218610 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 361349 Page 1 of 1
ONE CIVIC SQUARE ERIC ROBINSON
CARMEL, INDIANA 46032 6119 DADO DRIVE CHECK AMOUNT: $30.00
NOBLESVILLE IN 46062 CHECK NUMBER: 218610
CHECK DATE: 3/2512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30 . 00 OTHER EXPENSES
r r.
Bureau of Motor Vehicles I
Customer Transaction Receipt I IIIIIIII IIIIIIIIIIIIIIIIIIIIIII IIIII IIIIIII�IIIIII III
R4 . .
State Form 51717 (4-04)
Branch: CARMEL STARS (527) Date: 3/12/13 Time: 8:47:09 am EDT
Visit ID: 183164146 Your Visit Time Today:
Visit Customer: ERIC S ROBINSON
Transaction Time 00:03:46
Total time 00:03:46
Hrs.Min.Sec
Transactions
Trans ID (PIN) Trans Tyne Trans Subtype Amount
218740145 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 $40.00
Total Due: $30.00
Amount Paid: $40.00
Change Due: $10.00
Within 10 business days, you will receive your p e er's license or identification card through the United States mail.
You will be able to track the progress of yo edential revs visiting www.myBMV.com and logging into your personal
account. If you do not receive your cre tial within 10 business ys or you have questions/comments, please call the BMV
Customer Service Center at 888-myB -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 183164146 to get started. Thank you.
7-1SD - OS
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VOUCHER # 135111 WARRANT # ALLOWED
T1004 IN SUM OF $
ROBINSON, ERIC
CARMEL WASTEWATER
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
183164146 01-7752-05 $30.00
Voucher Total $30.00
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
T1004
ROBINSON, ERIC Purchase Order No.
CARMEL WASTEWATER Terms
Due Date 3/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2013 183164146 $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
Date Officer