308066 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 359019
+; d ONE CIVIC SQUARE CARMEL OTS LLC CHECK AMOUNT: $*****2,769.17*
f CARMEL, INDIANA 46032 770 3RD AVE SW CHECK NUMBER: 308066
9M�TON�° ATTN LAURIE SILER CHECK DATE: 02/13/17
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 01.15.17 2,769.17 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 359019 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CARMEL OTS LLC IN SUM OF$ CITY OF CARMEL
770 3RD AVE SW 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.
CARMEL, IN 46032
Payee
$2,769.17
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Building Operations Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
01.15.17 43-509.00 $2,769.17 1 hereby certify that the attached invoice(s),or 1/15/17 01.15.17 $2,769.17
1208 101 1208 101
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
Tuesday,January 31,2017
Lamb, Barbara
Director
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
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
1 Zop
CARMEL OTS,LLC
One Pedcor Square
770 3rd Ave.SW
Carmel,Indiana 46032
January 15,2017
James Spelbring
City of Carmel,Facilities Department
For Property Located At:
35 East Main Street
Carmel,IN 46032
Public Restroom Area
INVOICE
Due: February 1, 2017
Charge Date Item Amount
2/1/2017 Monthly Rent for Public Restrooms $ 2,769.17
Total Amount Due: $ 2,769.17
If you have any questions please contact Kara Drath at 317.705.7908
Please make checks payable and mail to:
Carmel OTS,LLC
Attn: Laurie Siler
770 3rd Ave SW
Carmel,Indiana 46032
Submitted To
FEB.O 7 2017
Clerk Treasurer