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220989 06/18/2013 `!±y CITY OF CARMEL, INDIANA VENDOR: 052000 Page 1 of 1 ONE CIVIC SQUARE CRAIG CARTER e a, CARMEL, INDIANA 46032 CHECK AMOUNT: $34.17 109 EMERALD LANE NOBLESVILLE IN 46060 CHECK NUMBER: 220989 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 34 . 17 OTHER EXPENSES Welcome to Indiana Licensing httpu:Hmyiocomuio uopx?unowur~proueeme.' ij- indiana Online Licensing KIMF Payment Receipt This page serves as your receipt for this transaction. Your payment will appear on your credit card statement as "State of Indiana License Fee" or something similar. To maintain this page for your records, you may print this page by clicking the ''Print Receipt" button below. What to do next? Renewal m Check back on the MyLicense site in 24 - 48 hours to see if your expiration date was extended. | • If so, you will receive your updated wallet card shortly. / • If not, this may mean that there is a problem with your certification renewal. You may contact program staff at Payment received - thank you. Licensee: Ernest C. Carter License Number: VVVVO11425 Authorization Coda' 0038gZ ' Received Date: 5/14/2013 9:13:57 AM Transaction ID: 13262888 Credit Card Number: XXXXXXXX XXXX0343 Fee Amount: $3O.0O Enhanced Fee: $2.50 Instant Fee: $1.67 Total Payment: $34'17 Print Receipt Renew Another License | Logout NO 7, INNIF-fMW 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 52000 CRAIG CARTER Purchase Order No. 109 EMERALD LANE Terms NOBLESVILLE, IN 46060 Due Date 6/11/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/11/2013 CARTER $34.17 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 �#icer VOUCHER # 135705 WARRANT # ALLOWED 52000 IN SUM OF $ CRAIG CARTER 109 EMERALD LANE NOBLESVILLE, IN 46060 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code CARTER 01-7042-05 $34.17 Voucher Total $34.17 Cost distribution ledger classification if claim paid under vehicle highway fund