HomeMy WebLinkAbout158621 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 357088 Page 1 of 1
ONE CIVIC SQUARE SCHLAEGEL
CARMEL, INDIANA 4603 1542 MISTY LAKE DRIVE CHECK AMOUNT: $42.00
INDIANAPOLIS IN 46260 CHECK NUMBER: 158621
CHECK DATE: 4115/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4358300 42.00 OTHER FEES LICENSES
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ti ®n 2008
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Employee Expense Reimbursement Reques
Date of
Receipt Vendor listed on receipt Fund Department Account Line Account Description Amount Purpose of Expense
All receipts should be attached in the same order as listed above.
TOTAL LIZ• b CD
Name (print) N VtVIVe:Q S Ch e ,l
Check Address
payable to: I V��I�Y 11� N 2 bD
City, St, Zip
Signature Date:
Date:
Approved by: i
Revised 3 -2 -07 by Business Services
4 1 V I I I I I I
��zg bureau of Motor Vehicles II I I II I II I IIII I II II
Transaction Receipt
State Form 51717 (4 -04)
s
Branch: CARMEL STARS (527) Date: 3/28/08 Time: 1:25:02 pm EDT
Visit ID: 140028686 Visit Duration: 00:19:27
Visit Customer Visit Duration is the time elapsed from check in to
transaction completion.
CARMEL CLAY PARKS RECREATION This time does not include testing time.
1411 E 116TH ST
CARMEL, IN 46032 -3455
Transactions
Trans ID Trans Type Trans Subtype Amount
149799406 Title Initial Title Issuance New $36.00
149799713 Registration New Motor Vehicle Registration New $0.00
149800309 Title Initial Title Issuance New $36.00
149800866 Registration New Motor Vehicle Registration New $0.00
Subtotal: $72.00
Sales /Use Tax: $0.00
Total: $72.00
Payment Method Amount DL Number Authorization Number Name
CHECK $30.00 356000972
CREDIT $42.00 857020
Total Due: $72.00
Amount Paid: $72.00
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
Bureau of Motor Vehicles Illllfllll111111 IIIllllllllllllllll
of
Detailed Transaction Receipt
HIV State Form 51714 (4 -04)
Branch: CARMEL STARS (527) Date: 03/28/2008 Time: 13:25 EDT
Visit ID: 140028686 CSR: WH
Visit Customer: CARMEL CLAY PARKS RECREATION
1411 E 116TH ST
CARMEL, IN 46032 -3455
Transactions
Trans ID Trans Type Trans Subtype Amount
149799406 Title Initial Title Issuance New
Title Fee Vehicle $15.00
Delinquent Title, Vehicle $21.00
Vehicle: 1 FTSX215X8ED38577 2008 FOR F2S 4C
Lien Holder: None
Customer: CARMEL CLAY PARKS RECREATION
1411 E 116TH ST
CARMEL, IN 46032 -3455
Purchase Date: 02/22/2008
149800309 Title Initial Title Issuance New
Title Fee Vehicle $15.00
Delinquent Title, Vehicle $21.00
Vehicle: 1 FTSX21518ED38578 2008 FOR F2S 4C
Lien Holder: None
Customer: CARMEL CLAY PARKS RECREATION
1411 E 116TH ST
CARMEL, IN 46032 -3455
Purchase Date: 02/22/2008
$72.00
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1
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.
Courtney Schlaegel Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/28/08 Reimb Reg BMV to s for new trucks 42.00
Total 42.00
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
1 20
Clerk- Treasurer
1
q
r "t
Voucher No. Warrant No.
Courtney Schlaegel Allowed 20
In Sum of
42.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb Req 4358300 42.00 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
14 -Apr 2008
g ature
42.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund