214591 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00351564 Page 1 of 1
ONE CIVIC SQUARE GARY CARTER
CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CHECK AMOUNT: $30.00
CARMEL IN 46032 CHECK NUMBER: 214591
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4358300 30 . 00 OTHER FEES & LICENSES
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Bureau of Motor Vehicles IIIIIIII�I I IIIIIIIIII�II�IIIIIIIIIIIIIII�IIIII�I�II�
3 Customer Detailed Transaction Receipt
:3 61J:z: State Form 51714 (4-04)
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Branch: VEHICLE SERVICES- REGISTRATIONS Date: 11/01/2012 Time: 14:33 EDT
Visit ID: ('180'185908 CSR: LB
Visit Customer: CITY OF CARMEL
Transactions
Trans ID Trans Type Trans Subtype Amount
213788409 Title - Initial Title Issuance New
Title Fee -Vehicle $15.00
Vehicle: 1 FDUF4GT9CEC39654 2012 HTN 623 CB
Lien Holder: None
Customer: CITY OF CARMEL
Purchase Date: 10/29/2012
213789546 Title - Initial Title Issuance New
Title Fee-Vehicle $15.00
Vehicle: 1 FDUF4GTOCEC39655 2012 HTN 623 CB
Lien Holder: None
Customer: CITY OF CARMEL
Purchase Date: 10/29/2012
$30.00
Charges to your credit card will appear as a line item charge not as a total transaction charge. Page 1 of 1
Slate Form 48099(112111-10) INDIANA CERTIFICATE OF VEHICLE REGISTRATION
Approved by State Board of 4817818.3357.1096
✓ Accounts 2010 LS TYPE
CLASS AOE ISSUED TE PUS DATE COUNTY TP PL YR PLATE PL 14258 MO O VJEIOHT PR YR N AM
11101/12 10/29/12 29-HAMILTON N 11
EXPIRATION DATE PRIOR YR PL VEHIC12YEAR H 6E
NO EXP TN AM 23 REDI u 1FDUF4GT9CEC39654 R
CURRENT IXTAX IX CREDIT DAV CREDIT IX TAX DUE VJNEELISUR STA O 00 FEE ADOMIONOFEE TOO OO
YEAR TAX 0.00 0.00 0.00 0.00 0.00
PRIOR ETAX IX CREDIT DAV CREDIT IXTAX OUE WHEEUSUR STATE REO FEE ADOIQQEf Too OOUE
YEAR TAX 0.00 0.00 OAO 0.00 0.Q0 I Q 00
I i
` Legal Address
4 3 CIVIC So
CARMEL IN 45032-2564
CITY OF CARMEL
1 CIVIC SQ
CARMEL, IN 46032-2584 100183
Slate Form U099(12,11.10) INDIANA CERTIFICATE OF VEHICLE REGISTRATION
Approved by State Board of
✓ Accounts 2010 4817818.3357-1097
,CLASS AOE ISSUE DATE I PUR DATE COUNTY TP PL YR PLATE PL TP WEIGHT PR YR LS PAM
T
11/01/12 10/29/12 29-HAMILTON N 11 14262 MO N AM
EXPIRATION DATE I PRIOR YR PL I VEHICLE YEAR I MAKE TYPE I MODEL I COLOR VEHICLE IDENTICATION NUMBER
NO EX P 12 HTN AM 623 RED/ 1FOUF40TOCEC39655
CURRENT IXTAX EX CREDIT DAV CREDIT IX TAX DUE WHEEL!SUR STATE REO FEE ADMIN FEE TOTAL DUE
YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
PRIOR IXTAX IX CREDIT DAV CREDIT IX TAX DUE WHEELISUR STATE RED FEE ADMIN FEE TOTAL DUE
YEAR TAX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
� 5
Legal Address
3 CIVIC SO
CARMEL IN 46032-2584
CITY OF CARMEL
1 CIVIC SQ
CARMEL, IN 46032-2584
100183
r.
Bureau of Motor Vehicles
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Customer Transaction Receipt
State Form 51717 (4-04)
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Branch: VEHICLE SERVICES- REGISTRATIONS Date: 11/1/12 Time: 2:33:25 pm EDT
Visit ID: 188 85908 Your Visit Time Today:
Visit Customer: CITY OF CARMEL Wait Time 00:07:57
Transaction Time 00:14:03
Total time
Hrs.Min.Sec 00:22:00
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
213788409 Title - Initial Title Issuance New $15.00
213789433 Registration - New Motor Vehicle Registration New $0.00
213789546 Title- Initial Title Issuance New $15.00
213789814 Registration - New Motor Vehicle Registration New $0.00
Subtotal: $30.00
Sales/Use Tax: $0.00
Total: $30.00
Payment Method Amount Authorization Number Name
CREDIT $30.00 09655B
Total Due: $30.00
Amount Paid: $30.00
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 http://www.in.aov/bmvsurvey/start and enter the survey code 180185908 to get started. Thank you.
Page 1 of 1
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5 1 7 1 7 2 1 3 7 8 9 8 1 4
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gary Carter
IN SUM OF $
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 I I 43-583.00 I $30.00 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
01 16 2092
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
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Nhom, 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))
$30.00
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