HomeMy WebLinkAbout332005 11/13/18 +oC qM
CITY OF CARMEL, INDIANA VENDOR: 372714
1 ONE CIVIC SQUARE ALEX BROWN CHECK AMOUNT: $*******171.00*
CARMEL, INDIANA 46032 7830 OAKSHOT LN CHECK NUMBER: 332005
INDIANAPOLIS IN 46268 CHECK DATE: 11/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT _ DESCRIPTION
601 5023990 REIMB 171.00 OTHER EXPENSES
VOUCHER NO. 183341 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372714 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
BROWN, ALEX CITY OF CARMEL
DISTRIBUTION 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
171.00 372714 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR BROWN,ALEX Terms
Carmel Water Utility DISTRIBUTION 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
BROWN 01-6040-05 $100.00 11/8/2018 BROWN
$100.00
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and 1 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
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Bureau of Motor Vehicles
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� �' Customer Transaction Receipt
* State Form 51717 (R/4-16)
=BMV* .
Branch: CARMEL STARS (527) Date: 9/7/18 Time: 10:00:42 am EDT
271 MERCHANTS SQUARE DRIVE STE Al 00
CARMEL, IN 46032
Visit-ID:' ,232362078
Visit Customer: ALEXANDER PAUL BROWN
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Transactions
Trans ID(PIN) Trans Tvoe Trans Subtvne Amount
298922607 Driver- Renew CDL Permit Renew $36.00
Subtotal: $36.00
Sales/Use Tax: $0.00
Transaction Fee: $0.00
Credit Applied: $0.00
Total : $36.00
Payment Method CREDIT Amount $ 36.00
Merchant ID 527BMV Card Type VISA Authorization Number 00410A
Terminal ID 2UA5311 FWJ Entry Method S Trans Sequence No 93126898
Batch No 0 Account Number ************1168
Total Due: $36.00
Amount Paid: $36.00 _
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 endors'ement
before the expiration of the renewed motorcycle learner's permit, you must wait one year to apply for a new permit(IC 9-248-3).
Please help us improve our service by completing a one-minute customer satisfaction survey: Your responses are cletely
confidential.Visit http:,//www.in.gov/bmvsurvey/start and enter the survey code 232362078 to get started. Thank you.
www.Facebook.com/inbmv £``W www.Twitter.com/inbmv www.myBMV.com
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Customer Copy
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Bureau of Motor Vehicles
��► Customer Transaction Receipt I IIIIIIII III VIII VIII VIII VIII VIII VIII IIIII IIII
State Form 51717 (R/4-16)
*BMV•.
Branch: CARMEL STARS (527) Date: 11/8/18 Time: 9:34:11 am EDT
271 MERCHANTS SQUARE DRIVE STE A100
CARMEL, IN 46032
Visit ID: 234050118
Visit Customer: ALEXANDER PAUL BROWN
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Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
301609198 Driver- Renew License Renew $35.00
Subtotal: $35.00
Sales/Use Tax: $0.00
Credit Applied: $0.00
Transaction Fee: $0.00
Total: $35.00
Payment Method CREDIT Amount $ 35.00
Merchant ID 527BMV Card Type VISA Authorization Number 02260A
Terminal ID 2UA5311 FSL Entry Method S Trans Sequence No 95346092
Batch No 0 Account Number ************1168
Total Due: $35.00
Amount Paid: $35.00
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).
®www.Facebook.com/inbmv www.Twitter.com/inbmvwww.myBMV.com
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