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189468 08/31/2010 CITY OF CARMEL INDIANA VENDOR: 241763 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH g 1 0 CARMEL, INDIANA 46032 cro LISA CHECK AMOUNT: $237.43 C/O LISA CHECK NUMBER: 189468 CHECK DATE: 8131/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 120.58 OTHER EXPENSES 651 5023990 116.85 OTHER EXPENSES I PETTY CASH NUMBER DATE L- 4 DESCRIPTI OF e CHARGE TO ACCOUNT TOTAL I =Sao 0 Received By ZA��—�—Ap�jxoved By 9672 PETTY CASH NUMBER DATE CHARGE TO ACCOUNT TOTAL Approved By PETTY CASH NUMBER DATE d 1.650. os DESCRIPTION OF e 3 06 CHARGE TO ACCOUNT TOTAL MONO Received B6 Approved By 9672 Hamilton County Recorder Jennifer J Hayden OB/13/2010 83:5131P Trans 000287225 Business Date: 08/16/2810 Roc By: PSI 2618037568 REL SEW LN 03;58/31P Subtotal: $12.8D 2010037589 REL SEW LN 83:58:31P Subtotal: $12.00 2010037590 REL SEW LN 03:58:31P Subtotal; $12.0 0 2010037591 REL SEW LN 03:58:31P Subtotal: $12.00 2010037592 REL SEW LN 03:58:31P Subtotal: $12.00 2010837593 REL SEW LN 83:58:31P Subtotal: $12.00 2810037594 REL SEW LN 83:58;31P Subtotal: $12.UU 2010037595 REL SEW LN 03/58:31P Subtotal: $12.08 2010037596 REL SEW LN 03:58.31P Subtotal: $12.00 2010037597 REL SEW LN 03:58:31P Subtotal: $12.UO 2810037598 REL SEW LN 03:58:31P Subtotal. $12.0 0 2010837599 REL SEW LN 03:58:31P Subtutol: $12.0O 2810837600 REL SEW LN 03:58:31P Subtotal. $12.00 2010037601 REL SEW LN 03:58:31P Subtotal; $12.00 2010037682 REL SEW LN 03:58:30 SubtRol: $12.0O 2010037683 REL SEW LN 83:58:31P Subtotal, $12.00 2010037604 REL SEW LN 03:5031P Subtotal: $12.00 2010037605 REL SEW LN 0058:31P Subtotal: $12,00 2010037606 REL SEW LN 03:58:31P Subtotal: $12.00 2010037607 DEL SEW LN Subtotal/ 2010037608 DEL SEW LN Subtotal: M1.0O 2010037609 DEL SEW LN 03:58: Subtotal: $11.00 2010037610 EASEMENTS 03,58; Subtotal: $25.0D 'Receipt Total: $286.O8 Paid By Amount Ref Check $261.08 0000088350 CITY OF CAMEL Cash $25.08 CITY OF CARMEi Kmd From: CITY OF CAMEL HAVE A NICE DAY! CARM[i AIL STORE CAkH[ lnd1OOd 4/ --29390 i74 .�0814'0094 08/02/2010 Co. }'-73-8777 02:38 PN `les Receipt P[OUUCt Sale Unit Final D8SCFi0t1O' Qty P[1Ce Price CARNEL Ili .'/]3 $0.44 Zone-1 Fir'`-Class Letter 0.60 OZ. EXpeCtec' [9l1:8[y: Thu 06/03/10 Return (Green $2.30 Card) C8[t1f''.J $2.80 Label 70060810000183011731 IGSU8 P"":[ $5.54 Total: $5.54 Paid by: Cash $O.O3 Change Due: -$0.4D Order StO0pS at USP3. or call 1-800-3t80p24. Go to USP3.CON/Cl1Ckn8hiV to print shipping labels With postage. For other 1DfO[0dt1O0 Call 1-000-A3K-U3PS. Get Your 0d1l when and where you Nd01 it with O S8CU[8 Post Office ODX. Sign Up for d box O0l1O8 at U8p8.COm/pOhOXeS. 8ill#:1000600332638 C|erk:2l All Sdl8G final OO stamps and postage Refunds for guaranteed G8[Y1C8S Only Thank you for your bUG1O8SG HELP US SERVE YOU BETTER GO to: UttpS://P0StOl9Xp8r18nc9.CO0/P8S TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS Customer Copy r• Bureau of Motor Vehicles II�III Transaction Re BMlI. State Form 51717 (4 -04) -J Branch: VEHICLE SERVICES REGISTRATIONS Date: 5/20110 Time: 3:16:43 pm EDT Visit ID: X 15 ?15351 Your Visit Time Today: Visit Customer: CITY OF CARMEL UTILITIES Transaction Time 00:10:06 Total time Hrs.Min.Sec 00:10:06 Transactions Trans ID Trans Type Trans Subtvne Am©gnt 179127812 Title Initial Title Issuance New $36.00 179128047 Registration New Motor Vehicle Registration New $0.00 I 179128250 Registration New Motor Vehicle Registration New $0.00 179128540 Registration New Motor Vehicle Registration New $0.00 Subtotal: $36.00 Sales /Use Tax: $0.00 Total: $36.00 Payment Method Amount DL Number Authorization Number Name CASH $36.00 Total Due: $36.00 I Amount Paid: $36.00 Change Due: $0.00 Charges to your credit card or bank account if paying by electronic check will appear as a line item charge not as a total transaction charge. If you have questions or comments, please call our Customer Service Center at 888 -myBMV -411. I Page 1 of 1 5 1 7 1 7 1 7 9 1 2 8 5 4 0 es Bureau of Motor Vehicl IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII j Detailed Transaction Receipt BMV State Form 51714 (4 -04) Branch: VEHICLE SERVICES REGISTRATIONS Date: 05/20/2010 Time: 15:16 EDT Visit ID: 15715351 CSR: SL Visit Customer: CITY OF CARMEL UTILITIES I Transactions Trans IDTrans Tvve Trans Subtype Amount 179127812 Title InitialTitle Issuance New Title Fee Vehicle $15.00 Delinquent Title, Vehicle $21.00 Vehicle: CF090862009SN1958 2009 CFB TR Lien Holder: None Customer: CITY OF CARMEL UTILITIES Purchase Date: 12/30/2009 $36A0 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 PETTY CASH NUMBER TE DESCRIPTION OF ITEWSERVICE PURCHASED CHARGE TO ACCOUNT TOTAL Received By Approved By 9672 Hamilton) County Recorder 12%21%2779 79;73.55€i Trans 91 777233642 Business Date: ia /a! R2 By: SAG 200907256 %t REL SEW LN 79: 35A Subtotal n %13.70 2009072567 REL 'LW LN t4r JJf� Subtotal; s 1 a 0 n0 X77 7��ib1 REL St.V L.t'} 09: 03:55A Subtotal: �13a00 2709 772569 REL SEA! Lis 09.03.55F; Subtot i 1•J. 77 200:072570 REL SEW LN 09'a -A 45 Subtotal: :'13 a 77 ']i�. 7257, R L 1, t i;7U: 71'0 REL S E W LN 7 %atJJ n...'vl li l Subtotal: •!'13. 2 0 '+09 257 SE W .019,,•1- 5 V7: 7740![ REL JL� Lt�� ��i 1l� ?s�.JJrI subtotal; 13a7 2009072573 REL SEW LN 09 03 55,'; $13. 200917 REL SEW LN 2009072575 S 09- a REL ,.EiJ L N Subtotal 13' 00 200 9072576 L SE i 09:0 R Ji.W LN Subtotal: $113meo 2009072577 REL SEW L.ii 9.79:0 Subtotal: $i37 20000 78 -:c' SEW LN 0`9; 03 Vi IL_'ru t1LL SEW L3vJJii Subtotal. $12.00 2009 D S LN 0 9 :03 :55A Subtotal: $K100 2779772587 9:0 _51, LIE[ SEW 1_i: i �,i a •0�n 725 1 t M19 7:50''4 i %L' 3E!%i L('t u'; 11.,,JuH Subtotal: x12.190 2009072552 DEL SEW Lid 09:03:50'1 S.ubtuale X12.77 20090 f 2583 DEL SEW LN 09:03:55A Subtotal- $12.00 2009072534 DE SEW LN 0 9 03:55A Sgbtotal: V12a0 2009072565 DEL SEW LN 09:03:55A Subtotal: 1112.00 2009072586 DEL SEW LN 09:03:55A 97 7 f� Subtotal; $12.00 277 7 DEL SEW LN 09. 03 g 55A S {Fi2 f'1�.7 R eceipt Total: $276' .Of, Paid By Amount Ref n Check A d'264.00 700000(';10!'1 CITY OF CARMEL WASTE WATER n Cash �i�.00 CITY OF CARMEL WASTE WATER Rcvd From: C F Y OF CARME WAS i% WATf HAVE A NICE DAY PETTY CASH 65 N NU6tR DATE DESCRIPTI v 5 5 CHARGE TO ACCOUNT TOTAL Received Approved By 9672 I $0.44 0814 GARA4 Postage r-q Certified Fee $2.80 1 /2 O Return Receipt Fee �rk p (Endorsement Required) S W O Restricted Delivery Fee r-9 (Endorsement Required) 0 CO G Total Postage Fees 02/ ..D O Sent To U�'�r dS q ,,/r or Box No. 1 5 S u, �1 y City, St t 1P+4 ey e r�casr�,�- ..,.ter -n.r,� Certified Mail Provides (asranaa)yppyeun�'OOBEUlio�Sd 13 A mailing receipt A unique identifier for your mallpiece A record of delivery kept by the Postal Service for two years Important Reminders: Certified Mail may ONLY be combined with First -Class Mail®oF Priority Mail& Certified Mail is not available for any class of international mail. NO INSURANCE" COVERAGE C IS "PpOVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. For an additional fee; a Return Rdbbiptmay be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (,PS Form 3811 to the article and add applicable postage to cover the fee. Endpp a mallpiece Return Receipt Requested To receive a fee waiver for a dupticatgretum receipt, a USPSe postmark on your Certified Mail receipt is regwred. For an additional fee, delivery may be restricted to the addressee or addressee's d thari29d. ent. Advise. clerk or mark the mallpiece with the endorsementt' F dstrict6t Delivery'. If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an Inquiry. Internet access to delivery information Is not available on mail addressed to APOs and FPOs. PETTY CASH NUMBER DATE l on DESCRIPTI OF I r s od CHARGE TO ACCOUNT TOTAL Received By Approved By 9672 8603303 Noblesville IN 46060 -0000 TRAN 755488 Pump 13 #2 Diesel, Self Sery 4.748 $3.159 /GAL GAS TOTAL $15.06 TOTAL $15.00 Visa Card Num XXXXXXXXXXXXe923 TERM: 8050883303081 APPR 044628 SEQ 109830117 04/19/2010 15:57:11 Cardholder agrees to pay to issuer total charges per the agreement between cardholder issuer. VISIT US AT WWW.SPEEDWAY.COM CUSTOMER SERVICE 1- 800 -643 -1948 M -F 8:30A -5:30P EST PETTY CASH NUMBER DATE 65,O 7 �/0 DESCRIPTION OF ITEM/SERVICE PURCHASED w x 2 vC7 P CHARGE TO ACCOUNT TOTAL Received By Approved By 9672 PLAZA PARR RcP11.69370 03/17/10 13:37 L# 2 A# 21 Txn #346584 03/17/10 11:00 In 03/17/10 13:37 Out Tkt# 02224, hesular Rate 1 5 11.50 -Total Fee 11.50 CAN PAID 11.50- Cash Tender 15.00 Change Due 3.50 1 HAM(YOU DESCRIPTION OF ITEM /SERVICE PURCHASED AMOUNT CHARGE TO ACCOUNT TOTAL 0418 Carmel One E Carmel Dr., Ste 120 Carmel IN rnirmr 46032 Phone: (317)843 -2900 connarl"On Fax: (317)843 -0787 Location MID: 8013824431 Sales Receipt III�IIIIIIIIIIIIII III�II Customer: Carmel, City I l Shipping Address Billina Address City Carmel City Carmel Phone: (317)7 f3cf Phone: (317)71 3 I(� 716 31 13 Invoice 221214004566 Cate: 4/2712010 1:34:36PM Sale Type: General Sale Employee: Brandan Holmes H. Notes: I m a� t z �Ezten[lei1 0 tterTYPe� E� SKU�5erial dumber a FTex4 S P isoo IFtPriceTOtdl�i Phone Book Exchange F Phone Book Exchange PHBKEXCHG N 1 $1 o.00 $0.00 $1o.00 $10.00 Cash 10.00 SRP Total: $10.00 Invoice Subtotal: $10.00 Tax: $0.00 Invoice Total: $10.00 Balance Due: $10.00 Amount Tendered: $10.00 Change Due: $0.00 "Items may be returned within 10 days of purchase, in original packaging and accompanied by original receipt. All prepaid and special order sales are final. Phone must have less than 60 minutes of talk time." A a Prescribed by State Board of Accounts Form No, 3 °icRev. 1995, ACCOUNTS PAYABLE VOUCHER TO ADDRE Invoice Date Invoice Number Item Amount I hereby certify that the attached invoice(s), or 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 I ,19 Signature Title j 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. ,u Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT CARMEL, INDIANA ('45 Favor Of Total Amount of Voucher Deductions f 0 0�. b3G0. t7 y S o�.G (x.05 s O/• 6360. 06 p 00 650 l 5 Amount of Warrant [zo. sg Month of 19 Acct VOUCHER RECORD N Source of Suppi Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation Maintenance Wility Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposit s Total Allowed Board of Control Filed Official Title ROYCE FOAMS. SYSTEMS 1- 800 -382 -8702 325 PETTY CASH NUMBER DATE Ql ��y ai i z aa G li.ESCRIPTI In= 1 CHARGE TO ACCOUNZ TOTAL 7, Received By Approved By 9672 ry Bureau of Motor Vehicles 11IIIlll1111111111111111111illlllllllllllllfllllll E k Transaction Receipt "6M11� a State Form 51717 (4 -04) Branch: CARMEL STARS (527) Date: 12/30/09 Time: 8:44:10 am EDT Visit ID: 154046713 Your Visit Time Today: Visit Customer: LARRY L EIDSON JR Wait Time 00:05:57 Transaction Time 00:04:59 Total time 00:10:56 Hrs.Min.Sec Transactions Trans ID Trans Type Trans Subtyne Amount 173510563 Driver Renew CDL License Renew $40.00 Subtotal: $40.00 Sales /Use Tax: $0.00 Total: $40.00 Payment Method Amount DL Number Authorization Number Name CREDIT $40.00 074354 Total Due: $40.00 Amount Paid: $40.00 I Change Due: $0.00 Charges to our credit card will appear as a line item charge not as a total transaction charge. 9 Y PP 9 If you have questions or comments, please call our Customer Service Center at 888- myBMV411. I I I I I Page 1 of �1 1111111111II1111111111111 II VIII 11111 VIII VIII VIII VIII VIII II II II 5 1 7 1 7 1 7 3 5 1 0 5 6 3 I I PETTY CASH NUMBER DATE 0 L 7501. D DESCRIPTION OF ITEM/SERVICE PURCHASED V cc JA o/'f CHARGE TO ACCOUNT TOTAL Received By v Approved By 9672 i Prescribed by State Hoard of Accounts RECEIPT A Royce Co.. Inc. Muncie. IN Guerni Form No. 352 1145 NAME 01 UNIT. AGENCY, HOARD OR DEPARTMENT 7 n FUND NO. Q f N, Date RECEIVED FROM b y+ THE SUM OF DOLLARS 100 ON ACCOUNT OF PAYMENT TYIIE A AND AMOUNT: CASFI.._ CHECK NI.O. EFF CC/13C OTHER AUTHORIZED SIGNATURE pESCRIPTION OF ITLM/q R Q PURCHASED,- AMOUNT rI CH ARGE ACCOUNT TOTAL ANN� ^.f.-- x.•stm.: +ars�c �r,+.t »w.w:. :,r.mc�.c arn.a.:m;;r uwc'. s.,r•: I Bureau of Motor Vehicles IIIIIIII II II II II`` IIII IIII IIIIII Transaction Receipt �1I�lI1IIIlIIl IIIIIl II��lill�lf�l��l l���l�lll�ll��ll� y State Form 51717 (4 -04) Branch: CARMEL STARS (527) Date: 1018/09 Time: 10:48:11 am EDT Visit ID: 152540480 Your Visit Time Today: Visit Customer: JEFF W COOPER Wait Time 00:01:21 Transaction Time 00:04:51 Total time 00:06:12 Hrs.Min.Sec Transactions Trans ID Trans Tyne Trans Subtype Amount 171153622 Driver Renew CDL License Renew $35.00 Subtotal: $35.00 Sales /Use Tax: $0.00 Total: $35.00 Payment Method Amount DL Number Authorization Number Name CREDIT $35.00 803944 Total Due: $35.00 Amount Paid: $35.00 Change Due: $0.00 Charges to your credit card will appear as a line item charge not as a total transaction charge. i Page 1 of 1 I! I! illlll VIII NI I III II VIII VIII VIII VIII VIII II II VIII VIII III 5 1 7 1 7 1 7 1 1 5 3 6 2 2 Bureau of Motor Vehicles A V Transaction Receipt IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 d State Form 51717 (4 -04) Branch: CARMEL STARS (527) Date: 10/21/09 Time: 12:17:57 pm EDT Visit ID: 152824635 Your Visit Time Today: Visit Customer: BLAINE MALLABER Transaction Time 00:40:05 Total time Hrs.Min.Sec 00:40:05 Transactions Trans ID Trans Tyne Trans Subtype Amount 171605426 Driver Renew License Renew $30.00 Subtota I: $30.00 Sales /Use Tax: $0.00 Total: $30.00 Payment Method Amount DL Number Authorization Number Name CREDIT $30.00 021669 Total Due: $30.00 Amount Paid: $30.00 Change Due: $0.00 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 II I III VIII VIII IIII III II VIII Illli VIII VIII lilll VIII VIII VIII III 5 1 7 1 7 1 7 1 6 0 5 4 2 6 PETTY CASH NUMBER U DESCRIPTION OF CHARGE TO AC OUNT TOTAL Q Receive Approved By 9672 r® ®r light Store. Right Price. 1217 S. RANGELINE RD. 317 846 -4818 YOUR CASHIER WAS SELF CHECKOUT KROGER PLUS CUSTOMER *2074 KRO COFFEE 4.88 F KRO COFFEE 4.88 F KRO COF FLTR 2.09 T TAX BALANCE *6515 REF 405290 CREDIT CARD 11.59 CASH 1.00 CHANGE 0.59 TOTAL NUMBER OF ITEMS SOLD 3 08/24/09 01:20pm 959 85 54 999 3 Wass to Save More Often on Fuel Save $0.10 per gal for every 2 Rx scripts you fill. 1 script 50 points Save $0.10 per gal for every $50 in gift cards. $1 in Gift Cards= 2 points Excludes Kroger Gift Cards Save $0.10 Per- gal for ever 1,1 00 in groceries. $1 1 poi Todaa's Fuel Saver Poinic. Aug, Fuel Saver Points it 100 Points=] $0.10 discos. Save an additional $0.0- with your 123 Rewards Masi Restrictions and Exclusions APPIy, See Store for Complete Details. Augus.t, expire 9/30/09 *SEE WHAT YOU ARE SAVING TODAY* BY USING YOUR KROGER PLUS CARD,YOUR ANNUAL SAVINGS TO DATE IS $295.90 THANK YOU FOR SHOPPING KROGER CUSTOMER SERVICE IS EVERYONE'S JOB, LET ME KNOW HOW WE ARE DOING. CHARL BECHEL, MANAGER Let yourself shine. suntaneityco Valid at all Indianapolis area salons, umit one per customer, valid an Fast level m equipment. See salon for more details. Expires 11/15/09. KRO959JAS 46032. ir\ 'Q{�I 7 2E93 L Il(Ith OR, Oom 0 DR3 w(mme ETON Ng EMEN 1/2 Polo e ed� WITH PURCHASE 0 WITH THE PURCHASE OFANV ®F 2 EUTIBEES 0 ENTREE AT REGULAR PRICE to ml>, �",a�_ 51 �wae �m� rrtovsaiu f 11 n Y a GE 000 t.f� a c 1 p Cb Works Includes: Expires 111113010 c o E, NO EXTRA CHARGE FOR SUV'S. Y �la 4X45. VANS, OR PICKUPS. i Clear COat 4 NOT VALID VMH OTHER COUPONS. Wleeel Bright e UB bito 0 1? 95 Total Value 7 7,.71 11 o ro o QOMIRME VOMR o MfflbUs HERE Be seen v v X00 times a month a a r----- 61 o I Save 1 1 The experience you want.`' nth ft ,t 1 coupon I MIS Range Line Road I on all branded tires I g 3 U q -8.0 lre� 86ra L_ Offer End.11.15-09 r1 KR0959JAS•46032 49588, a L OCR' YOUR 1R1M4® 00 SURAMCIE; On Your Side' WHEN YOU COMBINE BOTH YOUR HOME AND AUTO WITH C;1 &400M'ZRg0®[E 0L:I3U[Fa&rdC[E A UTOIL elcEINUSINESSIWOR9EIRENTERS PLEASE CALLI o N AOLA ESP'ANOL dD17f113�� I I rn FPrescrd by orm No. 301St-5 (eBoRev. 1995) ccounts ACCOUNTS PAYABLE VOUCHER. Form 307 1995) TO ADDRESS Invoice Date Invoice Number Item Amount I hereby certify that the attached invoice(s), or 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 19 Signature Title 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. Officer Title Vouctw No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS SANITATION DEPARTMENT ACCT. NO, CARMEL, INDIANA Favor Of S Total Amount of Voucher Deductions 30 of-7 0 5 0 bO vo0 og 5wr S a C� f b v d Amount of Warrant tu jf �j Month of 19 Acct VOUCHER RECORD No. Collection System Operation Plant Commercial General Undistributed Construction Depreciation Reserve Stock Accounts Merchandise Total Allowed Board Members Filed BOYCE FORMS SYSTEMS 1 -600 -362- 8702 325