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HomeMy WebLinkAbout201165 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 00351564 Page 1 of 1 ONE CIVIC SQUARE GARY CARTER CHECK AMOUNT: $15.00 CARMEL, INDIANA 46032 4748 SISHOPSGATE DR CARMEL IN 46032 CHECK NUMBER: 201165 CHECK DATE: 9/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4358300 15.00 OTHER FEES LICENSES Bureau of Motor Vehicles IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII wY'E "6 Customer Detailed Transaction Receipt A BNl1l F" State Form 51714 (4 -04) 1 Branch: VEHICLE SERVICES REGISTRATIONS Date: 09/01/2011 Time: 15:27 EDT Visit ID: 169232070 CSR: KEC Visit Customer: CITY OF CARMEL Transactions Trans ID Trans Tvpe Trans Subtype Amount 196327502 Title Initial Title Issuance New Title Fee Vehicle $15.00 Vehicle: 1 FTFW1 ET2BKD86932 2011 FOR F1 S CW Lien Holder: None Customer: CITY OF CARMEL Purchase Date: 08/18/2011 $15.00 Charges to your credit card will appear as a line item charge nota total transaction charge. Page 1 of 1 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)) $15.00 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. ALLOWED 20 Gary Carter IN SUM OF $15.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1120 I I 43- 583.00 I $15.00 1 hereby certify that the attached invoice(s), or 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 SEP 1 f 41, n 0 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund