159545 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 241762 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 LAW ENF AID FUND CHECK AMOUNT: $116.50
LAW ENF AID FUND
CHECK NUMBER: 159545
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4358300 116.50 OTHER FEES LICENSES
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Transaction Receipt
.V 3 State Form 51717 (4-04)
1
Branch: CARMEL STARS (527) Date: 4/15/08 Time: 10:25:39 am EDT
Visit ID: 140446781 Visit Duration: 00:43.34
Visit Customer Visit Duration is the time elapsed from check in to
transaction completion.
WILLIAM N KNAUER This time does not include testing time.
821 SUNBLEST BLVD
FI- SHERS, IN 46038 -1169
Transactions
Trans III Trans Type Trans Subtype Amount
150553799 Registration Registration Renewal Renew $29.75
150556537 Registration New Motor Vehicle Registration New $41.75
150558234 Title Title Transfer Transfer $15.00
150559533 Title Initial Title Issuance New $15.00
150560829 Title Title Transfer Transfer $15.00
Subtotal: $116.50
Sales /Use Tax: $0.00
Total: $116.50
Payment Method Amount DL Number Authorization Number Name
CASH $120.00
Total Due: $116.50
Amount Paid: $120.00
Change Due: $3.50
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1
i
Pre ribedbyStateBoardofAccounts 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
i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
VOUCHER NO. WARRANT NO.
1
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
i
t
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
f)% 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 o
ignature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund