157969 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00351325 Page 1 of 1
ONE CIVIC SQUARE DAVID HUFFMAN CHECK AMOUNT: $36.00
s �a CARMEL, INDIANA 46032 C/0 STREEI' DEPARTMENT
C/0 STREET DEPARTMEN CHECK NUMBER: 157969
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTI
2201 4358300 36.00 OTHER FEES LICENSES
P' A Bureau of Motor Vehicles Transaction Receipt
�NdU State Form 51717 (4 -04)
Branch: CARMEL STARS (527) Date: 3119108 Time: 3:11:27 pm EDT
Visit ID: 139825259 Visit Duration: 00:19:33
Visit Customer Visit Duration is the time elapsed from check in to
transaction completion.
CITY OF CARMEL STREET DEPARTMENT This time does not include testing time.
3400 W 131 ST ST
CARMEL, IN 46032 -8727
Transactions
Trans ID Trans Type Trans Subtype Amount
149432376 Title Initial Title Issuance New $36.00
149433112 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 $40.00
Total Due: $36.00
Amount Paid: $40.00
Change Due: $4.00
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev, 1995)
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
l Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
�C IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
5 6lu 00 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
20 C
Si ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund