179448 11/11/2009 a CITY OF CARMEL, INDIANA VENDOR: 363573 Page 1 of 1
ONE CIVIC SQUARE DAVID TURNER
CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 4800 W. STATE ROAD 32
ANDERSON IN 46011 CHECK NUMBER: 179448
CHECK DATE: 11111/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30.00 EMPLOYEE PENSIONS B
r. r Bureau of Motor Vehicles f((II ff Iii{{
Transaction Receipt III�IIIiII�II�IiIII�II�IIIII����������llill�ll
t B 11 State Form 51717 (4 -04)
Branch: CARMEL STARS (527) Date: 10/27/09 Time: 9:09:59 am EDT
Visit ID: 152923167 Your Visit Time Today:
Visit Customer: DAVID L TURNER
Wait Time 00:06:09
Transaction Time 00:10:02
Total time 00:16:11
Hrs.Min.Sec
Transactions
Trans ID Trans Tvue Trans Subtype Amount
171759968 Driver Renew License Renew $30.00
Subtotal: $30.00
Sales /Use Tax: $0.00
Total: $30.00
Payment Method Amount DL Number Authorization Number Name
CASH $40.00
Total Due: $30.00
Amount Paid: $40.00
Change Due: $10.00
Charges to your credit card will appear as a line item charge not as a total transaction charge.
Page 1 of 1
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Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be property itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T0694
TURNER, DAVID Purchase Order No.
WASTEWATER PLANT Terms
Due Date 11/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/2009 TURNER $30.00
1)
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
ii Ar/ M
Date Officer
V6UCHER 096681 WARRANT ALLOWED
t.
T0694 IN SUM OF
TURNER, DAVID
WASTEWATER PLANT
l�
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
TURNER 01- 7042 -06 $30.00
.f
Voucher Total $30.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
I