162966 08/20/2008 >,q,f CITY OF CARMEL, INDIANA VENDOR: 357088 Page 1 of 1
ONE CIVIC SQUARE COURTNEY SCHLAEGEL
CARMEL, INDIANA 46032 1542 MISTY LAKE DRIVE CHECK AMOUNT: $15.00
INDIANAPOLIS IN 46260 CHECK NUMBER: 162966
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1125 4239000 15.00 MISCELLANEOUS SUPPLIE
E
s
f
i
Carm o Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of
Receipt Vendor listed on receip Fund Department Account Line Account Description Amount Purpose of Expense
JAL
All receipts should be attached in the same order as listed above.
TOTAL /6 �d
Name (print) I
Check Address Dy.
payable to:
City, St, Zip
Signature Date: 7 Of
Approved by: Date: d
Revised 3 -2 -07 by Business Services
Bureau of Motor Vehicles VII I I III III I III II II I I
Transaction Receipt
BMV State Form 51717 (4 -04)
Branch: VEHICLE SERVICES TITLES (804) Date: 7/1/08 Time: 12:59:16 pm EDT
Vis'st ID: 142323362 Visit Duration: 00:03:32
Visit Customer Visit Duration is the time elapsed from check in to
transaction completion.
CARMEL CLAY PARKS AND REC This time does not include testing time.
1411 E 116TH STREET
CARMEL, IN 46032
Transactions
Trans ID Trans Type Trans Subtype Amount
153865856 Title Initial Title Issuance New $15.00
Subtotal: $15.00
Sales /Use Tax: $0.00
Total: $15.00
Payment Method Amount DL Number Authorization Number Name
CHECK $15.00
Total Due: $15.00
Amount Paid: $15.00
Change Due: $0.00
Charges to your credit card will appear as a line item charge not as a total transaction charge.
I
JUL 1 6 2008
I
��IIII I�� IIIIIII��I III) �IIIIIII I ft l II I I�I IIII�) II I III Page 1 of 1
5 1 7 1 7
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
357088 Schlaegel, Courtney Terms
1542 Misty Lake Dr. Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/08 Reimb. BMV tags for new trucks 15.00
Total 15.00
I hereby certify that the attahced 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
i
Voucher No. Warrant No.
357088 Schlaegel, Courtney Allowed 20
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb. 4239000 15.00 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
31 -Jul 2008
LO�����
signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I