customer Name Primary Phone/Secondary Phone L (jy;C_ �UO-fe- Framer /_70t*_ Completed By 1 Address 1 4 r (.� : L Order Checked By 1 City State zip Artwork Description/Condition Include Medium AND Subject description. ❑ Rolled Tears/Holes N to Condition the ou f� / tains/Spots ❑ Brittle/Scratched b2gE Wrinkles/Creases ❑ ❑ Moisture Damage FRAMES/FILLETS a Custom#��.- (2b� Location#A� Width I b Frame q $ ,y W0i%aoff $ CuS�r'� rf/ Size X c� Always N Z 1 —L,�d Location 0J3( Width a ' $&5,2) 50%Off $112 United /,1 Alava s 3 Strainer Bar# Location# Width Inches !� $ 50w.Off $ Cr 0 MATS/FILLETS To Layer# Color Window P Y Name Location Width Opening X $ m CL Color fD 2nd La er# (WUI x.618) =Ideal Border Size Y or Fillet# Location Width 4 (subrecrframe $ m Color width if t 16x20) m 3"'Layer# or Fillet# Location Width Window $ � CD N United Special Design (See diagram for layout) Inches $ GLASS _UV Regular _UV Non Reflective —Museum _Acrylic Customer's _No Glass $� -MOUNTING - - - -- - - ---- _Acid Free FCB _Drymount _Needleart/Canvas _Shadowbox $ . Authorization To Trim Artwork1e `; OTHER/NOTES Always Poster# $ 50%Off $-� lx Readymade Frame# $ 50%Off $ $ Customer45ature r p��By�my s+�g�atu�re 1 authonz'e�Hobb�y�L,�obby to tnm my�rt�wrk fo rrconform to'- custom)framrng ordertset forth�on his form r $ Note:The Customer assumes the risk and liability for any loss or damage upon delivery of artwork and acknowledges that the value of the property delivered to Hobby Lobby does not exceed$250.00.Hobby Lobby's total liability for any loss or damage to customer's property shall not exceed$250.00.Any items not picked up after 90 days from the due date will be deemed abandoned.All abandoned orders will be disassembled and the abandoned artwork will be discarded. We Guarantee Our Prices are Lower Than Our Competitors'Larger Discounts! Ter Si re Al No Coupons Or Ot is e A d5 White:Artwor Yet ow:File Kk nk Cu mer 11 2 MOBBY BOBBY, Super Savings,Super Selection! 2003 E, Greyhound Pass Carmel, IN 46033 Hobby Lobby Store 4182 (317) 818-9217 S-182 R-1 T-2844 ELIZA H SALE 110500000 Custom Frame 268.80 N SUBTOTAL 268.80 TAX TOTAL 0.00 TOTAL_ 268 , 80 TAX EXEMPT CUSTOMER M/C . 268.80 ACCOUNT AUTH#: 02067B ACCT: MASTERCARD INSERTED MasterCard CARD # ************9339 EXP **/** REF• # AUTH # RESP 00 091710301042 02067B ISO 00 AID: AOOO00000410lo TSI: E800 ARC:00 CUR:0840 TVR: 0000088000 APP: MasterCard IAD: 031OA000122200000000000000000000 DOFF No Signature CHANGE DUE 0.00 Number of Items Purchased: 1 Thank You. Please come again. Become a fan on Facebook. Return Policy on back of receipt Visit our website at www.hobbylobby.com II 0182 001028441030181 10/30/18 09:16-AM --Continued'on Silo 9--