HomeMy WebLinkAbout228029 1 /14/2014 CITY OF CARMEL, INDIANA VENDOR: 129401 Page 1 of 1
ONE CIVIC SQUARE MICHAEL HOLLIBAUGH
CHECK AMOUNT: $125.97
CARMEL, INDIANA 46032 CARMEL IN 46032 2280
CHECK NUMBER: 228029
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 125 . 97 ORGANIZATION & MEMBER
12/17/13ff. Welcome to Indiana Licensing
�;h..QpIndiahA
�' _`} _: �.•) .. _ +.(j.} '"f..�•S:.s law "',"7r.:.; t"1'......
On&?e Licensing
twp.,, pati;'-`w'�'.,.r•.
777
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 similiar. To maintain
this page for your records, you may print this page by clicking the "Print Receipt" button
below.
What to do next?
Renewal
Check back on the MyLicense site in 24 - 48 hours to see if your expiration d to was
extended. If not, this may mean there is a problem with your renewal application and you
will be contacted.
o If you answered "Yes" to any of the disciplinary questions, you must provide additional
information before your renewal can be processed. You may still work with your current
license for up to 90 days while your renewal is being reviewed by the board.
e When your license was issued or last renewed, you received a permanent license card
one will not be generated from this renewal (except for CSR). Duplicate or replacement
license cards can be purchased by returning to the licensing home page.
Payment received - thank you.
Licensee: Michael P. Hollibaugh
License Number: LA29300015
Authorization Code: 08141Z
Received Date: 12/17/2013 8:09:40 AM
Transaction ID: 12248191
Credit Card Number: XXXX XXXX XXXX
Fee Amount: $120.00
Enhanced Fee: $2.50
Instant Fee: $3.47
Total Payment: $125.97
,-P rint,�Receipt•,i
Renew Another License
Logout
https-.t[nVicense.in.goVegov/PaymentResult.asp)Oansvoer=processed&credit_card_number=3677&license_id=437200&process=REN&instant fee=3.47&fee a... 1/2
I
12/17/13 Welcome to Indiana Licensing
W,
EK" a'
;'Mc
"01 im'
-1`4-
571-39
O
IcensIng nfine L '
Renewal Checklist MyUcense Onfine Renewahqs
• Your Landscape Architect license expires on 12/31/2013. If your license
expired prior to 2013, then you must contact our office for a renewal form and can
not renew here.
Licensing Home Page * The total fee for this renewal is $125.97 ($120.00 Renewal Fee + $5.97 in
Logout processing fees.)
• An additional $50.00 late fee will be applied to renewals after the deadline.
• An individual who continues to practice with an expired license may be subject to
disciplinary action.
• Continuing Education:For questions regarding CE Requirements, please visit our
Continuing Education Requirements page.
a If you have any questions about your renewal, please contact us by email at
pialOOpla.in.gov.
htLpslimyiicense.in.go\degoVProcessStart.asp)Oprocess=REN&agency_id=l&license—id=437200&profession—id=31&licenseL_tMD--_id=179&LicenseNc>=LA2930... 1/1
i
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
whom, 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))
12/17/13 Landscape Architect Dues $125.97
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Michael Hollibaugh
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$125.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1192 I 43-553.00 $125.97
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
Thursday, January 09, 2014
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund