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Home My WebLink About209511 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00351564 Page 1 of 1 ONE CIVIC SQUARE GARY CARTER CHECK AMOUNT: $40.75 o CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CARMEL IN 46032 CHECK NUMBER: 209511 CHECK DATE: 6/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4358300 40.75 OTHER FEES LICENSES R d IIIIIIIII III VIII VIII VIII VIII VIII VIII VIII VIII III Bureau of Motor Vehicles Customer Transaction Receipt B State Form 51717 (4 -04) Branch: VEHICLE SERVICES REGISTRATIONS Date: 5/10/12 Time: 9:38:41 am EDT Visit ID: T41 1336 Your Visit Time Today: Visit Customer: CITY OF CARMEL Transaction Time 00:29:30 Total time 00:29:30 Hrs.Min.Sec Transactions Trans ID (PIN) Trans T yke Trans Subtype Amount 206385674 Registration Amend Registration Amend $0.00 206385824 Title Initial Title Issuance New $15.00 206386074 Registration New Motor Vehicle Registration New $0.00 206386188 Title Initial Title Issuance New $15.00 206386552 Registration New Motor Vehicle Registration New $10.75 Subtotal: $40.75 Sales /Use Tax: $0.00 Total: $40.75 Paymen M ethod Amount Authorization Number Name CREDIT $40.75 05045B Total Due: $40.75 Amount Paid: $40.75 Change Due: $0.00 Within 10 business days, you will receive your registration or title through the United States mail. You will be able to track the progress of your registration or title by using your PIN number listed above when calling the BMV Customer Service Center at 888 myBMV -411 (888 -692- 6841). If you have questions or comments, please call our Customer Service Center at 888 myBMV -411. Please help us improve our service by completing a one minute customer satisfaction survey. Your responses are completely confidential. Visit h ttp: /(www. ±r ?gpvlbmvsurv�y %start and enter the survey code 175511336 to get started. Thank you. Page 1 of 1 f II IIIIIIIIIIIIIIIIII�II�II�IIIII III�I I�I��II� II VIII VIII VIII VIII III 5 1 7 1 7 2 0 6 3 8 6 5 5 2 Bureau of Motor Vehicles III�IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII lI�IIlIIIIIIIIIIIlII Customer Detailed Transaction Receipt g State Form 51714 (4 -04) Branch: VEHICLE SERVICES REGISTRATIONS Date: 05/10/2012 Time: 9:38 EDT Visit ID: (9411336 CSR: LB Visit Customer: CITY OF CARMEL Transactions Trans ID Trans Tvpe Trans Subtype Amount 206385824 Title Initial Title Issuance New Title Fee Vehicle $15.00 Vehicle: 1 FM5K8AR6DGA38501 2013 FOR K8A 4W Lien Holder: None Customer: CITY OF CARMEL Purchase Date: 04/25/2012 206386188 Title Initial Title Issuance New Title Fee Vehicle $15.00 Vehicle: 1FMJU1J510EF40355 2012 FOR EPT 4W Lien Holder: None Customer: CITY OF CARMEL Purchase Date: 04/25/2012 $30.00 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 Bureau of Motor Vehicles Customer Registration Fees Detailed Receipt 13 State Form 51718 (4 -04) Branch: VEHICLE SERVICES REGISTRATIONS Date: 05/10/2012 Time: 9:09 EDT Visit ID: '111336 Tran ID: 206386074 Visit Customer: CITY OF CARMEL STARS Trans 05101280300004 Transaction Type: New Motor Vehicle Registration Registration License Type: MUNICIPAL OWNED PlatelPermiARegistration Number: Vehicle Identification Number: 1 FM5K8AR6DGA38501 Vehicle Year: 2013 Vehicle Make: FORD Vehicle Model: K8AR Registration Year Fee Type Subtotal Total 2011 NONE (NONE) 2011 $0.00 CITY OF CARMEL Total NONE (NONE) 2011: $0.00 Organ Donation $0.00 Total for 2011: 0.00 Transaction Total: 0.00 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 Bureau of Motor Vehicles Customer Registration Fees Detailed Receipt 1 State Form 51718 (4 -04) Branch: VEHICLE SERVICES REGISTRATIONS Date: 05/10/2012 Time: 9:09 EDT Visit ID: '11911336 Tran ID: 206386552 Visit Customer: CITY OF CARMEL STARS Trans 05101280300005 Transaction Type: New Motor Vehicle Registration Registration License Type: TRUCK HIGH 10,000 GENERAL PURPOSE PlatelPermitlRegistration Number: 1337736 Vehicle Identification Number: 1FMJU1J510EF40355 Vehicle Year: 2012 Vehicle Make: FORD Vehicle Model: EXPEDITION Registration Year Fee Type Subtotal Total 2012 MOTOR VEHICLE EXCISE TAX (MVET) 2012 $0.00 CITY OF CARMEL Total MOTOR VEHICLE EXCISE TAX (MVET) 2012: $0.00 Organ Donation $0.00 $10.75 REGISTRATION TRANSFER FEE Total for 2012: 10.75 Transaction Total: 10.75 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 A State Form 48099 pproved byStae Board off INDIANA CERTIFICATE OF VEHICLE REGISTRATION 'A W Accounts 2010 CLASS AGE ISSUE DATE PUR DATE COUNI TP PL'fR PLATE PL TP WEIGHT PR YR LS TYPE 16 2 05/10/2012 04/25/2012 2.9 HAMILTON T 2012 1337736 GT 10 N EXPIRATION DATE PRIOR PLATE VEHICLE YEAR MAKE TYPE MODEL COLOR VEHICLE IDENTIFICATION NUMBER 1/31!2013 2012 FOR TIt EPT SIL! 1FMJU1J510EF40355 CURRENT EX TAX EX CREDIT DAV CREDIT E.X T,AX DUE WI- IEEUSUR STATE REG FEE I ADMIN FEE TOTAL DUE YEAR TAX 0.00 0.00 0.00 0.00 0.00 10.75 0.00 10.75 PRIOR EX TAX EX CREDIT DAV CREDIT EX TAX DU WHEEUSUR STATE REG FEE ADMIN FEE TOTAL DUE YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CITY OF CARItl1EL N 1 CIVIC SQ LB CARMEWN 460322584 IMPORTANT: REGISTRATION MUST BE SIGNED TO BE VALID I swear or affirm under penalty of perjury that the information contained in this form is correct. I swear or affirm that proof of financial responsibility (insurance) for this vehicle will be continuously maintained during the registration period. I understand that the vehicle's registration is not valid until the Bureau receives the total amount owed. Additional taxes and /or fees may be due if an error or an adjustment: to the amount due is made. Vehicle Registrant Signature(s) (All vehicle registrants must sign in ink to be valid) X CUSTOMER COPY 8 f. Bureau of Motor Vehicles Customer Registration Fees Detailed Receipt State Form 51718 (4 -04) Branch: VEHICLE SERVICES REGISTRATIONS Date: 05/10/2012 Time: 9:09 EDT Visit ID: X675511336 Tran ID: 206385674 Visit Customer: CITY OF CARMEL STARS Trans 05101280300003 Transaction Type: Amend Registration Registration License Type: MUNICIPAL OWNED Plate \Permit\Registration Number: Vehicle Identification Number: 1FMFU16589EA97385 Vehicle Year: 2009 Vehicle Make: FORD Vehicle Model: EXPEDITION XLT Registration Year Fee Type Subtotal Total 2011 NONE (NONE) 2011 $0.00 Total NONE (NONE) 2011: $0.00 Organ Donation $0.00 Total for 2011: 0.00 Transaction Total: 0.00 Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1 Approved e State Form 48099 vedbySta INDIANA CERTIFICATE OF VEHICLE REGISTRATION ,56- Accounts 2010 CLASS AGE JISSUE DATE PUR DATE COUNTY TP q EXT R PLATE PL TP WEIGHT PR YR ILS TYPE 05/10/2012 06/03/2009 29 HAMILTON N 1 MO 12 N GT EXPIRATION DATE PRIOR PLATE VEHICLE YEAR MAKE MODEL COLOR VEHICLE IDENTIFICATION NUMBER NO EXP 1337736 2009 FOR DBL/ 1 FMFU16589EA97385 CURRENT EX TAX EX CREDIT DAV CREDIT EX TAX DUE WHEEUSUR STATE REG FEE ADMIN FEE TOTAL DUE YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PRIOR EX TAX EX CREDIT DAV CREDIT EX TAX DUE WHEEUSUR STATE REG FEE ADMIN FEE TOTAL DUE YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 N LB IMPORTANT: REGISTRATION MUST BE SIGNED TO BE VALID I swear or affirm under penalty of perjury that the information contained in this form is correct. I swear or affirm that proof of financial responsibility (insurance) for this vehicle will be continuously maintained during the registration period. I understand that the vehicle's registration is not valid until the Bureau receives the total amount owed. Additional taxes and /or fees may be due if an error or an adjustment to the amount due is made. Vehicle Registrant Signature(s) (All vehicle registrants must sign in ink to be valid) X CUSTOMER COPY sk State my Approved ved by State B Board of f INDIANA CERTIFICATE OF VEHICLE REGISTRATION Board Accounts 2010 =;ffORP E UR DATE COUNT Y TP PL YR PLATE PL TP WE2 04!25!2012 29 HAMILTON N 2011 MO EXPIRATION DATE PLATE VEHICLE YEAR MAKE TYPE MODEL COLOR VEHICLE IDENTIFICATION NUMBER NO EXP 2013 FOR TK K8A WHI/ 1 FM5K8AR6DGA38501 CURRENT EX TAX EX CREDIT DAV CREDIT EX TAX DUE WHEEUSUR STATE REG FEE ADMIN FEE TOTAL DUE YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PRIOR EX TAX EX CREDIT DAV CREDIT EX TAX DU WHEEL/SUR STATE REG FEE TD MI NF EE TOTAL DUE YEAR 0 00 TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CITY OF CARMEL N 1 CIVIC SG LB CARMEL,IN 460322584 IMPORTANT: REGISTRATION MUST BE SIGNED TO BE VALID I swear or affirm under penalty of perjury that the information contained in this form is correct. I swear or affirm that proof of financial responsibility (insurance) for this vehicle will be continuously maintained during the registration period. I understand that the vehicle's registration is not valid until the Bureau receives the total amount owed. Additional taxes and /or fees may be due if an error or an adjustment to the amount due is made. Vehicle Registrant Signature(s) (All vehicle registrants must sign in ink to be valid) X CUSTOMER COPY VOUCHER NO. WARRANT NO. ALLOWED 20 Gary Carter IN SUM OF $40.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I I 43- 583.00 I $40.75 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 201? Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n 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)) $40.75 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