162466 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 241762 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 LAW ENF AID FUND CHECK AMOUNT: $30.00
LAW ENF AID FUND CHECK NUMBER: 162466
CHECK DATE: 8/7/2008
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
911 4358300 30.00 OTHER FEES LICENSES
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i
Bureau of Motor Vehicles IIIIIIIIIIIIIIIIIIII
�5 Transaction Receipt
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State Form 51717 (4 -04)
Branch: CARMEL STARS (527) Date: 7/29/08 Time: 10:52:14 am EDT
Visit ID: 142961309 Visit Duration: 00:31:37
Visit Customer Visit Duration is the time elapsed from check in to
transaction completion.
CHARLIE RAYDER This time does not include testing time.
1429 ARROW DR
NEW CASTLE, IN 47362
Transactions
Trans ID Trans Tvve Trans Subtype Amount
154998754 Title Title Transfer Transfer $15.00
155000370 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.
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I 4 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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))
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.
5
ALLOWED 20
IN SUM OF
4 v) Urx-4�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
91 1 0V A3,0. 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
9// 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund