312084 6/5/2017 CITY OF CARMEL, INDIANA VENDOR: 367202
CARMEL DRIVE SELF-STORAGE LLC CHECK AMOUNT: $*******225.00*
ONE CIVIC SQUARE 550 W CARMEL DRIVE CHECK NUMBER: 312084
r° CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK DATE: 06/05/17
INVOICE NUMBER AMOUNT
DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER
112.50 4350OTHER CONT SERVICES
900 22823
1081 22823 112.50 OTHER CONT SERVICES
1091 4350900
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MAKE CHECK PAYABLE TO INVOICE
Carmel Drive Self-Storage
550 W.Carmel Dr
Carmel,IN 46032 Unit D001
317-574-1700 Tenant 181383
Invoice 22823
Invoice Date May 30,2017
Due Date July 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
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DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
UNIT DATE ITEM/SERVICE AMOUNT TAX DUE
D001 7/1/2017 Rent 7/1-7/31 225.00 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 M!! Send your friends and collect your bonus.
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BY: ..........................