HomeMy WebLinkAbout193565 01/12/2011 CITY OF CARMEL, INDIANA VENDOR: 360614 Page 1 of 1
ONE CIVIC SQUARE BUREAU OF MOTOR VEHICLES CHECK AMOUNT: $142.50
CARMEL, INDIANA 46032 REGISTRATION DIVISION SPECIAL PLAT
100 N SENATE AVE N404 CHECK NUMBER: 193565
INDIANAPOLIS IN 46204
CHECK DATE: 1/12/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4352600 MAYOR CAR 142.50 AUTOMOBILE LEASE
FORD MOTOR COMPANY
1 CIVIC SQUARE
CARMEL, IN 46032
O f December 1- 7,.2010
Dear BMV Corporate Customer,
This year the BMV is implementing a new process to handle your annual company registration
reports. The new procedure, outlined below, will increase the security and efficiency of your
registration renewal transactions.
Starting .December 27, 2010, your options to process are:
Z Crn
a w m m 1. Mail your renewals to our Central Office Processing Center:
o CO Q N
.0 a) �U O Z o .Indiana Bureau of Motor Vehicles
0 U) J 100 North Senate Avenue
U w E o Room 411
a 0 g U X Indianapolis, IN 46204
U_ Q E o
0 2. Renew online at myBMV.com.
3. Visit a BMV Partner location. See myBMV.com for a list of locations.
Please do not take your reports or registration information to a BMV License Branch. Corporate
customers with more than five vehicles cannot be processed at a BMV License Branch.
When mailing your docurnentsto the Central Office Processing- Center, we-reconimend
e- check for payment. You will need to attach a voided check to your documents. We will process
the payment and send you a receipt showing the amount deducted from your account. The
e -check method is fast, easy and cost effective to both your company and the BMV. if you do not
choose to use e- check, we will accept your Visa, MasterCard, or company check.
We look forward to providing excellent customer service to your company.
Sincerely,
Victoria Knowles,
Executive Director- Central Office Operations
Date: 12!1512010
Indiana Bureau of Vehicles
Renewal List for Page 2 of 3
FORD MOTOR COMPANY
1 CIVIC SQUARE
CARMEL, IN 46032
I
1
Plate Number Identification State SpclGrp Admin Excise Excise Wheel Total
187GAB 4M2CU39H67KJ17070 Plate Fee Fee I Tax Tax Cut Surtax Due
Yr Wqt M0 Make
2010 3787 MERC 21.05 0.00 0 .'0 242.00 121.00 0.00 142.05
Exp Date Model Yr
01/31/2011 MRN 2007
Class Aqe
13 6
Vehicle used by Mayor James Brainard
l
Page 3 of 3
Indiana Bureau of Motor Vehicles
Fee Summary for
FORD MOTOR COMPANY
State Fees: 21.05
Special /Group Fees: 0.00
Administration Fees: 0.00
Excise Tax: 242.00
Less Tax Cut: 121.00
Wheel /Surtax: 0.00
Total Due: 142.05
Current Insurance Information:
Insurance Company: ACE AMERICA INS CO
Policy Number: ISAH07849187
Use mybmv.com to renew
Your Login: 40237792
Please charge my: visa MC
Card Expiration Date
Signature
Please mail your renewal notices and payment to:
IBMV
100 N Senate Ave, Rm N411
Indianapolis, IN 46204
VOUCH NO. WARRANT NO.
ALLOWED 20
Indiana Bureau of Motor Vehicles
IN SUM OF
100 North Senate Avenue, Room 411
Indianapolis, IN 46204
$142.50
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 Statement 43- 526.00 $142.50 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
Tuesday, January 11, 2011
Mayor
Title
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))
12/17/10 Statement $142.50
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
Clerk- Treasurer