174263 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00351564 Page 1 of 1
ONE CIVIC SQUARE GARY CARTER
CARMEL, INDIANA 46032 4748 BISHOPSGATE UR CHECK AMOUNT: $15.00
CARMEL IN 46032 CHECK NUMBER: 174263
CHECK DATE: 718/2009
6EPART ACCOUNT PO NUMBE INVO NUMBER AMOUNT DESCRIPTION
1120 4358300 15.00 OTHER FEES INCENSES
Bureau of Motor Vehicles IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Detailed Transaction Receipt
_BNI� W State Form'51714 (4 -04)
Branch: VEHICLE SERVICES REGISTRATIONS Date: 06/23/2009 Time: 15:19 EDT
Visit ID: 149955132 CSR: KEC
Visit Customer: CITY OF CARMEL FIRE DEPT
Transactions
Trans IDTrans.Tvne Trans Subtvge Amount
167041621 Title Initial Title Issuance New
Title Fee Vehicle $15.00
Vehicle: 1 FMFU16589EA97385 2009 FOR EXT 4W
Lien Holder: None
Customer: CITY OF CARMEL FIRE DEPT
Purchase Date: 06/03/2009
$15.00
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))
Lic. Fees New Chief Vehicle $15.00
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. WA RRANT N O.
ALLOWED 20
Gary Carter
IN SUM OF
$15.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 43 -583.00 $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
L -6 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund