179144 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00351009 Page 1 of 1
ONE CIVIC SQUARE BONNIE CALLAHAN CHECK AMOUNT: $42.00
CARMEL, INDIANA 46032 C/0 CARMEL STREET DEPT
C/0 CARMEL STREET DE CHECK NUMBER: 179144
CHECK DATE: 11/11/2009
D EPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4358300 42.00 OTHER FEES LICENSES
IIIIIIIIIIIIIIIIIIIIIIIIIl111111111111 (111111
Bureau of Motor Vehicles
$Y Detailed Transaction Receipt
BM1/ State Form 51714 (4 -04)
Branch: VEHICLE SERVICES REGISTRATIONS Date: 11/03/2009 Time: 10:33 EDT
Visit ID: 153081535 CSR: KEC
Visit Customer: CITY OF CARMEL
Transactions
Trans ID Trans Type Trans Subtype Amount
172006265 Title -Title Transfer Transfer
Title Fee Vehicle gr"1'5_0
Delinquent Title, Vehicle $21.00
Vehicle: 1GCGK24R1YR169786 2000 CHE GK2 PK
Lien Holder: None
Customer: CITY OF CARMEL
Purchase Date: 05/20/2009
172006681 Title Initial Title Issuance New
Title Fee Vehicle
Delinquent Title, Vehicle $21.00
Vehicle: 1VRY1119691011384 2009 VMR 100 TR
Lien Holder: None
Customer: CITY OF CARMEL
Purchase Date: 04/29/2009
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Charges to your credit card will appear as a line item charge not as a 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))
11/03/09 $42.00
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. W N
ALLOWED 20
Bonnie Callahan
IN SUM OF
1251 Bentley Way
Carmel, IN 46032
$42.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 43- 583.00 $42.00 I 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
Thursic!4, N o�ember 05, 2009
Street Commissioner
a uao:vi icy
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund