189520 08/31/2010 ��c• CITY OF CARMEL, INDIANA VENDOR: 00351248 Page 1 of 1
ONE CIVIC SQUARE JEFF STEWART
0 CHECK AMOUNT: $9.00
CARMEL, INDIANA 46032 C/O STREET DEPT
CIO STREET DEPT CHECK NUMBER: 189520
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4358300 9.00 OTHER FEES LICENSES
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Bureau of Motor Vehicles
Detailed Transaction Receipt
�3MV State Form 51714 (4 -04)
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Branch: NOBLESVILLE STARS (405) Date: 08117/2010 Time: 10:56 EDT
Visit ID: 159987038 CSR: BDY
Visit Customer: CITY OF CARMEL
Transactions
Trans ID Tr.3ns Type Trans Subtype Amount
182329164 Title Duplicate Title Duplicate
Duplicate Title, Vehicle $9.00
Vehicle: 5CCTU1623XN000178 1999 HRA UNK TR
Lien Holder: None
Customer: CITY OF CARMEL
Purchase Date: 01/05/2000
$9.00
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1
V OUCHER NO. WARRANT NO.
ALLOWED 20
Jeff Stewart
IN SUM OF
c/o Carmel Street Department
$9.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 43- 583.00 $9.00 1 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
�^1 7 Thursday,�� (gust 26, 201(
v treet Corn iss o r
0
I Y
Street CorrT.f ssioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/17/10 $9.00
1 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
Clerk- Treasurer