165393 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 241762 Page 1 of 1
0 ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 LAW ENF AID FUND CHECK AMOUNT: $30.00
LAW ENF AID FUND
CHECK NUMBER: 165393
CHECK DATE: 10/29/2008
DEP ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
911 4340600 30.00 RECORDING FEES
i
`s Bureau of Motor Vehicles
T R IIIIIIIIIII IIIIIIIII III�IIIII����IIIIIIIIIIIIII II
Re ceipt
State Form 517_17 (4 -04)
Branch: CARMEL STARS (527) Date:. 10/10/08 Time: 3:09:05 pm EDT
Visit ID: 144737298 Visit Duration: 00:37:48
Visit Customer Visit Duration is the time elapsed from check in to
transaction completion.
CHARLES E DRIVER JR This time does not include testing time.
18335 CENTENNIAL RD
WESTFIELD, IN 46074 -9080
Transactions
Trans ID Trans Type Trans Subtype Amount
158159505 Title Initial Title Issuance New $15.00
158161154 Title Title Transfer Transfer $15.00
Subtotal: $30.00
Sales /Use Tax: $0.00
Total: $30.00
Payment Method Amount DL Number Authorization Number Name
CASH $40.00
Total Due: $30.00
Amount Paid: $40.00
Change Due: $10.00
Charges to your credit card will appear as a line item charge not as a total transaction charge.
II VIII II�II VIII VIII I�I I'IIIIII VIII VIII IIII� VIII VIII VIII II�II �IIII IIII I�I Page -1 of 1-
51717 '`158161154*
016scribed 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
J Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/0110/02 0 6 7
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
IN SUM OF
CA
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9ii xt) 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
f O/ -qV20 op
Signature
M 4 6,"
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund