HomeMy WebLinkAbout164373 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 358229 Page 1 of 1
b �f, ONE CIVIC SQUARE NICOLE PASSINEAU CHECK AMOUNT: $190.00
CARMEL, INDIANA 46032 ao Docs
CHECK NUMBER: 164373
CHECK DATE: 9/30/2008
DEPARTMEN ACCOUN P O NUM INVOICE N UMBER AMOUNT DESCR
1192 4357004 190.00 EXTERNAL INSTRUCT FEE
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a Bureau of Motor Vehicles
Transaction Receipt IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIVIII
'.BMV State Form 51717 (4 -04)
Branch: CARMEL STARS (527) Date: 9/23/08 Time: 4:31:11 pm EDT
Visit ID: 144308159 Visit Duration: 00:21:20
Visit Customer Visit Duration is the time elapsed from check in to
transaction completion.
NICHOLE MARIE PASSINEAU This time does not include testing time.
PO BOX 831
CICERO, IN 46034 -0831
Transactions
Trans ID Trans Tyae Trans Subtype Amount
'157408890 Driver Renew License Renew $40.00
I
Subtotal: $40.00
Sales /Use Tax: $0.00
Total: $40.00
Payment Method Amount DL Number Authorization Number Name
CREDIT $40.00 B67182
Total Due: $40.00
Amount Paid: $40.00
Change Due: $0.00
Charges to your credit card will appear as a line item charge not as a total transaction charge.
TRUCK DRIVER INSTITUTE, INC. 106601
SOUTH BEND, IN SAUCIER, MS FORSYTH, GA
SELLERSBURG,IN TUPELO,MS RICHBURG,SC
INDIANAPOLIS, IN SANFORD, FL IRWIN, PA
MURFREESBORO, TN MILTON, FL DALLAS, TX
OXFORD, AL CHANNAHON, IL DATE D4
RECEIVED FROM N .`C of511u e aJ Sa
AMOUNT OLLARS
FOR
PREVIOUS BALANCE (CASH Your Receipt Thank You
THIS PAYMENT CHECK
BALANCE DUE ❑MO. tcz�G�
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III I III
5 1 7 1 7 1 5 7 4 0 8 9 9 0
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 1995)
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4 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))
00
Total l 0 0
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
I Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
o .DDS
G01C
�?g� l /L/
140.00
ON ACCOUNT OF APPROPRIATION FOR
1: OLS
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9
5 /QO. 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
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w ig re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund