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311491 5/23/2017
Q, CITY OF CARMEL, INDIANA VENDOR: 367202 ` CARMEL DRIVE SELF-STORAGE CHECK AMOUNT: S""""'"225.00` ONE CIVIC SQUARE 550 w CARMEL DRIVE CHECK NUMBER: 311491 r� CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK DATE: 05/23/17 Q'yl1pN G��. DESCRIPTION DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT OTHER CONT SERVICES 22757 112.50 1081 4350900 22757 112.50 OTHER CONT SERVICES 1091 4350900 f OD C:) 20 / 0 '2 0 m $ * R z 2 k E co 00 ® 0 ] ■ z • 0 © m g no # 2 N) N) 0 ca c 32 3 & d C" m m -1 CD— — ƒ ( w w § � � 7 cD < # CD R % S w 0 T k 0 ? k § � k § k 0 j f £ o o ¥ 0 6 a 0 o o 0CD @ ƒ e / CD CL % k , c 7 ¥ § 0 Q S q § ] Z — D n Q m = £ / \ 0 eCD § CD ar \ � k > 2 f m _ e / j \ 2 @ E& 7 ) k v % \ § k 0 % C k k o=r S CD --jCD = k C/ o k M ) CD / k 0 CD C § CD | & R MAKE CHECK PAYABLE TO INVOICE R r-,7 7, e Carmel Drive Self-Storage ` 550 W.Carmel Dr 2 01 7 Carmel,IN 46032 Unit D001 317-574-1700 Tenant 181383 BY:•••••••••••••••••••••••••••••• Invoice 22757 Invoice Date May 16,2017 Due Date June 01,2017 Amount Due 225.00 CARMEL CLAY PARKS&RECREATION _ c/o:DAWN KOEPPER �_� Please check box if address is incorrect 1411 E. 116th STREET and indicate change.Signature is required CARMEL IN 46032 to authorize address changes. Signature AMOUNT ENCLOSED ---------------------------------------------------------------------------------------- DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT UNIT DATE ITEM/SERVICE AMOUNT TAX DUE D001 6/1/2017 Rent 6/1-6/30 225.00 0.00 225.00 Subtotal 225.00 Taxes 0.00 Balance Due 225.00 Please remit the total due amount of 225.00 to the above address. REFERRALS PAY OFF!!!!! Send your friends and collect your bonus.