217259 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 353617 Page 1 of 1
ONE CIVIC SQUARE GARY MERRILL
CARMEL, INDIANA 46032 24880 SIX POINTS ROAD CHECK AMOUNT: $30.00
SHERIDAN IN 46069
„o CHECK NUMBER: 217259
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30 . 00 OTHER EXPENSES
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Bureau of Motor Vehicles IiIIII�I�IfiI��lI9ll III�II��u��Illl�l��lII��III�II�I�
: s = Customer Transaction Receipt
State Form 51717 (4-04)
Branch: CARMEL STARS(527) Date: 2/1/13 Time: 3:17:52 pm ED-i
Visit ID: 182061314 Your Visit Time Today:
Visit Customer: GARY J MERRILL
Transaction Time 00:05:24
Total time
Hrs.Min.Sec 00:05:24
Transactions
Trans ID(PIN) Trans Type Trans Subtype Amount
216871885 Driver- Renew CDL License Renew $30.00
Subtotal: $30.00
Sales/Use Tax: $0.00
Total: $30.00
Payment Method Amount Authorization Number Name
CASH $30.00
Total Due: $30.00
Amount Paid: $30.00
Change Due: $0.00
Within 10 business days, you will receive your permanent driver's license or identification card through the United States
You will be able to track the progress of your credential review by visiting www.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-myBMV411 (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/bmvsurv6y/start and enter the survey code 182061314 to get started. Thank you.
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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 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
T0711
MERRILL,GARY Purchase Order No.
WASTEWATER PLANT Terms
Due Date 2/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2013 021113 $30.00
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
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Date Officer
VOUCHER # 126661 WARRANT # ALLOWED
T0711 IN SUM OF $
MERRILL,GARY
WASTEWATER PLANT
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
021113 01-7042-06 $30.00
Voucher Total $30.00
Cost distribution ledger classification if
claim paid under vehicle highway fund