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168513 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00352767 Page 1 of 1 ONE CIVIC SQUARE WILLIAM HOHLT i CHECK AMOUNT: $190.00 CARMEL, INDIANA 46032 C/o ooCs o C,0 DoCS CHECK NUMBER: 168513 CHECK DATE: 2/4/2009 DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION v 1192 4344100 10.00 CELLULAR PHONE FEES 1192 4357004 180.00 EXTERNAL INSTRUCT FEE sil alo,a�: 0418 Carmel Q�mti One E Carmel Dr., Ste 120 e. MORMU ®M Carmel IN t��e�ia� ,1,1111VIVIF 46032 Awn Phone: (317)843 -2900 conn&tilulu Fax: (317)843 -0787 Location MID: 8013824431 Merch e Copy I To: DOCS CARMEL Customer: CARMEL, DOCS Invoice 221213001381 Date: 1/9/2009 9:37:46AM Sale Type: General Sale Employee: Shelbi Vidmar V. Notes: $R r'. i ^•+%%„:Pc'x 'y�4a :t; ,Y+,v t x. a r... y rr� M Seiling� Exfe "ndeii> Item? pe Y SKU „�SerialNumber Tax CttY� SRPDiscou Prce ,1otai. my Phone Book Exchange F Phone Book Exchange PHBKEXCHG N 1 $10.00�$OA00 $10.00 $10.00 Credit Card 10.00 S Total: $10.00 CC Type: Mastercard Invoice Subtotal: $10.00 CC .,.,...,....4451 Tax: $0.00 CC Holder: HOHLT/WILLIAM Invoice Total: $10.00 Trans 0109143754 Auth 034655 Balance Due: $10.00 Card holder acknowledges receipt of goods/services equal 4 Amou�i Tendered: $10.00 to the amount set forth above and agrees to abide by the Change Due: $0.00 issuer's agreement with the cardholder. Card Huller Si nature "Items may be returned within 10 days of purchase, in original packaging and accompanied by original receipt. All prepaid and special order sales are final. Phone must have less than 60 minutes of talk time.” l My Home Page 1 of 1 T T M (y', G F Y 'C. u 1 Home a Logout C A Manager User Profile I Mailbox Alerts Announcements Special Offers Welcome william! Account Manager January 28, 2009 Username: WILLIAM H.OHLT 1.'.5 SI tELBGRNE ROAD 1353758 whohlt JULIE HOWLT tESTs lEt t} 9hJ +6c, <i W" +�han�te nciclr e.: Last Login: 1/28/2009 9:05:54 AM Personalize Show Edit U_ ser Profile Share Balances Suffix I Share Account Available Balance Cur Your Mailbox Has: 0 SHARE. SAVINGS Detail No New Messages 2 FREE C_ HE_CKIN_G Det ail Live Support Loan Balances Live ";oat Suffix Loan Account Available Balance Cur How Are We Doing? 21 MONEYLINE Detail $500.00 3�1 Yak Survey Add Additional Accounts Applications Personal Loan Account Account Mortgage Loan Number Password Business Lendin count Pas s word Resources Help Credit Card Online Order Checks Rates Branch /ATM Locations For assistance contact B rowse r Re commendations I Privac I Se curit y I Disclos Member Services at 317- 558 -6299 or 800- 382 -5414 (6299). N V VA nsrc F a �I +r t:u i z n o c .v +IG iI �r0[ry dr mcF nl ra n u r Lr v(7 k R Your Money Your Voice Copyright ©2009 FORUM Credit Union. All rights reserved. https: /www.forunlcuonline.com /MyHome /Home /MyHomeMain.aspx 1/28/2009 t a Account History Pagel of 5 k '"ORUM ep i7. j c R E 0 !'t tJ N 1 0 N Home Account e- Statements Bill Payment Logout Balances Tr Stop Payments I Check Images DeposZip Welcome william! History for Account: 1 353758 Printer Friem January 28, 2009 Ad vanced Searc 2 FREE CHECKING Last 30 Days Username: whohlt Available Balani Last Login: 1/28/2009 9:00:27 AM Balanc Detail History I D Edit User Profile Posted I Effective Transaction Amount Date Date Your Mailbox Has: 01/28/09 01/28/09 WITHDRAWAL 5912_CVS PHARMACY $36.20 No Ne M essages #6572 INDIAN APOLIS INUS Trace #705165 Live Support 01/27/09 01/27/09 WITH DRAWAL ACH -A -IPAY A T AND T $84.00 SBC (BILL PAY MT) jMILive Chat 01/27/09 01/27/09 WITH DRAWAL ACH -A -IPAY INDIANA $60.00 G How Are We Doing? AS (BILL PA YMT) 01/27/09 01/27/09 WITH DRAWAL ACH -A -IPAY AMERICAN $31.00 ff ff FAMILY (BI LL PAYMT) 1 ad 'Sur. ,r 1 01/27/09 01/27/09 WITH DRAWAL ACH -A -IPAY P S 1 $200.00 Applications CINERGY (BILL PA YMT) 01/27/09 01/27/09 WITH DRAWAL ACH -A -IPAY RAYS $48.00 Personal Loan TRASH (BILL PAY MT) Mortgage Loan Business Lendin 01/27/09 01/27/09 DEPOSIT ATMMW5287 FORUM CU $300.00 2259 EAST 116TH S T CARMEL INUS Resources Trace #5583 01/27/09 01/27/09 WITHDRAWAL 8299_VUE PROMISS $180.00 Help TEST CNTRS VU E *PROMISS TEST C Credit Card Online 800 274 -3444 PAUS Trace #64 0670 Order Checks 01/26/09 01/26/09 WITHDRAWAL (Item #1186) $276.00 Rates Branch /ATM Locations 01/26/09 01/26/09 DEPOSIT 5411 TARGET 00013664 $11.90 TARGET 0001 C ARMEL INUS Trace #504352 01/26/09 01/26/09 WITHDRAWAL 5411_TARGET $80.45 00013664 TARGET 00 01 CARMEL INUS c Trace #503178 l./ 01/26/09 01/26/09 WITHDRAWAL 5541 OIL $28.43 574421105QPS SH ELL OIL 57442110 C.. INDIANAPOLIS INUS Trace #42 5905 01/24/09 01/24/09 WITHDRAWAL 5411_TARGET $62.22 00013664 TARGET 00 01 CARMEL INUS Trace #218483 01/23/09 01/23/09 WITHDRAWAL $600.00 https: /www.forumcuonline.com /Account/ History /Hi§toryMain .aspx ?AcctSfx= 2 &AcctTyp... 1/28/2009 ti Hohlt, William G From: confirmuser @promissor.com Sent: Tuesday, January 27, 2009 7:24 AM Subject: Confirmation Notice Pearson VUE Suite 300, Three Bala Plaza West .Bala Cynwyd, PA 19004 -3481 Duplicate Examination Confirmation Notice Date January 27, 2009 ASI ID: 41002853 Program State Code: 41XXIInternational Code Council (Certification) Name: WILLIAM HOHLT Exam LeveliName: 64 -PROP MAINT HODS INSP Test Date: January 28, 2009 Test Time: 2:00 PM Test Center:15431Indianapolis Pearson VUE Test Center (First Flr., Room 17019102 North Meridian StreetlINDIANAPOLISIIN 46260 Directions to the Test Center: Promissor has changed its name to Pearson VUE effective 01/01/2008. Signage at all Promissor locations has been changed to reflect this name, so when you are locating your test center, please look for a Pearson VUE sign. Take I -465 North to Meridian Street Exit, go South on Meridian St. to 91st Street; turn right. Promissor is located in the National City Bank Building. Parking in rear. Important Notice: If reservation is not cancelled by January 26, 2009, you will be liable for the total amount due. If you have any questions regarding this notice, contact Promissor at 1- 800 275 -8301 between the hours of 8:OOam- 11:OOpm EST Monday- Friday, 8:OOam- 5:OOpm EST Saturday, 10:00am- 4:OOpm EST Sunday. Please report to the test site 30 minutes prior to the scheduled start of the exam. Prior Balance: $0.00 Exam Fee(s): $180.00 Amount Due: $0.00 Payment Method: Credit Card Please bring the following materials to the test center: 1. Your Pearson VUE confirmation number and two forms of identification, both with signature. One must be government issued identification with photo. 2. A basic calculator that is silent, handheld, and battery operated. It cannot have alpha characters on the keypad or have data entry capability. Solar calculators are not recommended. 3. Copyrighted, bound reference books as listed in the current ICC Examination Information Bulletin. Photocopied reference materials may NOT be used. Come and visit our website www.pearsonvue.com. DO NOT RESPOND TO THIS EMAIL 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)) $10.00 01/27/09 41002853 Testing Certification $180.00 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 William Hohlt IN SUM OF c/o O�'�e Civic Square Carmel, IN 46032 $190.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 43- 441.00 $10.00 I hereby certify that the attached invoice(s), or 1192 41002853 43 570.04 $180.00 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 Friday, January 30, 2009 Directo A Title Cost distribution ledger classification if claim paid motor vehicle highway fund