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Home My WebLink About258738 05/18/16 OF CARMEL, INDIANA VENDOR: 361675 ONE CIVIC SQUARE JEREMY KASHMAN CHECKAMOUNT: $*******105.57* CARMEL, INDIANA 46032 18567 PILOT MILLS CT CHECK NUMBER: 258738 NOBLESVILLE IN 46062 CHECK DATE: 05/18/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 61905902 105.57 ORGANIZATION & MEM-BER uITIMIM—sand exchanges must be new and unused,in s original packaging and contain all original parts and cessones. :urns with an original sales receipt or pack slip will vive a refund based on the initial form of payment. store returns or exchanges without a receipt orpack will be offered a store credit for the lowest sel[ng e or offered the manufacturers'contact information. ne orders returned by mail must include the pack stlp. erns with a gift receipt will be offered a gift card T exchan e. 11 ( 7 ' VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) JEREMY KASHMAN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 18567 PILOT MILLS CT IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NOBLESVILLE, IN 46062 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $105.57 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineerinq 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 61905902 43-553.00 $105.57 1 hereby certify that the attached invoice(s),or 2/17/16 61905902 Indiana PE Renewal $105.57 2200 201 2200 201 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday, May 17,2016 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Welcome to Indiana Licensing _ Page 1 of 1 -J ICcks l-,m o.r-) antwana ............ Online Licensing ` Payment Receipt This page serves as your receipt for this transaction. Your payment will appear on your credit card statement as "State of Indiana License Fee" or something similiar. To maintain this page for your records, you may print this page by clicking the "Print Receipt" button below. What to do next? 22-oo --IfS5 530 Renewal • Check back on the MyLicense site in 24 - 48 hours to see if your expiration date was extended. • If not, this may mean there is a problem with your renewal application and you will be contacted. • If you answered "Yes" to any of the disciplinary questions, you must provide additional information before your renewal can be processed. You may still work with your current license for up to 90 days while your renewal is being reviewed by the board. License Cards • The agency no longer mails license cards free of charge. Please log in to the MyLicense site in 24-48 hours and, after verifying your expiration date has been updated, select the"Order License Card"option. You may order a license card with an expiration date or choose the free paper license you print from your computer. Payment received - thank you. Licensee: Jeremy Michael Kashman License Number: PE10809065 Authorization Code: 091512 Received Date: 5/17/2016 12:15:51 PM Transaction ID: 61905902 Credit Card Number: XXXX XXXX XXXX 9291 Fee Amount: $100.00 Enhanced Fee: $2.50 Instant Fee: $3.07 Total Payment: $105.57 Point Receipt Renew Another License Logout https://mylicense.in.gov/eGov/PaymentResult.aspx?answer=processed&credit card numb... 5/17/2016