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