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Home My WebLink About325987 06/08/18 ,,+o�c�gyP £� CITY OF CARMEL, INDIANA VENDOR: 060000 ONE CIVIC SQUARE CARMEL UTILITIES CHECK AMOUNT: $*****5,579.20* :9 fay, CARMEL, INDIANA 46032 WATER&SEWER UTILITIES CHECK NUMBER: 325987 M,lr6w`5�. CARMEL IN 46032 CHECK DATE: 06/08/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4348500 0051208200 360.84 WATER & SEWER 1120 4348500 1431234001 138.67 WATER & SEWER 1801 4352500 201 5,079.69 RENT PAYMENTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 060000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CARMEL UTILITIES IN SUM OF$ CITY OF CARMEL WATER &SEWER UTILITIES 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 $499.51 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 0051208200 43-485.00 $360.84 1 hereby certify that the attached invoice(s),or 6/4/18 0051208200 $360.84 1120 101 1120 101 1431234001 43-485.00 $138.67 bill(s)is(are)true and correct and that the 6/4/18 1431234001 $138.67 1120 1 1 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Tuesday,June 05,2018 V40D '_.zA- David Haboush Fire Chief 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice �Cit of it f e Utilities Account Number 0051208200 P.O. Box 109 Carmel, IN 46082-0109 Amount Due $360.84 Customer Service 1 www.carmelutilities.com (317) 571-2442 Due gate U6/19/18 p Mon-Fri 8am-5pm Amount Due After Due Date $360.84 Service Address 1129 CARMEL/CLAY FIRE STATION #44 5032 E MAIN ST 01129 2 CIVIC SQ CARMEL, IN 46032-2584 Service PerioMeter dMeter -. Number PAYMENT RECEIVED, THANK YOU (275.16) 04/23/18 05/22/18 60917355 273 300 WATER 27 124.07 SEWER 27 185.03 FIRE LINE 23.12 STORM WATER 28.62 0 b Please refer to your account number above when contacting our offices at(317)571-2442. U ° Retain this portion for your records. �a rmel Utilities Account Number 1431234001 P.O. Box 109 Carmel, IN 46082-0109 Amount Due $138.67 Customer Service Due Date 06/19/18 www.carmelutilities.com (317)571-2442 Mon-Fri 8am-5pm Amount Due $138.67 After Due Date CARMEL/CLAY FIRE STATION#42 ServiceA' ' 2 CIVIC SQUARE CONSOLIDATED BILLING CARMEL, IN 46032 PeriodService Meter Meter Readings Number PAYMENT RECEIVED, THANK YOU (138.67) 04/19/18 05/18/18 49188132 9763 9763 WATER 0 $17.28 Total Location Charges For: 3610 W 106TH ST/IRR#C 7 $17.28 04/19/18 05/18/18 10856168 3550 3556 WATER 0.6 $31.32 Total Location Charges For: 3610 W 106TH ST#B $31.32 04/19/18 05/18/18 10856207 2408 2414 WATER 0.6 $31.32 STORM WATER $58.75 Total Location Charges For: 3610 W 106TH ST#A $90.07 PREVIOUS BALANCE FOR ALL LOCATIONS $0.00 CURRENT BILLING FOR ALL LOCATIONS $138.67 TOTAL AMOUNT DUE $138.67 AMOUNT DUE AFTER 06/19/18 $138.67 s LL U n VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995) Vendor# 060000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CARMEL UTILITIES IN SUM OF$ CITY OF CARMEL WATER&SEWER UTILITIES 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 $5,079.69 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Redevelopment Department 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 201 43-525.00 $5,079.69 1 hereby certify that the attached invoice(s),or 5/23/18 201 CRC share of rent,utilities,and CAM charges $5,079.69 1801 101 1801 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,June 05,2018 Mestetsky, Henry 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 Carmel Utilities I NVO I C E 30 West Main St., Ste 220 DATE: May 23,2018 Carmel, IN 46032 INVOICE# 201 Phone: 317/571-2443 Fax:. 317/571-2265 PROJECT: CRC.UTILITIES 1311I To:... Carmel Redevelopment Department/Coinmission 30 W..Main.St. Carmel, IN 46032. DESCRIPTION AMOUNT Rent for May 2018 $. 2,945.80 Credit $ (1,000.00) CAM Fees for May 2018_ $ - 233.70. Rent for June.2018 $ 2,945.80 Credit . $. (1,000.00) CAM Fees for.June 2018 $ -233.70 Cleaning Service (April -Jani King) $ 138.061. Cleaning Service (May-Jani King) $ 138.06 Cleaning Supplies(office Depot $ 3.01, Cleaning Supplies(office Depot $ 1.74 Cleaning Supplies(office.Depot $ 9.51 Common Area Electric Utility Bill per attached for period 3/5/18 to 4/4/18 Acct 86903672023 . $. 115.85 Acct 96903672029 $ 59.931, Acct 76903672036 $ 17.98 Acct 80303658037- $ 29.8ell Common Area.Electric Utility Bill per attached for period 4/4/18 to 5/3/18 Acct 86903672023 $ 86.74 Acct 96903672029 $ 26.86 Acct 76903672036 $. 47.43 Acct 80303658037 $ 45.6 TOOT'A�L $�,079T69 Make all checks payable to Carmel Utilities CARMEL ARTS BUILDING OWNERS ASSOCIATION INVOICE City of Carmel Utilities Department 30 W Main St #200 Carmel, IN 46032 Carmel Arts Management Date Due: 5/4/18 30 W Main St #3C Carmel, IN 46032 Description Fee765-426-1945 Utilities Department- May Dues $ 898.84 -------------- ------------------ --------------------------------------------------= -------- -------------- ------------------------- -------------------------- ------------------------------a-------------------------------- ------------------------------- --------------------------------------------- ------------------- ---------------------------- ---------- ------------------ -------- ------ -------------------------------------- Total $ 898.84 I�l�r Thank you, Lu Ann Heitert Manager 1 EVAN LU RI E GALLERY - Los Angeles, Miami and Indianapolis 30 West Main Street,Carmel IN 46032 Tel:317-844-8400 Fax:317-844-8460 info@evaniuriegallery.com May 1, 2018 John Duffy, Director 30 W. Main St. #200 Carmel, IN 46032 Invoice For Property located at: Evan Lurie Gallery 30 West MainStreet Suite 220 Carmel IN 46032 Base Lease Rent:May 1,2018 $11330.00 Total Due $11330.00 Please make checks payable to: E. Lurie, LLC Thank You. EVAN LV RI E GALLERY Los Angeles,Miami and Indianapolis 30 West Main Street,Carmel IN 46032 Tel:317-844-8400 Fax:317-844-8460 info@evanluriegallery.com June 1, 2018 John Duffy, Director 30 W. Main St. #200 Carmel, IN 46032 Invoice For Property located at: Evan Lurie Gallery 30 West Main Street Suite 220 Carmel IN 46032 Base Lease Rent: June 1,2018 $11330.00 Total Due $11330.00 -J Please make checks payable to: E. Lurie, LLC Thank You. CARMEL ARTS BUILDING OWNERS ASSOCIATION INVOICE City of Carmel Utilities Department 30 W Main St #200 Carmel, IN 46032 Carmel Arts Management Date Due: 6/1/18 30 W Main St #3C Carmel, IN 46032 Description765-426-1945 Utilities Department-June Dues $ 898.84 ---------- -------- ------------------------ ----------------------------- -------------=--------- ---------- ------ ---------- -------------------- --------------------------------------- ...__. -------------- ---- --------------- --------- ........ ............ Total $ 898.84 Thank you, Lu Ann Heitert Manager 1 Remit To: 1 1 1 v Date Number J d JANI-KING OF INDIANAPOLIS 04/01/2018 IND04180049 M%b/i/ o 6960 CORPORATE DRIVE Due Date Cust# ,�,�I, Cba_. v INDIANAPOLIS IN 46278 04/30/2018 075056 (317) 293-0200 Invoice Amount Amount Remitted $ 531.00 Sold To: For: CARMEL UTILITIES CARMEL UTILITIES 30 W. MAIN STREET 30 W. MAIN STREET 2ND FLOOR 2ND FLOOR CARMEL IN 46032 CARMEL IN 46032 Make All Checks Payable To:JANI-KING OF INDIANAPOLIS RETURN THIS PORTION WITH YOUR PAYMENT JANI-KING OF INDIANAPOLIS Commercial Cleaning Services (317) 293-0200 o Sold To: For: CARMEL UTILITIES CARMEL UTILITIES 30 W. MAIN STREET 30 W. MAIN STREET 2ND FLOOR 2ND FLOOR CARMEL IN 46032 CARMEL IN 46032 Invoice No Date Cust No Slsmn No PO Number Franchisee Due Date IND04180049 04/01/2018 075056 ALLIER,STEVE BURCH,MARCIA AND CHRISTOPHER 04/30/2018 Quantity Description Unit Price Extended Price 1 MONTHLY CONTRACT BILLING AMOUNT FOR APRIL 531.00 531.00 WE VALUE YOU AS A CUSTOMER AND APPRECIATE YOUR BUSINESS! Amount of Sale $ 531.00 Sales Tax $ 0.00 Make All Checks Payable To: JANI-KING OF INDIANAPOLIS Total $ 531.00 Remit To: Date InvoiceNumber _J JANI-KING OF INDIANAPOLIS 05/01/2018 - IND05180052 f/ 6960 CORPORATE DRIVE o Due Date Cust# ,� „• INDIANAPOLIS IN 46278 05/31/2018 075056 (317) 293-0200 Invoice Amount Amount Remitted $ 531.00 Sold To: For: CARMEL UTILITIES CARMEL UTILITIES 30 W. MAIN STREET 30 W. MAIN STREET 2ND FLOOR 2ND FLOOR CARMEL IN 46032 CARMEL IN 46032 Make All Checks Payable To:JANI-KING OF INDIANAPOLIS RETURN THIS PORTION WITH YOUR PAYMENT JANI-KING OF INDIANAPOLIS Commercial Cleaning Services (317) 293-0200 0 Sold To: For: CARMEL UTILITIES CARMEL UTILITIES 30 W. MAIN STREET 30 W. MAIN STREET 2ND FLOOR 2ND FLOOR CARMEL IN 46032' CARMEL IN 46032 Invoice No Date Cust No Slsmn No PO Number Franchisee Due Date IND05180052 05/01/2018 075056 ALLIER,STEVEBURCH,MARCIA AND CHRISTOPHER 05/31/2018 Quantity Description Unit Price Extended Price 1 MONTHLY CONTRACT BILLING AMOUNT FOR MAY 531.00 531.00 5 � WE VALUE YOU AS A CUSTOMER AND APPRECIATE YOUR BUSINESS! Amount of Sale $ 531.00 Sales Tax $ 0.00 Make All Checks Payable To: JANI-KING OF INDIANAPOLIS Total $ 531.00 Account Number 7690-3672-03-6 CM 03 Apr 27,2018 $69.16 For more detailed billing information on $ $ (�a•I your monthly bill,check box on right HelpingHand Contribution Amount Enclosed (for Customer Assistance) 016285 000009069 1411�111111�nllll��nlllllllllililni�ll��nllilllllrl��l�ui CITY OF CARMEL UTILITIES PO Box 1326 CARMEL REDEVELOPMENT COMM Charlotte NC 28201-1326 2 30 W MAIN ST STE 220 CARMEL IN 46032-1938 900 00000069167 76903672036 042720186 00000069167 PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 1 :.:;::.::.;;:.;;:.�c�s�u�i�lt#m#ear. . City Of Carmel Duke Energy 1-800-265-6516 7690-3672-03-6 Utilities For Account Services,please contact 30 Main St W Carrie Ikemire Suite:2001 Carmel IN 46032 Acc�runt Iri r a Con:........:;;:.......:;...;:.;:.;:.;:.:.;.;;;:.;:.:.:::::.;;:.;;:. PO Box 1326 Payments after Apr 05 not included Bill prepared on Apr 05,2018 Charlotte NC 28201-1326 Last payment received Apr 02 Next meter reading May 03,2018 Elec 108391757 Mar 05 Apr 04 30 1692. 2065 1 373 9.15 rrrme�tal.................................................... .C1�r�nt::BiEt>fn :::>::::>::::>;>>::::>:<><:.>..>:::<:<:::»::::>::>::>;:»::;::>::>::::»::>::>:::;:>:;:»>::»>::>::>::>:<:>::: Usage- 373 kWh 3.60 kVr Amt Due- Previous Bill $85.46 Duke Energy- Rate LSNO $69.16 Payment(s) Received 85.46cr Current Electric Charges 69.16 Balance Forward 0.00 Current Electric Charges 69.16 Current Amount Due 69.16 Know what is below.Call before you dig. Always call 811 before you dig,it is the law.Making this free call at least two business days before you dig gets utility lines marked and helps protect you from injury and expense.Call 811 or visit kentucky811.org. Average Cost: $0.1854 per kWh Apr 27,2018 $69.16 ENERGY. www.duke-energy.com BM_BW.DEM DUKE.INREG.20180405010101_l.CSV-32569-000009069 Printed do recyclable paper. Account Number 8030-3658-03-7 CM 03 Apr 27,2018 $114.93 For more detailed billing information on $ $ LI A your monthly bill,check box on right HelpingHand Contribution Amount Enclosed (for Customer Assistance) 016286 000009069 Illll�llllll�nilll��nlllllllllllllurll��nulnlllrl��l�ui CITY OF CARMEL UTILITIES PO Box 1326 CARMEL REDEVELOPMENT COMM Charlotte NC 28201-1326 2 30 W MAIN ST STE 220 CARMEL IN 46032-1938 900 00000114936 80303658037 042720186 00000114936 PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 1 :.:::::::::::::::::::::::::::::..::.::::...:.::;:::::::::::::::......:::::::::::::::::.:.::::.:::::: ara .. lines.fail.:::.::::::::.::.::.:::::.:::><1cc IWI .Mm. M.". . . :::::::::::.......... .:::::::..:::::..:.....,.......................:::.:::::..:::::. City Of Carmel Duke Energy, 1-800-265-6516 8030-3658-03-7 Utilities For Account Services,please contact 30 Main St W Carrie Ikemire Suite:2000 Carmel IN 46032 At ::: ,��:::_::;:.>:::; Accssurtt Infs�rrraf PO Box 1326 Payments after Apr 05 not included Bill prepared on Apr 05,2018 Charlotte INC 28201-1326 Last payment received Apr 02 Next meter reading May 03,2018 >�::'.r:...:.e....:.v.,.l.t:aew..;..:r.;.::>:Pe :::> > ... : : :: : N .............. .Elec 108391756 Mar 05 Apr 04 30 4448 5187. 1 739 4.14 ......... .. 13iiEin'�::;:<:::::::::>:;><:>:::<::<:::::>::>::::;:>:::::>:;:�:;:><:::<:>;«:<:>:<:::::>::::>::::>::::>:::::>:=:»::>:<:: Usage- 739 kWh 2.00 kVar Amt Due- Previous Bill $ 112.49 Duke Energy- Rate LSNO $ 114.93 Payment(s) Received 112.49cr Current Electric Charges $114.93 Balance Forward 0.00 Current Electric Charges 114.93 Current Amount Due $114.93 Know what is below.Call before you dig. Always call 811 before you dig,it is the law. Making this free call at least two business days before you dig gets utility lines marked and helps protect you from injury and expense.Call 811 or visit kentucky811.org. .......................................... .......................................... .............................. ................................... i !€k .. > 0—n kip> => Average Cost: $0.1555 per kWh Apr 27,2018 $114.93 ENERGY, www.duke-energy.com BM_BW.DEMW.DUKE.INREG.20180405010101_1.CSV-32571-000009069 Printed on recyclable paper. Account Number 9690-3672-02-9 CM 03 Apr 27,2018 $230.52 For less detailed billing information on $ $ your monthly bill,check box on right El HelpingHand Contribution Amount Enclosed (for Customer Assistance) 016287 000009068 pmt CITY OF CARMEL UTILITIES PO Box 1326 30 W MAIN ST STE 2001 Charlotte NC 28201-1326 z CARMEL IN 46032-1938 900 00000230529 96903672029 042720186 00000230529 PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 2 e.lcidrs ............ City Of Carmel Duke Energy 1-800-265-6516 9690-3672-02-9 Utilities For Account Services,please contact 30 Main St W Carrie Ikemire Suite:2003 Carmel IN 46032 ::;:::::............... PO Box 1326 Payments after Apr 05 not included Bill prepared on Apr 05,2018 Charlotte NC 28201-1326 Last payment received Mar 20 Next meter reading May 03,2018 Elec 108391759 Mar 05 Apr 04 30 10578 12296 1 1,718 8.67 rz��teGcral................................_.:,.:.:::.:.:,:. . . .............................. Usage- 1,718 kWh 4.00 kVar Amt Due- Previous Bill $312.57 Duke Energy- Rate LSNO $230.52 Payment(s) Received 312.57cr Current Electric Charges $230.52 Balance Forward 0.00 Current Electric Charges 230.52 Current Amount Due $230.52 Know what is below.Call before you dig. Always call 811 before you dig,it is the law.Making this free call at least two business days before you dig gets utility lines marked and helps protect you from injury and expense.Call 811 or visit kentucky811.org. Cue>€ < > ............................ Average Cost: $0.1342 per kWh Apr 27,2018 $230.52 tDUKE ENERGY® www.duke-energy.com BM_BW.DEMW.DUKE.INREG.20180405010101_1 CSV-32573-000009068 a Printed on recyclable paper. Pa e2of2 ......................................................................:::::::::::::.:::::::::::::.::::::::::::::::::::::.:::::::. City Of Carmel 30 Main St W 9690-3672-02-9 Utilities Suite:2003 Carmel IN 46032 ................... . .................... ........ went.fiar. . s.-............::::::.::............. ...........................:. ...... ............... ....................................:. Electric Duke Energy Meter- 108391759 Rate LSNO -Low Load Factor Sec Sry -' Multipliers- 1 Connection Charge $15.00 kWh Usage- 1,718 Energy Charge 2 Demand Read- 08.67 300 kWh @ $0.10788900 32.37 Billed Fa Actual va- 8.67 700 kWh @ $0.08688900 60.82 r- 4.00 647 kWh @ $0.07798900 50.46 Power Factor- 90.41 Load Factor-Next 110 Hrs Use 71 kWh @ $0.05158800 3.66 Mar 05-Apr 04 KVAR Charge 30 Days 4.00 Kvar @ $0.24000000 0.96 Rider 60- Fuel Adjustment 1,718 kWh @ $0.01083200 18.61 Rider 61 -Coal Gasification Adi 1,718 kWh @ $0.01265900 21.75 Rider 62- Pollution Cntl Adj 1,718 kWh 9 $0.00277100 4.76 Rider 63- Emission Allowance 1,718 kWh @ $0.00001600cr 0.03cr Rider 65-Infrastructure Improvement 1,718 kWh 9 $0.00114100 1.96 Rider 66-A- Energy Eff Adj 1,718 kWh @ $0.00231300 3.98 Rider 67-Cinergy Merger Credit 1,718. kWh @ $0.00030200cr 0.52cr Rider 68-Midwest Ind Sys Oper Adj 1,718 kWh @ $0.00241100 4.14 Rider 70- Reliability Adjustment 1,718 kWh 9 $0.00051800 0.89 Rider 71 -Clean Coal Adjustment 1,718 kWh @ $0.00648900 11.15 Rider 72- Federally Mand Cost Adj 1,718 kWh 9 $0.00011300 0.19 Rider 73- Renewable Energy 1,718 kWh 9 $0.00021600 0.37 $230.52 fat. : : :::>::::::::::>::>< >« 'rt1.rtxt.EEectr�E. Fiar 230.5 ............................. kWh Electric Usage 4,000- 3,200- 2,400- 1,600- 80 ,0003,2002,4001,60080 0 EP I poll M h1 Calculations based on most recent 12 month history Total Usage 17,434 Average Usage 1,453 AP MAYI JU JU AHrJ SEP OC NOV DEC JANFEB MA APR Electric 9 27 64 85 1,01 7 444 49 1,321 3,86 3,6 2,AArJ 1,718 ENERGY. www.duke-energy.com BM_BW DEMW.DUKE.INREG.20180405010101_1.CSV-32575-000009068 E�Printed on recyclable paper. Account Number 8690-3672-02-3 CM 03 Apr 27,2018 $445.56 For less detailed billing information on $ $ your monthly bill,check box on right HelpingHand Contribution Amount Enclosed (for Customer Assistance) 016289 000009067 ��lillllnill��ll��l�lullll'��'II'I'll�'ll��ll�'�II�II�II�II�� CITY OF CARMEL F� UTILITIES PO Box 1326 30 W MAIN ST STE 2000 Charlotte NC 28201-1326 2 CARMEL IN 46032-1939 900 00000445568 86903672023 042720186 00000445568 PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 2 rvrc �itidress i*ar tr[c#utr[es Galt .:........:><>:>::: �c00urt!f�lstfr[ber<.; City Of Carmel Duke Energy 1-800-265-6516 8690-3672-02-3 Utilities For Account Services,please contact 30 Main St W Carrie Ikemire Suite:2002 Carmel IN 46032 ;:.;;;;:.;:.;...;:.;:: eats T�►.........':;'::-;;:<.::.;>:.;:.: ............... Rac�suz�t l>�#�t�[ra3>:ort :.;:.;:.;::::.:::::::.�-::::::...::.:::::.. PO Box 1326 Payments after Apr 05 not included Bill prepared on Apr 05,2018 Charlotte NC 28201-1326 Last payment received Mar 26 Next meter reading May 03,2018 Elec 108359975 Mar 05 Apr 04 30 13276 17182 1 3,906 12.31 Usage- 3,906 kWh 0.90 kVar Amt Due- Previous Bill $472.32 Duke Energy- Rate LSNO $445.56 Payment(s) Received 472.32cr Current Electric Charges $445.56 Balance Forward 0.00 Current Electric Charges 445.56 Current Amount Due $445.56 Know what is below.Call before you dig. Always call 811 before you dig,it is the law.Making this free call at least two business days before you dig gets utility lines marked and helps protect you from injury and expense.Call 811 or visit kentucky811.org. €<�7 ==<'> ': Average Cost: $0.1141 per kWh Apr 27,2018 $445.56 cDUKE NERGY® www.duke-energy.com BM_BW.DEMW.DUKE.INREG.20180405010101_1.CSV-32577-000009067 *Printed on recyclable paper. Pa e2of2 City Of Carmel 30 Main St W 8690-3672-02-3 Utilities Suite:2002 Carmel IN 46032 >::>::>:.;.:;;;::> ataon.vf.. uent.Ga€ ........... Electric Duke Energy Meter- 108359975 Rate LSNO -Low Load Factor Sec Sry Multipliers- 1 Connection Charge $15.00 kWh Usage- 3,906 Energy Charge 2 Demand Read- 12.31 300 kWh @ $0.10788900 32.37 Actual kW- 12.31 700 kWh @ $0.08688900 60.82 Billed Kvar- 0.90 1,339 kWh @ $0.07798900 104.43 Power Factor- 99.7% Load Factor-Next 110 Hrs Use 1,354 kWh @ $0.05158800 69.85 Mar 05-Apr 04 Load Factor-Over 300 Hrs Use 30 Days 213 kWh @ $0.04678900 9.97 KVAR Charge .0.90 Kvar @ $0.24000000 0.22 Rider 60- Fuel Adjustment 3,906 kWh 9 $0.01083200 42.31 Rider 61 -Coal Gasification Adj 3,906 kWh 9 $0.01265900 49.45 Rider 62- Pollution Cntl Adj 3,906 kWh 9 $0.00277100 10.82 Rider 63-Emission Allowance 3,906 kWh @ $0.00001600cr 0.06cr Rider 65-Infrastructure Improvement 3,906 kWh @ $0.00114100 4.46 Rider 66-A- Energy Eff Adj 3,906 kWh 9 $0.00231300 9.03 Rider 67-Cinergy Merger Credit 3,906 kWh @ $0.00030200cr 1.18cr Rider 68-Midwest Ind Sys Oper Adj 3,906 kWh 9 $0.00241100 9.42' Rider 70-Reliability Adjustment 3,906 kWh 9 $0.00051800 2.02 Rider 71 -Clean Coal Adjustment 3,906 kWh @ $0.00648900 25.35 Rider 72- Federally Mand Cost Adj 3,906 kWh @ $0.00011300 0.44 Rider 73- Renewable Energy 3,906 kWh @ $0.00021600 0.84 $445.56 ......... .. . oxallurt'ertC Et�clncftar $445.56 kWh Electric Usage 4,500- 3,600- 2,700- 1,800- 900- 0- Calculations ,5003,6002,7001,8009000Calculations based on most recent 12 month history Total Usage 40,036 Average Usage 3,336 AP MAY JUN JULAUGSEP OC NOV DEC JAN FEB MA APR Electric 2,861 2,96 3,19c 3.022 3,13 3,2 3,051 2,78 2,83 3,227 4,403 4,25 3,906 DUKE ENERGY. www.duke-energy.com BM_BW.DEMW.DUKE.INREG.20180405010101_1.CSV-32579-000009067 0 Printed on recyclable paper. UUKL LNLKGY >«due``::'<;:::::>' Account Number 9690-3672-02-9 CM 03 May 29,2018 $103.30 For less detailed billing information on $ $ your monthly bill,check box on right HelpingHand Contribution Amount Enclosed (for Customer Assistance) 016917 000009411 111111111 1[Jill 1111 --' CITY OF CARMEL UTILITIES PO Box 1326 30 W MAIN ST STE 2001 Charlotte INC 28201-1326 z CARMEL IN 46032-1938 900 00000103306 96903672029 052920183 00000103306 PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 2 €ar lnc;ucrrOs GaII .:::::::::.:::::. 7lccuurit Ilumber City Of Carmel Duke Energy 1-800-265-6516 9690-3672-02-9 Utilities For Account Services,please contact 30 Main St W Carrie Ikemire Suite:2003 Carmel IN 46032 ::: o<::<:::»::::::::>::>::>:::::>: : >:::::>::» A coon Ir�tc�r too ..........:...;;::.;:.;::.;:.;: PO Box 1326 Payments after May 04 not included Bill prepared on May 04,2018 Charlotte NC 28201-1326 Last payment received Apr 16 Next meter reading Jun 04,2018 Elec 108391759 Apr 04 May 03 29 12296 12939 1 643 9.29 aar . .r rel me c ............................. .................. ��zrireTrt:.:ll�iilm ::<:: «: Usage- 643 kWh 4.10 kVar Amt Due- Previous Bill $230.52 Duke Energy-Rate LSNO $ 103.30 Payment(s) Received 230.52cr Current Electric Charges $103.30 Balance Forward 0.00 Current Electric Charges 103.30 Current Amount Due $103.30 51 . 5 .. .. Average Cost: $0.1607 per kWh May 29,2018 $103.30 DUKE NERGY® www.duke-energy.com BM BW.DEMW.DUKE.INREG.20180504010101 1.CSV-33833-000009411 ejz. -- _____ UUf1t tlVtKtaT re..... .: ;:.;:.;;.;::..:........:::::............:.:.:::::::: rut a Address .::.:.:;:.;:;:.::..:::.;:.;:.;:.;;:::.;;:.;:.;::::.;:::.,A tour Htu> aer:::: City Of Carmel 30 Main St W 9690-3672-02-9 Utilities Suite:2003 Carmel IN 46032 n.vf..fyurrsnf .................................................... .. Electric Duke Energy Meter- 108391759 Rate LSNO -Low Load Factor Sec Sry �•VJ•1 fti ' Multipliers- 1 kWh Usage- 643 Connection Charge $ 15.00 • '' Energy Charge 2 Demand Read- 09.29 300 kWh @ $0.10788900 32.37 Billed Kvar- 4 4.10 Actual .29 343 kWh @ $0.08688900 29.80 I Power Factor- 91.1% KVAR Charge4.10 Kvar @ $0.24000000 0.98 Rider 60- Fuel Adjustment Apr 04-May 03 643 kWh @ $0.01083200 6.96 29 Days Rider 61 -Coal Gasification Adj 643 kWh 0- $0.01265900 8.14 Rider 62- Pollution Cntl Adj 643 kWh @ $0.00277100 1.78 Rider 63- Emission Allowance 643 kWh @ $0.00001600cr 0.01 cr Rider 65-Infrastructure Improvement 643 kWh @ $0.00114100 0.73 Rider 66-A- Energy Eff Adj 643 kWh @ $0.00231300 1.48 Rider 67-Cinergy Merger Credit 643 kWh @ $0.00030200cr 0.19cr Rider 68-Midwest Ind Sys Oper Adj 643 kWh @ $0.00241100 1.55 Rider 70- Reliability Adjustment 643 kWh 0 $0.00051800 0.33 Rider 71 -Clean Coal Adjustment 643 kWh @ $0.00648900 4.17 Rider 72- Federally Mand Cost Adj 643 kWh @ $0•.00011300 0.07 Rider 73- Renewable Energy 643 kWh @ $0.00021600 0.14 $103.30 `>'Fflta'Iuit<E[oc,.< '<««::::: 103.30 lop as' > kWh Electric Usage 4,000- 3,200- ,,400.-- 1,600- 80 ,0003,2002,400.1,60080 0 N kkil Calculations based on most recent 12 month history Total Usage 17,805 Average Usage 1,484 MA JUN JU AUGSEP OCTNOV DE JAN FEB MA AP MAY Electric 27 64 85 1,01 76 492 1,321 3,86 3,6042, 1,71 643 DUKE- ENERGY. www.duke-energy.com BM_BW.DEMW.DUKE.INREG.20180504010101_1.CSV-33835-000009411 AR41 PrW.H-rcrvrI.H.--r vurnr- ruvr-r-%UT Account Number 8690-3672-02-3 CM 03 May 29,2018 $333.61 For less detailed billing information on $ $ your monthly bill,check box on right HelpingHand Contribution Amount Enclosed (for Customer Assistance) I 016919 000009410 �lul�illllll�l�ln�l�ll�lull�lull�nnl��lli�illlili�lllll�lll 0- CITY OF CARMEL j UTILITIES PO Box 1326 30 W MAIN ST STE 2000 Charlotte NC 28201-1326 { z CARMEL IN 46032-1939 900 00000333611 86903672023 052920183 00000333611 PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 2 City Of Carmel Duke Energy 1-800-265-6516 8690-3672-02-3 Utilities For Account Services,please contact 30 Main St W Carrie Ikemire Suite:2002 Carmel IN 46032 >::::...........:::::.;::A cssutzt to#c�t�ratccnt .................................. .........................:::.::......:::::::::..:.:.:::. PO Box 1326 Payments after May 04 not included Bill prepared on May 04,2018 i Charlotte NC 28201-1326 Last payment received Apr 16 Next meter reading Jun 04,2018 ...................................... ................... ....:a#.:::::::::::::::.::.:,::::.....erRali -' '< <> :::::::>:.>:::<:::>:::>:><»<'<:>::`:<`:::: Elec 108359975 Apr 04 May 03 29 17182 19797 1 2,615 13.25 0.M- metba ................................... : Usage- 2,615 kWh 0.10 kVar Amt Due- Previous Bill $445.56 Duke Energy- Rate LSNO $333.61 Payment(s) Received 445.56cr Current Electric Charges $333.61 Balance Forward 0.00 Current Electric Charges 333.61 Current Amount Due $333.61 . . .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... Ju A .......................... ............. ....... .. .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... .......................................... Average Cost: $0.1276 per kWh May 29,2018 $333.61 DUKE NERGY® www.duke-energy.com BM_BW.DEMW.DUKE.INREG.20180504010101_1.CSV-33837-000009410 03�Print—i nn ranvnlal do .—r VVRG GIYGR�.7i Pa e2of2 erut iddre Acour>E1urber;:;: City Of Carmel 30 Main St W 8690-3672-02-3 Utilities Suite:2002 Carmel IN 46032 id .::::::.:: Electric Duke Energy Meter- 108359975 Rate LSNO -Low Load Factor Sec Sry �•, Multipliers- 1 Connection Charge $15.00 kWh Usage- 2,615 Energy Charge 2 Demand Read- 13.25 300 kWh @ $0.10788900 32.37 Actual kW- 13.25 700 kWh @ $0.08688900 60.82 Billed Kvar- 0.10 1,500 kWh @ $0.07798900 116.98 Power Factor- 99•g°i 18 kWh @ $0.05818900 1.05 Load Factor-Next 110 Hrs Use i Apr 04-May 03 97 kWh @ $0.05158800 5.00 29 Days KVAR Charge 0.10 Kvar @ $0.24000000 0.02 Rider 60- Fuel Adjustment 2,615 kWh 9 $0.01083200 28.33 Rider 61 -Coal Gasification Adj 2,615 kWh 9 $0.01265900 33.10 Rider 62- Pollution Cntl Adj 2,615 kWh 9 $0.00277100 7.25 Rider 63- Emission Allowance 2,615 kWh @ $0.00001600cr 0.04cr Rider 65-Infrastructure Improvement 2,615 kWh @ $0.00114100 2.98 Rider 66-A- Energy Eft Adj 2,615 kWh 9 $0.00231300 6.06 Rider 67-Cinergy Merger Credit 2,615 kWh @ $0.00030200cr 0.79cr Rider 68-Midwest Ind Sys Oper Adj 2,615 kWh @ $0.00241100 6.30 Rider 70- Reliability Adjustment 2,615 kWh 9 $0.00051800 1.35 Rider 71 -Clean Coal Adjustment 2,615 kWh @ $0.00648900 16.97 Rider 72- Federally Mand Cost Adj 2,615 kWh @ $0.00011300 0.30 Rider 73- Renewable Energy 2,615 kWh 9 $0.00021600 0.56 $333.61 €.en..f"Eectrrc. 33 kWh Electric Usage 4,500- 3,600- 2,700- 1,800- 900- 0- Calculations ,5003,6002,7001,8009000Calculations based on most recent 12 month history Total Usage 39,667 Average Usage 3,307 MAYI JUN JU AU SEP OCTI NOV DE JAN FEB MA RI APRI MAY Electric 2,96 3,19 3,02 3.13 3,25 3,051 2,78 2,83 3,22 4,40 4,25 3,90 2,615 ENE RGY. www.duke-ener BM BW.DEMW.DUKE.INREG.20180504010101-1.CSV-33839-000009410 www.duke-energy.com Printari nn rarvnlnhl r ahlo nanar VIJi�C GIVCRUi Account Number 7690-3672-03-6 CM 03 May 29,2018 $182.42 For more detailed billing information on $ $ ( your monthly bill,check box on right HelpingHand Contribution Amount Enclosed (for Customer Assistance) 016915 000009412 + I.III "III111�"�II�'1'I��II'II""I'I�I�I�I��III11'�I�I�IIIIIII Fat CITY OF CARMEL UTILITIES v ` CARMEL REDEVELOPMENT COMM Ch Box 1326 z 30 W MAIN ST STE 220 Charlotte NC 28201-1326 CARMEL IN 46032-1938 900 00000182427 76903672036 052920183 00000182427 PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT page 1 of 1 :::: :Me �Ac>ds ;:..;;;:.;:::;:;;::.:>:;:>:;.;:.;;:>;;;;; orltxcuro : al::::.:: :.>:.::<.;:.:;<..; lt#rr>< er City Of Carmel Duke Energy 1-800-265-6516 7690-3672-03-6 Utilities For Account Services,please contact 30 Main St W Carrie Ikemire Suite:2001 Carmel IN 46032 amort#s .::>;;:>:.;: :::>::>::>::;::,:»:::.:::::::::><>: Acc�untii�rta3€cid . ::::::.. PO Box 1326 Payments after May 04 not included Bill prepared on May 04,2018 Charlotte INC 28201-1326 Next meter reading Jun 04,2018 Elec 108391757 Apr 04 May 03 29 2065 2791 1 726 11.96 oixtt}tarc>al... . ::.::::::................................. Ct rieiii::H'!1liri' :> >>::....:.... `:::::::>:: :>: ::::::>:':< :..:..::.... Usage- 726 kWh 1.90 kVar Amt Due- Previous Bill $69.16 Duke Energy- Rate LSNO $ 113.26 Balance Forward 69.16 Current Electric Charges $113.26 Current Electric Charges 113.26 Current Amount Due $182.42 .. ..... ... . ..... .. ....... . .......................... .......................................... .......................................... Average Cost: $0.1560 per kWh May 29,2018 $182.42 PDUKE "ENE RGY. www.duke-ener .com BM_13W.DEMW.DUKE.INREG.20180504010101—1.CSV-33829-000009412 r&Print—i—rcn-I.hlo--r vvnL. L-1'4L %%a I maid ... ` <:< < Account Number 8030-3658-03-7 CM 03 May 29,2018 $175.54 For more detailed billing information on . $ $ (15- your monthly bill,check box on right- HelpingHand Contribution Amount Enclosed (for Customer Assistance) 016916 000009412 I.lll�"I11111�"�II�'I'I��II'II""I'I�I�I�I��IIIII'�I�I�1111111 CITY OF CARMEL UTILITIES PO Box 1326 CARMEL REDEVELOPMENT COMM Charlotte NC 28201-1326 z 30 W MAIN ST STE 220 CARMEL IN 46032-1938 900 00000175544 80303658037 052920183 00000175544 PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 Of 1 .'`GiflllTl . ) >:::::::.l�lC ::::.:::: dor:t . ...............::::::::.:::::::::::::::::::::::::::..::: . ::::;:::.;-::::. ................................................. City Of Carmel Duke Energy 1-800-265-6516 8030-3658-03-7 Utilities For Account Services,please contact 30 Main St W Carrie Ikemire Suite:2000 Carmel IN 46032 <:>:: >:>Aeuif lrfiiztxtr PO Box 1326 Payments after May 04 not included Bill prepared on May 04,2018 Charlotte NC 28201-1326 Next meter reading Jun 04,2016 :::>:......................... . ....................................................... Elec 108391756 Apr 04 May 03 29 5187 5495 1 308. 4.27 OtrdXariimrcra rran Usage- 308 kWh 2.00 kVar Amt Due- Previous Bill $114.93 Duke Energy- Rate LSNO $60.61 Balance Forward 114.93 Current Electric Charges 60.61 Current Electric Charges 60.61 Current Amount Due $175.54 1� Average Cost: $0.1968 per kWh May 29,2018 $175.54 ENERGY. BM_BW.DEMW.DUKE.INREG.20180504010101_1.CSV-33831-000009412 Printed recyclable Printed on recyclable paper. ORIGINAL INVOICE 10001 Office ice Depot,Inc PO BOX 630813 THANKS FOR YOUR ORDER DEPOTCINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263-0813 OR PROBLEMS. JUST CALL US � FOR CUSTOMER SERVICE ORDER: (888) 263-3423 FOR ACCOUNT: (800) 721-6592 FEDERAL ID:59-2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 137387845001 11.58 Page 1 of 1 INVOICE DATE TERMS PAYMENT DUE 11-MAY-18 Net 30 10-JUN-18 BILL TO: SHIP TO: ATTN: ACCTS PAYABLE co CITY OF CARMEL CITY OF CARMEL UTILITIES g CITY IF CARMEL WATER DEPT 4 1 CIVIC SQ ro� CARMEL IN 46032-2584 �� 30 W MAIN ST FL 2 S 0= CARMEL IN 46032-1938 o= I�Inlllinllnn�lln�l�lulll�l�l�lnlnlnlllnnull�l�l�l j i ACCOUNT NUMBER IPURCHASE ORDER SHIP TO ID ORDER NUMBER IORDER DATE 1SHIPPED DATE 86102185 601 137387845001 10-MAY-18 11-MAY-18 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP COST CENTER 39940 1 1 LISA KEMPA 1601 CATALOG ITEM #/ DESCRIPTION/ U/MQTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM # ORD SHP 8/0 PRICE PRICE 602513 FRESHEN ER,AIR,SMSPACE,LS EA 2 2 0 5.790 11.58 69757 602513 m m 0 0 0 . a rn 0 0 0 SUB-TOTAL v \ 11.58 DELIVERY J 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 11.58 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. A DETACH HERE A CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE INVOICE AMOUNT ENCLOSED DATE AMOUNT ' CITY OF CARMEL 39940 137387845001 11-MAY-18 11.58 FLO 000399402 1373878450014 00000001158 1 8 Please OFFICE DEPOT Please return this stub with your payment to Send Your PO Box 633211 ensure prompt credit to your account. Check to: Cincinnati OH 45263-3211 Please DO NOT staple or fold.Thank You. nninae41)nnaaa nnni Rmnni a ORIGINAL INVOICE 10001 oince ice Depot,Inc PO BOX 630813 THANKS FOR YOUR ORDER DEPOT. CINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263-0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263-3423 FOR ACCOUNT: (800) 721-6592 FEDERAL ID:59-2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 136137970001 40.63 Page 1 of 1 INVOICE DATE TERMS PAYMENT DUE 08-MAY-18 Net 30 10-JUN-18 BILL TO: SHIP TO: 10 ATTN: ACCTS PAYABLE 1.00 CITY OF CARMEL CITY OF CARMEL UTILITIES CITY IF CARMEL WATER DEPT CARMEL civic IN 46032-2584 SQ 00 �� 30 W MAIN ST FL 2 0= CARMEL IN 46032-1938 o= I�Inl�llnllnu�lln�l�lul�l�l�l�lnlnlnlllunnll�l�l�l ACCOUNT NUMBER IPURCHASE ORDER SHIP TO ID IORDER NUMBER JORDER DATE SHIPPED DATE 86102185 1 _ 601 1136137970001 07-MAY-18 08-MAY-18 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP COST CENTER 39940LISA KEMPA 1601 CATALOG ITEM #/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM # ORD SHP B/O PRICE PRICE 637431 TOWEL,CFOLD,2400/CT,WE CT 1 1 0 36.590 36.59 20603 637431 561894 NOTE,POST-IT,1.5X2",12PK,N DZ 1 1 0 4.040 4.04 653AN 561894 co • m 0 o m 0 � o ^ o SUB-TOTAL 40.63 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 40.63 To return supplies, please repack in original box and insert our packing List, or copy of this invoice. Please note problem so we may issue credit or repLacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines untiL you call us first for instructions. Shortage or damage must be reported within 5 days after deLivery. AL DETACH HERE A CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE INVOICE AMOUNT ENCLOSED DATE AMOUNT CITY OF CARMEL 39940 136137970001 08-MAY-18 40.63 FLO 000399402 1361379700011 00000004063 1 3 Please OFFICE DEPOT Please return this stub with your payment to Send Your PO Box 633211 ensure prompt credit to your account. Check to: Cincinnati OH 45263-3211 Please DO NOT staple or fold.Thank You. mm�sa nrina�a nnni Finnni a ORIGINAL INVOICE 10001 Office Office Depot,Inc PO BOX 630813 THANKS FOR YOUR ORDER DEPOTCINCINNATI OH IF YOU HAVE ANY QUESTIONS 45263-0813 OR PROBLEMS. JUST CALL US FOR CUSTOMER SERVICE ORDER: (888) 263-3423 FOR ACCOUNT: (800) 721-6592 FEDERAL ID:59-2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER 137385844001 6.72 Page 1 of 1 INVOICE DATE TERMS PAYMENT DUE 11-MAY-18 Net 30 10-JUN-18 BILL TO: SHIP TO: ATTN: ACCTS PAYABLE 00 CITY OF CARMEL CITY OF CARMEL UTILITIES C' CITY IF CARMEL WATER DEPT 1 CIVIC SQ co 30 W MAIN ST FL 2 CARMEL IN 46032-2584 co 0 0� CARMEL IN 46032-1938 o I�I��I�Ilnll�unll�nl�inl�l�l�l�l��lnlnlllnuull�l�l�l ACCOUNT NUMBER PURCHASE ORDER ISRIP TO ID IORDER NUMBER ORDER DATE ISHIPPED DATE 86102185 1601 1137385844001 10-MAY-18 11-MAY-18 BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY IDESKTOP ICOST CENTER 39940 LISA KEMPA .601 CATALOG ITEM �1/ DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED MANUF CODE CUSTOMER ITEM 4 ORD SHP B/0 PRICE PRICE 510493 FRESHENER,FEBREEZE,LINE EA 2 2 0 3.360 6.72 29215 510493 Co Co ✓!/ o 0 0 0 SUB-TOTAL 6.72 DELIVERY 0.00 SALES TAX 0.00 All amounts are based on USD currency TOTAL 6.72 To return supplies, please repack in original box and insert our packing list, or copy of this invoice. Please note problem so we may issue credit or replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or machines until you call us first for instructions. Shortage or damage must be reported within 5 days after delivery. A DETACH HERE A CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE INVOICE AMOUNT ENCLOSED DATE AMOUNT CITY OF CARMEL 39940 137385844001 11-MAY-18 6.72 n- FLO 000399402 1373858440019 00000000672 1 -1 Please OFFICE DEPOT Please return this stub with your payment to Send Your PO Box 633211 ensure prompt credit to your account. Check to: Cincinnati OH 45263-3211 Please DO NOT staple or fold. Thank You. 001094-000838 00017/00019