HomeMy WebLinkAbout211405 07/31/2012 „yF CITY OF CARMEL, INDIANA VENDOR: 00351760 Page 1 of 1
ONE CIVIC SQUARE BRAD OLIVER CHECK AMOUNT: $20.00
CARMEL, INDIANA 46032 C/O UTILITIES
o� C/O UTILITIES CHECK NUMBER: 211405
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 20 . 00 OTHER EXPENSES
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CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIAN�
2010 mileage reimbursement rate is 50 cents/mile
EMPLOYEE NAME: Harold Oliver DEPARTED na TIME:
DEPARTMENT: Utilities/Sewer RETURN na TIME:
REASON FOR TRAVEL: na DESTINATION CITY: na
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT _X_ TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch I Dinner I Snacks Per Diem
7/21/12 driver license upgrade $20.00 $20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 $0.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 0 0 1
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 7/23/2012 Page 1
INTERIM/EXTENSION INDIANA -CDL CLASS B EXPIRES: 10/19/2012 R.Scott Waddell,Commissioner
Valid for Driving Privileges and Voter Identification 0- ;' _ _ .r
DLN: XXXX-XX- °g
DATE: 07/21/2012 ��•��;, a•�,,� <���;�y.�'� :' '�:�
DOB: t4•. c>' :;_. ., ,A
HAROLD B OLIVER }----11 e ';-.a� :
„ ,. SEX: M ( 'x.
6741 DEVINNEY LN
INDIANAPOLIS, IN 46221,4$79;M `_,=•``
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HEIGHT: 5-8 EYES: HAZ
RESTRICTIONS: A v,x� -.x WEIGHT: 205 HAIR: BRO
ENDORSEMENTS: N
OPERATOR/BRANCH: LF 1#5D$S;�T_1DPI�S-AyERIPLEX STARS w°
CONTROL NUMBER: 3172363'°�` `'"' h
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SIGNATURE:
CUSTOMER COPY
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RESTRICTIONS: ENDORSEMENTS.-
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&-GLASSES OR CONTACT \2 \ q d BUL«CARGO TANK .
Bureau of Motor Vehicles
Customer Transaction Receipt III(IIIII(Illfll(flllllllllllllllllllllllll(1111111
BM:V. State Form 51717 (4-04)
Branch: INDPLS-AMERIPLEX STARS (508) Date: 7/21/12 Time: 10:00:03 am EDT
Visit ID: 177482206 Your Visit Time Today:
Visit Customer: HAROLD B OLIVER Wait Time 00:00:52
Transaction Time 00:07:27
Written Test Time 00:16:29
Total time
Hrs.Min.Sec 00:24:48
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
209529768 Driver- Upgrade/Downgrade CDL License Upgrade/Downgrade $20.00
Su btotal: $20.00
Sales/Use Tax: $0.00
Total: $20.00
Payment Method Amount Authorization Number Name
CREDIT $20.00 B92057
Total Due: $20.00
Amount Paid: $20.00
Change Due: $0.00
Within 10 business days, you will receive your permanent driver's license or identification card through the United States mail.
You will be able to track the progress of your credential review by visiting w\vw.mvBMV.com and logging into your personal
account. If you do not receive your credential within 10 business days or you have questions/comments, please call the BMV
Customer Service Center at 888-myBMV-411 (888-692-6841).
Please help us improve our service by completing a one-minute customer satisfaction survey. Your responses are completely
confidential. Visit http://www.in.gov/bmvsurvey/start and enter the survey code 177482206 to get started. Thank you.
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VOUCHER # 125384 WARRANT # ALLOWED
T9981 IN SUM OF $
OLIVER, BRAD
Wastewater
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
072112 01-7042-06 $20.00
Voucher Total $20.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T9981
OLIVER, BRAD Purchase Order No.
Wastewater Terms
Due Date 7/24/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2012 072112 $20.00
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
--Date 6Fcer