HomeMy WebLinkAbout227041 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 364896 Page 1 of 1
ONE CIVIC SQUARE BLAINE MALLABER
CARMEL, INDIANA 46032 19571 LANDRUM CIRCLE CHECK AMOUNT: $26.30
NOBLESVILLE IN 46062
CHECK NUMBER: 227041
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 MALLABER 26 . 30 OTHER EXPENSES
1 .
' Bureau of Motor Vehicles
�`���% II�IIIIIII IIIIII I I�IIIIIIIIII IIIIIII) IIIIIII
Customer Transaction Receipt
BMV Rr State Form 51717 (4-04)
Branch: CARMEL STARS(527) Date: 12/3/13 Time: 2:18:38 pm EDT
Visit ID: 189445704 Your Visit Time Today:
Visit Customer: BLAINE MALLABER
Transaction Time 00:04:56
C),
Total time
Hrs.Min.Sec 00:04:56
Transactions
Trans ID (PIN) Trans Type Trans Subtype Amount
228830724 Driver- Renew CDL License Renew $30.00
228830742 Customer-Amend Customer Amend $0.00
Subtotal: $30.00
Sales/Use Tax: $0.00
Credit Applied ($3.70)
Total: $26.30
Payment Method Amount Authorization Number Name
CASH $30.00
Total Due: $26.30
Amount Paid: $30.00
Change Due: $3.70
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 www.myBMV.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 189445704 to get started. Thank you.
Page 1 of 1
II VIII VIII VIII VIII III II VIII VIII VIII VIII VIII VIII VIII VIII III
5 1 7 1 7 2 2 8 8 3 0 7 4 2
i
VOUCHER # 136947 WARRANT # I ALLOWED
T1998 ' IN SUM OF $
MALLABER, BLAINE
CARMEL WASTEWATER
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I Board members
PO# INV# ACCT# AMOUNT Audit Trail Code.
MALLABER 01-7752-05 $26.30
i
Voucher Total $26.30
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
T1998
MALLABER, BLAINE Purchase Order No.
CARMEL WASTEWATER Terms
Due Date 12/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2013 MALLABER $26.30
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