HomeMy WebLinkAbout332017 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 362130
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ONE CIVIC SQUARE MICHAEL LUPER CHECK AMOUNT: $*******1 17.00*
x �. CARMEL, INDIANA 46032 11130 ECHO CREST DR EAST CHECK NUMBER: 332017
v ii;oN-�o INDIANAPOLIS IN 46280 CHECK DATE: 11/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 REIMB 117.00 OTHER EXPENSES
VOUCHER NO. 183306 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 362130 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
LUPER, MIKE CITY OF CARMEL
CARMEL WATER' 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
117.00 362130 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR LUPER, MIKE Terms
Carmel Water Utility CARMEL WATER Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), '
PO# ACCT# or bill(s)is(are)true and correct and that
the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
301256545 01-6040-05 $17.00 and received except 11/6/2018 301256545 $17.00
LUPER 01-6040-05 $100.00 11/6/2018 LUPER $100.00
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
*** t ** Customer Transaction Receipt I IIIIIIII III IIIII IIIII IIIII IIIII VIII IIIII IIIII IIII
k .it W 4 -*
*BMV:* State Form 51717 (R 14-16)
Branch: CARMEL STARS(527) Date: 10/30/18 Time: 2:42:08 pm EDT
271 MERCHANTS SQUARE DRIVE STE A100
CARMEL, IN 46032
Visit ID: 233822806
Visit Customer: MICHAEL E LUPER II
Transactions
Trans ID (PIN) Trans Tvpe Trans Subtype Amount
301256545 Driver-Issue CDL Learner New $17.00
Subtotal: $17.00
Sales/Use Tax: $0.00
Transaction Fee: $0.00
Credit Applied: $0.00
Total : $17.00
Payment Method CREDIT Amount $ 17.00
Merchant ID 527BMV Card Type MASTERCARD Authorization Number 858909
Terminal ID 2UA5311 FW4 Entry Method S Trans Sequence No 95048402
Batch No 0 Account Number ************9124
Total Due: $17.00
Amount Paid: $17.00
Change Due: $0.00
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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
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II IIIII ILII IIIII ILII III ��IIIII IIIII IIT IIIII IIIII IIIII IIIII IIIII III Customer Copy
5 1 7, 1 7 3 0 1 2 5 6 5 4 5
Pane 1 of 1
;.:Luper, Michael ;E:
From: noreply@payjunctionmail.com
Sent: Monday,;November 05, 2018 2:15 PM
To: Luper, Michaell.
Subject: Your Signed Receipt -AB DRIVER TESTING
;.
1.1/05/2018 11:52 AM CST ..
AB DRIVER TESTING
354
EXCO INC 2 E COUNTY-NoAb 500 N
i WHITELAND, IN,46184
(615)895-2070(Home)
cwaid@cdiservices.us
NOTES
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MICHAEL LUPER
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BILLED TO: DETAILS
MICHAEL LUPER DETAILS Approved
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TYPE
.766466
INDY
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APPROVAL
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AMOUNT j USD$100.00
11/05!18184 170.165 97 - --
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Cardmember acknowledges receipt of goods-and/or services in the amount of the
- total shown hePeoh-and agrees to perform tFie obligations set forth by the,
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cardmember's agreement with the issuer. .
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