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Home My WebLink About164880 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 241763 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH CARMEL, INDIANA 46032 C/O LISA CHECK AMOUNT: $240.12 C/O LISA CHECK NUMBER: 164880 CHECK DATE: 10/16/2008 DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 101308 111.56 OTHER EXPENSES I 651 5023990 101308 128.56 OTHER EXPENSES' e s 6 Bureau of Motor Vehicles IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Transaction Receipt 11" State Form 51717 (4 -04) x Branch: CARMEL STARS (527) Date: 5/8/08 Time: 11:35:44 am EDT Visit ID: 141047770 Visit Duration: 00:07:24 Visit Customer Visit Duration is the time elapsed from check in to transaction completion. CITY OF CARMEL UTILITIES This time does not include testing time. 1 CIVIC SQ CARMEL, IN 46032 -2584 Transactions Trans ID Trans Tvpe Trans Subt a Amount 151598125 Title Initial Title Issuance New $36.00 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 Bureau of Motor Vehicles IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Detailed Transaction Receipt $IV 3 State Form 51714 (4 -04) Branch: CARMEL STARS (527) Date: 05/08/2008 Time: 11:35 EDT Visit ID: 141047770 CSR: VC Visit Customer: CITY OF CARMEL UTILITIES 1 CIVIC SQ CARMEL, IN 46032 -2584 Transactions Trans ID Trans Tvge Trans Subtvne Amount 151598125 Title Initial Title Issuance New Title Fee Vehicle $15.00 Delinquent Title, Vehicle $21.00 Vehicle: 1179PRO08 2008 ALM NLP NA Lien Holder: None Customer: CITY OF CARMEL UTILITIES 1 CIVIC SQ CARMEL, IN 46032 -2584 Purchase Date: 0410112008 $36.00 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 APPLICATION FOR CERTIFICATE OF TITLE STATE OF INDIANA BUREAU OF MOTOR VEHICLES State Form 205 (R7 6 -04) Approved by State Board of Account 1997 TO BE COMPLETED BY A POLICE OFFICER, BMV OFFICIAL OR BMV CERTIFIED DEALER SIGNEE I/WE THE UNDERSIGNED SWEAR OR AFFIRM THAT THE INFORMA- FOROUT OF STATE TITLES. I HEREBY CERTIFY THAT I PERSONALLY EXAMINED THE FOLLOWING TION ENTERED ON THIS FORM IS CORRECT. IIWE UNDERSTAND VEHICLE AND FIND THE IDENTIFICATION NUMBER TO BE AS FOLLOWS. THAT MAKING A FALSE STATEMENT ON THIS FORM MAY CONSTI- VEHICLE IDENTIFICATION NUMBER TUTE THE CRIME OF PERJURY. FUTHERMORE, I/WE AGREE TO INDEMNIFY AND HOLD HARMLESS THE INDIANA BMV FROM ANY LIABILITY ARISING FROM THIS TRANSACTION. R MAKE MODEL TYPE DATE X X INSPECTOR'S PRINTED NAME TITLE CITY DATE: BADGE, BRANCH OR The law requires that you apply for certificate of Title within thirty -one days from the date of purchase of a INSPECTOR'S SIGNATURE motorvehicle. There is a delinquent fee of $21.00 for failure to do so. Attach Certificate of Title assigned by seller. On en DEALER PLATE N0. domed Titles, liens must be released Supporting documents surrendered with this application cannot be returned to the apply cant. State fee for applying for Title Isf1s.00. in accordance with Federal Code 080. TITLE NUMBER BRANCH NO INVOICE NO BMV USE ONLY 1. 05080852700026 527 MV- GOVERNMENT CERTIFICATE OF ORIGIN `SOC. SEC. /FEDERAL I.D. NO APPLICANT'S NAME BMV USE ONLY D 2. 35- 6000972 CITY OF CARMEL UTILITIES 0 STREET ADDRESS CITY STATE ZIP CODE N 3. 1 CIVIC SQ CARMEL IN 46032 2584 O T VEHICLE I.D. NUMBER VEH. YEAR VEH. MAKE VEH. MODEL NO. VEH. TYPE ODOMETER EXEMPT 4. 1179PRO08 2008 ALM NLP SM 0 M T FORMER TITLE NUMBER PURCHASE DATE LIEN SPEED PICK UP MAIL DEALER NO. BMV USE ONLY Y P 5. C OF O 04/01/2008 p No No Yes E FIRST LIEN'S NAME OR SPECIAL MAILING ADDRESS STREET ADDRESS 6. I N 7. CITY STATE ZIP CODE BMV USE ONLY T H SECOND LIEN'S NAME STREET ADDRESS I g S CITY STATE ZIP CODE LICENSE NUMBER LICENSE FORMS BMV USE ONLY A 9 YEAR USED VC R E GROSS RETAIL USE TAX AFFIDAVIT I/WE HEREBY CERTIFY THAT SALES OR USE TAX ON THIS VEHICLE WAS PAID AS INDICATED BELOW A SELLING PRICE LESS TRADE -IN DISCOUNT AMOUNT SUBJECT T�TAM�OUNT TAX DEALER BRANCH EXEMPT IF EXEMPT 10. 0.00 0.00 0.00 0 X PLACE 1 ARA.# Your Social Security number/ Federal I.D. number is being requested by this agency under IC4 8 1. Disclosure is mandatory and this document cannot be processed without it. APPLICANT RESPONSIBLE FOR ACCURACY OF INFORMATION APPLICATION FOR CERTIFICATE OF TITLE STATE OF INDIANA BUREAU OF MOTOR VEHICLES I VIII VIII I I II IIII I III VIII VIII IIII I II VIII VIII II 2 0 5 1 5 1 5 9 8 1 2 5 Bureau of Motor Vehicles IIII) VIII (III III IIII IIIIIIIIIIIII Transaction Receipt BMI/ State Form 51717 (4 -04) Branch: VEHICLE SERVICES TITLES (804) Date: 5/22/08 Time: 10:33:13 am EDT Visit ID: 141379472 Visit Duration: 00:03:35 Visit Customer Visit Duration is the time elapsed from check in to transaction completion. CITY OF CARMEL This time does not include testing time. 760 3RD AVE SW CARMEL, IN 46032 Transactions Trans ID Trans Type Trans Subtype Amount 152188582 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 CASH $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. Page 1 of 1 i ....ears 0418 Carmel Cei u a One E Carmel Dr., Ste 120 ■.®t■ ■■Carmel IN 46032 Conneal Pho ne: (317)843 -2900 Fax: (317)843 -0787 Location MID: 8013824431 Sales Receipt IIIIIIIIIIIIIIIIII I I IIII IIII Customer: Robinson, Eric Shipping Address Billing Address Eric Robinson Eric Robinson Phone: (317)716 -3937 Phone: (317)716 -3937 Invoice 221213000641 Date: 10/2/2008 9:32:54AM Sale Type: General Sale Employee: Heather Looney L. Notes: 3 Seiln Extended alai E ��r item T Item 0 a SKU` N `�Sir6Qg Tax 4 SRP� P DIscoutit �Prl�e Totat� tY Phone Book Exchange F Phone Book Exchange PHBKEXCHG N 1 $10 $0.00 $10.00 $10.00 11 P mentinfa ati on Cash 20.00 SRP Total: $10.00 Invoice Subtotal: $10.00 Tax: $0.00 Invoice Total: $10.00 Balance Due: $10.00 Amount Tendered: $20.00 Change Due: $10.00 "Items may be returned within 10 days of purchase, in original packaging and accompanied by original receipt. All prepaid and special order sales are final. Phone must have less than 60 minutes of talk time." rrescnoea oy oraie boara or mccounrs —y ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 3 241763 PETTY CASH ADMIN Purchase Order No. C/O LISA Terms Due Date 10/13/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/13/2001 101308 $128.56 hereby certify that the attached invoice(s), or bill(s) is (are) true and ,orrect and 1 have audited same in accordance with IC5- 11- 10- -1 ._6 Date Officer a JOUCHER 086473 WARRANT ALLOWED ?41763 IN SUM OF 'ETTY CASH ADMIN '0/O LISA Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members DO INV ACCT AMOUNT Audit Trail Code 101308 01- 7200 -07 $30.00 101308 01- 7362 -05 $10.00 101308 01- 7360 -08 $18.56 101308 01- 7500 -02 $19.00 101308 01- 7502 -06 $51.00 4 Voucher Total $128.56 Cost distribution ledger classification if claim paid under vehicle highway fund III V I I I II I I III III I I II II I III I III IIII Bureau of Motor Vehicles f k M1 Transaction Receipt BMU State Form 51717 (4 -04) Branch: VEHICLE SERVICES TITLES (804) Date: 5/21/08 Time: 11:15:56 am EDT Visit ID: 141353389 Visit Duration: 00:02:18 Visit Customer Visit Duration is the time elapsed from check in to transaction completion. CITY OF CARMEL UTILITIES This time does rot include testing time. 1 CIVIC SQ CARMEL, IN 46032 -2584 Transactions Trans ID Trans Type Trans Subtype Amount 152143442 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 CASH $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. Page 1 of 1 I1111111111111111111111111111111111111111111111111111111111111111 Bureau of Motor Vehicles Transaction Receipt State Form 51717 (4 -04) Branch: VEHICLE SERVICES TITLES (804) Date: 5/21/08 Time: 11:07:09 am EDT Visit ID: 141352872 Visit Duration: 00:02:29 Visit Customer Visit Duration is the time elapsed from check in to transaction completion. CITY OF CARMEL UTILITIES This time does not include testing time. 1 CIVIC SQ CARMEL, IN 46032 -2584 Transactions Trans ID Trans Type Trans Subtvne Amount 152142573 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 CASH $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. Page 1 of 1 r Bureau of Motor Vehicles IIIIIIIIIII I IIII III (IIIIIIIIIIIIIIIIIIII Transaction Receipt BMA/ State Form 51717 (4 -04) Branch: VEHICLE SERVICES TITLES (804) Date: 5/21/08 Time: 11:32:06 am EDT Visit ID: 141353536 Visit Duration: 00:06:16 Visit Customer Visit Duration is the time elapsed from check in to transaction completion. CITY OF CARMEL UTILITIES This time does not include testing time. 1 CIVIC SQ CARMEL, IN 46032 -2584 Transactions Trans ID Trans Type Trans Subtype Amount I 152143733 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 CASH $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. Page 1 of 1 I i Bureau of Motor Vehicles IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII Transaction Receipt BM1l State Form 51717 (4 -04) Branch: VEHICLE SERVICES TITLES (804) Date: 5/21/08 Time: 11:12:41 am EDT Visit ID: 141353150 Visit Duration: 00:03:19 Visit Customer Visit Duration is the time elapsed from check in to transaction completion. CITY OF CARMEL UTILITIES This time does not include testing time. 1 CIVIC SQ CARMEL, IN 46032 -2584 Transactions Trans ID Trans Type Trans Subtype Amount 152143032 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 CASH $15.00 I Total Due: $15.00 Amount Paid: V5.00 Change Due: $0.00 I Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 PETTY A.E. Boyce Co., Inc. Muncie, IN General Forth No. 352 1145 NUMB Fj 6 DATE 12515 NO. r D LLARS y Ioo CHARGE TO ACCOUNT TOTAL>� Received By Approved By 9672 AUTHORIZED SIGNATURE F'rescrtpea ny Jtate t3oara OT ACCOunts %,ny rune iNu. cu i kr tov i avo) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 241763 PETTY CASH ADMIN Purchase Order No. C/O LISA Terms Due Date 10/13/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/13/2001 101308 $111.56 hereby certify that the attached invoice(s), or bill(s) is (are) true and xrect and I have �audited same in accordance with IC 5- 11- 10 -1.6 1 13 0? Date Officer i ✓OUGHER 083411 WARRANT ALLOWED ?41763--- IN SUM OF 'ETTY CASH ADMIN 1/O LISA Carmel Water Utility 'ON ACCOUNT OF APPROPRIATION FOR Board members 'O INV ACCT AMOUNT Audit Trail Code 101308 01- 6360 -06 $3.00 101308 01- 6360 -08 $48.56 101308 01- 6500 -05 $60.00 ,q h. Voucher Total $111.56 c distribution ledger classification if ,..im paid under vehicle highway fund