HomeMy WebLinkAbout161516 07/11/2008 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: $64.99
LAW ENF AID FUND CHECK NUMBER: 161516
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4239099 19.99 OTHER MISCELLANOUS
4358300 45.00 OTHER FEES LICENSES
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Bureau of Motor Vehicles IIIIIIIII I III) II IIIIII IIIIIIIIII
Transaction Receipt
BMI/rP State Form 51717 �4 -04)
Branch: CARMEL STARS (527) Date: 6/25/08 Time: 11:13:46 am EDT
Visit ID: 142173808 Visit Duration: 00:12:25
Visit Customer Visit Duration is the time elapsed from check in to
transaction completion.
HAMILTON /BOONE COUNTY DRUG TASK This time does not include testing time.
FORCE
3 CIVIC SQUARE
CARMEL, IN 46032
Transactions
Trans ID Trans Type Trans Subtvoe Amount
153597803 Title Title Transfer Transfer $15.00
153598138 Title Title Transfer Transfer $15.00
153598502 Title Title Transfer Transfer $15.00
Subtotal: $45.00
Sales /Use Tax: $0.00
Total: $45.00
Payment Method Amount DL Number Authorization Number Name
CASH $60.00
Total Due: $45.00
Amount Paid: $60.00
Change Due: $15.00
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1
Prescrifd 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 kur, 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 V15- Viz+
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
ON ACCOUNT OF APPROPRIATION FOR
cfo� i ii �o�lc bt a
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9// j 3 o 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
7�a 20 0?
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Y
RwtF PreScrioed 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))
I
Total
1 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
UCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
a ee -9 c) r-
Board Members
z
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9// a3qD -9 9- 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
20 AP
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund