HomeMy WebLinkAbout189651 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00350969 Page 1 of 1
ONE CIVIC SQUARE SHIEL SEXTON COMPANY, INC
CARMEL, INDIANA 46032 902 N CAPITOL AVE CHECK AMOUNT: $238,126.34
INDIANAPOLIS IN 46204
CHECK NUMBER: 189651
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 2695 -53 JUNE 27,750.00 MGMT FEE
902 4460807 APP 46 9,040.15 GENERAL CONDITIONS
902 4460807 APP 46 200,726.50 MGMT STAFF
902 4460807 APP 46 609.69 REIMBUSABLES
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June 25, 2010
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Mr. Les Olds, Director
Carmel Redevelopment Commission
City of Carmel
One Civic Square
Carmel, IN 46032
RE: Parcel 7A, Regional Performing Arts Center
Construction Management Services Shiel Sexton Job #2695
Payment Application 46 (June 2010)
The following is a summary of Shiel Sexton's billable expenses:
CM STAFF
June 2010 2695 -38 200,726.50
CM GENERAL CONDITIONS
June 2010 2695 -38 9,040.15
CM REIMBURSABLES
June 2010 2695 -38 609.69
TOTAL DUE 210,376.34
If you have any questions please call me at 223 -5011 or our Accountant Lynda Weaver at 423 -6008.
Sincerely,
G
Tony Eisenhut
Construction Manager
Shiel Sexton Company, Inc.
902 North Capitol Avenue
Indianapolis, IN 46204
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June 25, 2010
Mr. Les Olds
Cannel Redevelopment Commission
City of Carmel
One Civic Square
Can IN 46032
RE: Carmel Performing Arts
Construction Management Services Job 2695
Payment Application 2695 -53CM (June 2010)
The following are costs for CM Services on the Carmel Performing Arts Center:
CM Fee: (SI,665,000/60 months) S 27,750.00
(est. 1.85% of construction costs)
Total due: 27,750.00
If you have any questions please call me at 223-5011 or our Accountant, Lynda Weaver, at 423 -6008
Sincerely,
7 G 16
Tony Eisenhut
Construction Manager
Shiel Sexton Company, Inc.
902 North Capitol Avenue
Indianapolis, IN 46204
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Invoice Disbursement Schedule
Contract: 2695- CARMEL -PAC- CONSTRUCTION
Invoice: 2695 -38 06/24/10
Item: 10 CM Staff
Labor
GROUP MANAGER 48.00 Hrs $110.00 5,280.00
IT CONSULTANT 6.50 Hrs $90.00 585.00
PROJECT COORDINATOR 333.50 Hrs $65.00 21,677.50
PROJECT ENGINEER 464.00 Hrs $80.00 37,120.00
PROJECT MANAGER 216.00 Hrs $110.00 23,760.00
SAFETY MANAGER 13.00 Hrs $100.00 .1,300.00
SENIOR SUPERINTENDENT 136.00 Hrs $105.00 14,280.00
SR PROJECT MANAGER 296.00 Hrs $110.00 32,560.00
SUPERINTENDENT 448.00 Hrs $105.00 47,040.00
Total Hours 1,961.00
TOTAL Labor 183,602.50
Material
J MB ASSOCIATES 181 3,280.00
J MB ASSOCIATES 183 4,100.00
TOTAL Material 7,380.00
Subcontract
SAFETY MANAGEMENT GROUP OF INDIANA, INC APL252695 9,744.00
TOTAL Subcontract 9,744.00
Item: 10 CM Staff 200,726.50
invoice Disbursement Schedule
Contract: 2695- CARMEL PAC-CONSTRUCTION
Invoice: 2695 -38 06/24/10
Item: 20 CM General Conditions
Material
ADT SECURITY SYSTEMS 26309793 106.73
AT T 52510 -2695 111.05
CARMEL INK TONER 2986 79.08
CLARK SAFETY, INC. 295628 50.34
DOCUNETONLINE INC. 113 250.00
ICE MOUNTAIN SPRING WATER 0OF0121103790 308.17
LOWE'S BUSINESS ACCOUNT 060210WENZLER 903.17
LUMINET VOICE DATA 3149 1,865.71
MOD SPACE 105435433 2,039.55
OFFICE DEPOT CREDIT PLAN 519871054001.00 79.05
OFFICE DEPOT CREDIT PLAN 521216035001.00 34.07
OFFICE DEPOT CREDIT PLAN 521216117001.00 15.26
OFFICE DEPOT CREDIT PLAN 521216119001.00 33.16
QW EST 1108080903 2.85
SPEEDWAY SUPERAMERICA LLC 60810 92.1.20
SSC IT 0610 -2695 181.75
TW TELECOM 3565568 1,669.12
WHITE'S ACE HARDWARE 35904709 29.89
WILLIAM CALE PHOTOGRAPHY 261 360.00
TOTAL Material 9,040.15
Item: 20 CM General Conditions 9,040.15
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Invoice Disbursement Schedule
Contract: 2695- CARMEL PAC CONSTRUCTION
Invoice: 2695 -38 06/24/10
Item: 30 CM Reimbursables
Material
BLACK TIE COURIER, LTD. 60110 34.50
CARMEL PRO PRINTER 30756 60.09
CARMEL PRO PRINTER 78,04
FEDERAL EXPRESS CORPORATION 7 -110 -18232 5.11
REPRO- GRAPHIX, INC. 104335 311.57
ROBBINS GRAPHICS, LLC 39221 120.38
TOTAL Material 609.69
Item: 30 CM Reimbursables 609.69
Summary
10 CM Staff 200,726.50
20 CM General Conditions 9,040.15
30 CM Reimbursables 609.69
CURRENT DUE: 210,376.34
Invoice
DATE INVOICE
5/3112010 181
BILL TO SHIP TO
Shiel Sexton Company J &MB Associates
902 North Capital Ave Atten: Marty Talbott
209 Lucky Lane
Indianapolis, Indiana 46204 Pendleton, IN 46064
DUE DATE P.O. NUMBER
614/2010 2695 -0004
frEM DESCRIPTION QTY RATE AMOUNT
Consulting Consulting Services for Project Management Master 40 82.00 3,280.00
Services Planning Scheduling for Carmel PAC during the weeks
ending 5121/2010 and 5/28/2010
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Thank you for your business! Subtotal 3,280.00
0% TAX
Total 3,280.00
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Invoice
DATE INVOICE
6/11/2010 183
BILL TO SHIP TO
Shiel Sexton Company J&MB Associates
902 North Capital Ave Attow Marty Talbott
209 Lucky Lane
Indianapolis, Indiana 46204 Pendleton, IN 46064
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DUE DATE P.O. NUMBER
6/18/2010 2695-0004
ITEM DESCRIPTION QTY RATE AMOUNT
Consulting Consulting Services for Project Management Master 50 82.00 4,100.00
Services Planning Scheduling for Carmel PAC during the periods of
6/4/2010 and 6111/2010
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Thank you for your business! Subtotal 4.100.00
0% TAX
Total 4,100.00
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APP-11C4TxJN AND CERT FOR PAYMENT mA DOCUMENT sro PAGE ONE or u pAoso
TO. Shiel Sexton PROJECT: Carmel Performing Arts Center APPLICATION NO: 0025
902 North Capital
Indianapolis, IN 46204
PERIOD TO: 5JI712010-612012010
VIA (ARCHITECT):
FROM: Safety Management Group
6500 Technology Center Drive, Suite 200 JOB* Contract #2695-0004
Indianapolis, IN 46278
CONTRACTFOR: Safety Services CONTRACT DATE May 30, 2008
Application is made for Payment, as shown below, in ccnne with the Contract.
CONTRACTOR'S APPLICATION FOR PAYMENT Continuation Sheet, AIA Document G703, is attached.
TOTAL 30.00 $020 (Column G on 13703
Number Date Approved a. 10 of Completed Work 0.00
2 b. 0 of Stored Material S
3 (Column F on G703)
Total Retainage (Line 5a 5b OF
The undersigned Contractor certifies that to the best of the Contraclor's knowledge, (Line 4 less Line 5 Total)
information and berief the Work covered by this Apprioation for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR
completed in a=rdance with the Contract Documents, that all amounts have been PAYMENT (Line 6 from prior Certificate) 0.00
issued and payments received from the Owner, and that current payment shown 9. BALANCE TO FINISH, PLUS RETAINAGE S TD83.45
herein is now due. (Line 3 less Line 6)
State of. Indiana County of. Johnson
C ONTRACTOR: Subscribed and sworn to before me this day of 2007.
Notary Public:
By: Date: My Commission Expires
In accordance with the Contract Documents, based on on-site observations and the (Attach explanation if amount certified differs from the amount applied for.)
data comprising the above application', the Architect certified to the Owner that to the ARCHITECT:
best of the Architects knowledge. information and belief the Work has prograssLd as By: Date:
indicated, the quality of the WoA is in accordance with the Contract Documents. and This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
the Contractor is entitled to payment of ths AMOUNT CERTIFIED. Contractor named herein. Issuance, payment and acceptance of payment are without
prejudice to any rights of the Ownez or Contractor under this Contract.
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APPLICATION NO: oozo
Safety Management on,vp APPLICATION DATE: eo21e010
psmoorn snnoo1o'amo12on
WORK COMPLETED TOTAL BUDGET
DIVISION OF WORK Orfglnal Revis ad TOTAL PREVIOUS THIS STORED COMPLETED RETENTION BALANCE
SCHEDULED SCHEDULED SCHEDULED APPLICATION PERIOD MATERIAL &STORED COMP TO
VALUE VALUE VALUE TO DATE COMPLETE
1
Purchase Invoice Invoice. Invoice Payment
rder Number D ems— NurnI A "1 Due Daie r
06 /05 /10 26309793 5106.73 07/01/10
Nature Of Service: Monthly Billing, Customer Number:
01300 104117053
Business /Account Name:
C u rrent Charg SH1LL SEXTON
07IO1L10 07731/10 Service Address:
Recurring Service 777 3rd Ave SW
Amount: $106,73' TAx: $0.00 $106:7.3
Carmel, In 46032
Total BalanCe:Due $106.73,
Billing Questions: (888) 238 -2455
Drd you lcrrcw C ailuru to tnt'1 "d your tnvo>ce could cause a delay Sales/Relocation: (800) 238 -7887
an p °rU :ceSSing Your payment
Monitot•ing /Service :(500) 238-2727
ADT Tax T]) Number: 58- 1814102
L)on't >FOrget,tn [nt Udc the I'ollti_rvrog Wttlt !:our Payrneri.[ Born to Read Your Bill:
`Custo'rrter Nutnlier. http: /www.adt,comfbillinfo
'e lYurnlber
Invotc
ft's fast and even more
i mportant -it's easy! You can
save time and money
paying your bill. Please see
the back of your invoice to see
how you can setup your
account for automatic
payments using your bank i
4 account!
Visit www.ADT.com for up -to -date
security services information for your
business.
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Irate Fee Policy A late fee cif 1 5% {or highest rats perrmtted`hy law; tf To pay this invoice and /or future
Tess} per tt7ontti wt,ll lie assessed cfn :!thw unpaad Total Balance due v�hen recurring Invoices by credit card,
tx ore .than 30 clays past due follow the instructions on the
back of this invoice,
TEST YOUR ALARM SYSTE:�4 MONTHLY TO CONFIRM YpUR SYSTEM IS OPERATIONAL Page t of 1
Payment Coupon
Please detach and enclose this coupon with your payment. Do not Invoice Number: 26309793
send cash. Please write your customer number on your check or Invoice Date: 06/05/10
money order and make payable to: ADT Security Services. Customer N u mb er: 01.300 104117053
Due Date: 07701; 10
If you wan[ to pay by credit card or make any changes to your billing or
service account information, please check here and enter the new
information on the back of this invoice. Please Pay 1 06.73
This Amount
21470 3 AT 0.357 0021470 51 182 Amount
Enclosed:
#BWNKFYG To ensure timely, accurate application to your account,
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035071 PLEASE INCLUDE THIS STUB.
SHIEL SEXTON V MAIL PAYMENT TO
ATTN:A000UNTING
902 N CAPITOL AVE ADT SECURITY SERVICES INN,
INDIANAPOLIS IN 46204 -1005 P.O. BOX 371967
Illll�lJllllll 'I111E'1'111111' "11111 i1, 1111Jllllll.,.L.. PITTSBURGH, PA 15250 -7967 i
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ACCTS PAYABLE JOB 02MS Account Number 311575-8464 376 8
902 N CAPITOLAVE Billing Date May 25, 2010
INDIANAPOLIS, IN 46204 -1005
Web Site attxom at&t _r Invoice Hmnher 31757584 &405
Monthly Statement
Apr 26 May 25, 2010
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P�evrnlJS Brl1 17. 3 y Promotions and Discounts
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Payment Recel /e&5 10 Thank Youl 1,11 11 CR:. No Description
1 Discount for Term Volume Discount Plan fot
Adlustrri is QO Bill Period May 25, 2010 1.50CR
Balance p0
Morribl Service May 25 thin Jun 24
Monthly nthly Charges 3555
Gutrent Charges .1';11 05
Surcharges and Other Fees
Total Amount Due $111.05 9-1-1 Emergency System
Billed for Hamilton County 2.00
Federal Universal Service Fee .85
dmaupt que rn Fii11 Soy Jun 14 2Q1Q kN Universal Service Surcharge 11
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IN Utility Receipt Surrharge .49
Telecommunications Relay Service .03
Total Surcharges and Other Fees 3.48
Taxes
Questions? Visit att.com Federal a[3% 1.03
State at 7% 2.49
Plans and Services 41 Total Taxes 3.52
1- 800 480 -BOB8
Total Plans and Services 41.06
Repair Service:
1 -800- 727 -2273
AT&T Internet Services G9.99
1 -877 -722 -3755
Total of Current Charges 111.05 For Billing inquiries
High Speed Internet {USLI: 1.800.660.3900
Web Hosting 1.88&932,4678
Tech Support360: 1.817.888.7360
AT &T Yaho❑l Web Hosting: 1.866.722.9932
AT &T Wi -F contact information located at attwifi.com.
Itemized Charges and Credits
No. Dat Description
8646.4.175.58459 1 AV 0.335
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SHIEL SEXTON
ACCTS PAYABLE JOB 92695
902 N CAPITOL AVE
INDIANAPOLIS IN 46204.1005
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Cannel Ink Toner Invoice
106 W Carmel Drive
Date Invoice ff
Carmel, FN 46032
6115/2010 2986
Bill To Ship To
Sheil Sexton
Performing Arts Studio
902 N, Capitol Ave
Indianapolis. IN 46204
P.O- Number Terms Rep Ship Via FOR Project
net 30 days NIM 6/1512010
Quantity Item Code Description Price Each Amount
2 $15-98 Refill COL.- Color ReflFed Ink Cartridge dhp 38 yellow 13.98 31.961
I S15.98 Ref llCOL.- Color Refilled Ink Cartridge Wlip 88 cyan 15.98 15981'
1 $15,93 Refill COL Color Refilled fuk Cartridge Shp 83 magenta 15.98 15.981"
1 9,99 Bk Ink Refill 999 BK Ink Refill PROMO (excludes HP 88bk xl) Noce 9,99 9.99T
Cartridge 4hp 88 black
Indiana Sales Tax 7,00% 5.17
Total $79-09
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Docunet Online, Inc. Invoice
10019 Windward Pass
Fishers, Indiana 46037
317-435-4681
Bill To:
Shiel Sexton Company
attn: Linda
902 N. Capitol Ave
Indianapolis, Indiana 46204
Date Invoice No. P.O. Number Terms Date Project
06/09/10 113 Net 30 07109110
Item Descripti Amount
M Service Agreement Monthly Docunet Service Fee Carmel Performing Arts Cnter June 250.00
Thank You Total $250.00
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902 N CAPITOL AVENUE
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CCOUNT NUIOSER
Louisville, KY 40285-6680 A 0121103790 PAY BY
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INVOICE NUMBER 06/28/10
BILLING DATE 308.17
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ARVICES
Secondary Account: 9900 655877 1 Statement pate: 0610211 D Page: 3 of 3
Current invoice Details
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Mail Payrnents to: LOWB'S
P.O. BOX 530954
ATLANTA, GA 30353 -0954
JIM WENZLER Date a( Sale: 95127110
Account 9900655817 1 invoice: 902633
Store /City: 15251 CARMEL, IN P.O. [JOB: 2695
Buyer: WENZLER JIM
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000000000068056 100' 12/3 SJTIN YELLOW CRD 9.00 EA 64.97 584.73
000000000082455 100'1 N YELLOW TRIPLE TA 3.00 EA 54.97 164.91
D00000000076330 11" BLK CABLE TIES 100CT( 1.D0 AA 10.46 10.46 j
000000000022273 ,31890 VINYL TUBING PER 100.00 LF 032 32.00
000000000022273 .318 "V,1NYL TUBING PER 100.00 LF 0.32 32.00
000000000131091 y CRIMP COUPLING 3.00 EA 1.78 5.34
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Invoice
6971 Hillsdale Ct.
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Indianapolis, IN 46250 Date I nvoice
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voice do
5/31/2010 3149
AVAYA
A ccount
Customer
Spiel Sexton 0-05ShoreTel
A'M'N: Accounting
Authorized Reseller
902 N. Capitol Avenue
Indianapolis, In 46204 P. No,
Terms
Ne[60
Description Qty Unit Cost Extended Total
LuniiNET Customer Support ?Ian (I YR Comprehensive) annual 1 1,865-71 1,865.7
renewal
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Thank y ou for the opportunity to serve you! Subtotal S1,865.7-
Sales Tax (7.0%)
Total $1,865,7
Payments/Credits S0.01
Signature Balance Due
$1,865.7:
Shipping Handling charges to be invoiced separately.
Finance charges wil be applied the day after the invoice due date (18% APR).
Office 317.806.2200 Fax 317.806.2210 www.GoLumiNET.com
Q 1200 Swedesford Road Remittance Section
Berwyn, PA 19312
Customer Number. 243159- 683878
ModSRw Invoice Number: 105435433
Invoice Due Date: 06/19/2010
INVOICE Address Service Requested Total Due; 52,039.55
Amount Remitted:
Use enclosed envelope and make payable to:
6332002978 PRESOR7 MAA➢ P1 C14 <03>
2178 1 MB 0.382
1. I31I1I1111111INifin1111111 1 1111111111111111 Modular Space Corporation
SHIEL SEXTON 12603 Collections Center Drive
LYNDA WEAVER Chicago, IL 60693 -0126
902 N CAPITOL AVE ����ii�r�nn�� +���n1.1.H.1111nn��u�u��
INDIANAPOLIS IN 46204 -1005
0 00 0 203955002431591411054354331
Keep lower portion for your records Pleaso rerum upper portion with your payment
Customer Name: SHIEL SEXTON Invoice Number: 105435433
Awspaw Customer Number: 243159 683878 Total Due: $2,039.55
Invoice Date: 06/09/2010 Tax ID: 54- 1375284
INVOICE Invoice Due Date: 06/19/2010
Important Messages
Thank You for Your Business
Get a j
complete Whether it's a mobile office storage container or a custom design building, ModSpace has a large
selection of sizes floor plans in stock, ready for quick delivery and installation.
office
set -up in You can rely on us for one stop shoppincl for all your space needs! We can supply steps, ramps, furniture,
security and insurance for your work site. Ask about our "complete office set up in 1 day" offer.......
866 -322 -0120 or vist our website at www.modspace.com
See reverse side for "How to Read Your Invoice" information
SG lf3 0. S w i g
Lease Number: 390024 PO Number. TBD 0512112010- 06/20/2010 $1,750.00
Job:
Contact: Doug Adams
Location: Carmel Performing Arts Center CARMEL
,IN 46033
Unit(s) :602407 12 X 72 31517
Unit(s):602408 12 X 72 31518
Unit(s):602409 12 X 72 31519
Unit(s):602410 12 X 72 31520
Un!t(s):602411 12 X 72 31521 0
4 STEPS 05/21/2010 -06 /20 12010 $80.00
Pre -Tax Sub Total $1,830_00
REIMBURSEMENT OF PROPERTY TAX $76.10
IN- State Tax 7% $133.45
Lease Total \y
$2,039.55
Invoice Total $2,039.55
PLEASE PAY THIS AMOUNT $2,039.55
page i of 2
i
ORIGINAL INVOICE 10000
OlfcL )epoi.lnc
Office
Po Box69n813 THANKS FOR YOUR ORDER
CINCINNATI OH IF YOU HAVE ANY QUESTIONS
DEPOT 45263 -0813 OR PROBLEMS. JUST CALL US
FOR CUSTOMER SERVICE ORDER: (888) 263 -3423
FOR ACCOUNT: (800) 721 -6592
FEDERAL ID:59- Z663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER
519871054001 79.05 Page 1 of 1
INVOICE DATE TERMS PAYMENT DUE
21- MAY -10 Net 30 26- JUN -10
BILL TO: SHIP TO:
o ATTN:A000UNTS PAYABLE
2 SHIEL SEXTON CO INC SHIEL SEXTON CONSTR OFFICE
g 902 N CAPITOL AVE ATTN DOUG ADAMS
INDIANAPOLIS IN 46204 -1005 777 3RD AVE SW
o
S E o o CARMEL IN 46032
I�I1111111l 111diii III III III III Ilu1llnl 111111rtn1liltII 111
ACCOUNT NUMBER PO JOB SNIP TO ID ORDER NUMBER IORDER DATE SHIPP DATE
3597391$ 2695 CARMELPAC 519871054001 20- MAY -10 21- MAY -10
BIL LING IO ACCOUNT MANAGER RELEASE ORDERED BY Ic C EN T ER
162198 GEOFF PRATT 01204
CATALOG ITEM H/ DESCRIPTION/ U/M QTY OTY QTY UNIT EXTENDED
MANUF CODE CUSTOMER ITEM If TAX ORD SHP B/0 PRICE PRICE
535704 POUCH,LAMINATING,LI=TTER PK 5 5 0 4.900 24.50
58003 535704 Y
215581 PEN, UNI -BALL, VISION,EXT,FN DZ 2 2 0 24.690 49.38
60635 215561 Y
230463 FURNITURE SELL SHEET EA 1 1 0 0,000 0.00
230463 0230463 Y
230796 Expo Washable EA 1 1 0 0.000 0.00
230796 0230796 Y
754029 ENERGIZER OFFER EA 1 1 0 0000 0.00
754029 0754029 Y
n
0
r+
0
N
O
SUB -TOTAL 73.88
DELIVERY 0.00
SALES TAX 5.17
All amounts are based on USD currency TOTAL 79.05
to return supplies, please repack in original box and insert our packing list, or copy of this 'invoice. please note problem se we may issue credit or
replacement, whichever you prefer. Please do not ship collect. Please do not return furniture or oachines until you catl us first for instrualiens. Shortage
or damage must be reported within 5 days after delivery.
L DETACH HERE A
CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE INVOICE AMOUNT ENCLOSED
DATE AMOUNT
SHIEL SEXTON CO INC 162198 519871054001 21- MAY -10 79.05
FLO 001621986 5198710540011 00000007905 1 8 I
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.
005012. 000300 00007100009
ORIGINAL INVOICE 10000
O ffice P B Depot, Inc
PO BOX 630813 THANKS FOR YOUR ORDER
CINCI CALL U OH I F YOU HAVE ANY flUS
DEPOT 45263-0813 OR PROBLEMS. JUST CALL US
FOR CUSTOMER SERVICE ORDER: (888) 263 -3423
FOR ACCOUNT: (800) 721 -659Z
FEDERAL ID: 59. 2663954 INVOICE NUMBER AMOUNT DUE PAGE NUMBER
521216035001 34.07 Pag 1 of 1
INVOICE DATE TERMS PAYMENT DUE
03- JUN -10 Net 30 09- JUL -10
BILL TO: SHIP TO:
ATTN:ACCOUNTS PAYABLE SHIEL SEXTON CONSTR OFFICE
N SHIEL SEXTON CO INC
g 902 N CAPITOL AVE ATTN DOUG ADAMS
N INDIANAPOLIS IN 46204- 1005 co 777 3RD AVE SW
g CARMEL IN 46032
0
LL. 1. If�t��IIIII��IIIIILtrllll� ,tll���li�lJl�ta�llltlllll
ACCOUN NUMBER 0/JOB V SHIP TO ID ORDER NUMBER iORDER DATE SHIPPED DATE
35973913 2695 CARMELPAC l 02- JUN -10 03- JUN -10
BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP ICOST CENTER
162198 1 1 GEOFF PRATT 101204
CATALOG ITEM N/ DESCRIPTION/ U/M QTY I QTY I CITY UNIT EXTENDED
MANUF CODE CUSTOMER ITEM H TAX ORD SHP B/O PRICE PRICE
485985 HAND EA 16 16 0 1.990 m� Y 31.84
809 485985 Y
M
m
N
n
n
0
N
c
0
0
SUB -TOTAL 31.84
DELIVERY 0.00
SALES TAX 2.23
Ail amounts are based on USD currency TOTAL 34.07
To return supptias, pLease repack in original box and insert our r packing List, or copy of this invoice. Please note prabtem so ve may issue credit or
ropLacament, whichever you prefer Phase do not ship ceLtect.PLease do not return furniture or machines until you colt us first for instructions Shortage
or damage oust be reported within 5 days after de Livery.
DETACH HERE
CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE INVOICE AMOUNT ENCLOSED
DATE AMOUNT
SHIEL SEXTON CO INC 162198 521216035001 03- JUN -10 34.07
FLO 001621986 5212160350019 00000003407 1 2
Please OFFICE DEPOT Please return this stub with your payment to
Send Your PO Box 633211 ensure prompt credit to your account.
CheGklO: Cincinnati OH 45263 3211
Please DO NOT staple or fold. Thaiik You.
nnnnarinnl n
ORIGINAL INVOICE looaa
c Office Depot, Inc
PO BOX 630813 THANKS FOR YOUR ORDER.
CINCINNATI OH IF YOU HAVE ANY QUESTIONS
DEPOPT 45263 -0813 DR PROBLEMS. JUST CALL US
FOR CUSTOMER SERVICE ORDER: (888) 263 -3423
FOR ACCOUNT: 0800) 721 -6592
FEDERAL ID: 59- 2 6639 5 4 INVOICE NUMBE AMOUNT DUE PAGE NUMBER
521216117001 15.26 Page 1 of 1
INVOICE DATE TERMS PAYMENT DUE
03- JUN -10 Net 30 09- JUL -10
BILL TO: SHIP TO:
ATTN:A000UNTS PAYABLE
SHIEL SEXTON CO INC SHIEL SEXTON CONSTR OFFICE
S 902 N CAPITOL AVE ATTN DOUG ADAMS
INDIANAPOLIS. IN 46204 -1005 777 3RD AVE SW
N
S o CARMEL IN 46032
ACCOUNT NUMBER PO JOB Y SHIP TO ID ORDER NUMBER ORDER DATE SHIPPED DATE
35973913 2695 CARMELPAC If 21216117001 02- JUN -10 03- JUN -10
BILL ID ACCOUNT MANAGERI RELEASE ORDERED B Y IDESKTOP COST CENTER
162198 GEOFF PRATT 101204
CATALOG ITEM b/ DESCRIPTION/ U/M QTY QTY QTY UNIT) EXTENDED
MANUF CODE CUSTOMER ITEM n TAX ORD SHP 8/0 PRICE PRICE
790761 PEN, RETRACT, G-2, 8 K, FN DZ 1 1 0 14.260 14.26
31020 790761 Y
753903 GROW GREENER SMB EA 1 1 0 0.000 0.00
753903 0753903 Y
230715 Biodegradable /Rcyoed Pen S EA 1 1 0 0.000 0.00
230715 0230715 Y
828027 CBS LARGE CATALOG 2010 L EA 1 1 0 0A00 0.00
828027 0828027 Y
i
V
0
O
N
Q
O
a
I
SUB -TOTAL 14.26
DELIVERY 0.00
SALES TAX 1.00
All amounts are based on USD currency TOTAL 15.26
To return supplies, please repack in original boR 8nd insert our packing tilt, or copy of this invoice. Please note problem so we may issue credit or
replacement, uhi Chever you prefer. Please do not ship rollecr. Please do not return furniture or machines until you call us first for instructions. Shortage
or damage Rust be reported within 5 days after delivery.
A DETACH HERE AL
CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE INVOICE AMOUNT ENCLOSED
DATE AMOUNT
SHIEL SEXTON CO INC 162198 521216117001 03- JUN -10 15.26
FLO 00/621986 5212161170010 00000001526 1 7
i
Please OFFICE DEPOT Please return this stub with your payment to
Send Your PO Box 633211
CIICCI: to:
Cincinnati OH 45263 3211 en SUiBpIOIUpICredl[t0y0UIaGC0Ut1t-
Please DO NOT staple or Fold. Thank You.
i
00005/00010
ORIGINAL INVOICE 1p000
rice Office Inc
P0, BOX X 630 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
521216119001 33.16 Page 1 of 1
INVOICE DATE TERMS PAYMENT DUE
03- JUN -10 NO 30 09- JUL -10
BILL TO: SHIP TO:
ATTN:A000UNTS PAYABLE
51iIEL SEXTON CO INC SHIEL SEXTON CONSTR OFFICE
g 902 N CAPITOL AVE ATTN DOUG ADAMS
o INDIANAPOLIS IN 46204 -1005 777 3RD AVE 5W
o CARMEL IN 46032
IrLJrl r IJllrrrllltLl�IlILrrllrrrrLlJL�r�rlll�llrrl
ACCOUNT NUMBER PO JOB d SHIP TO Ip ORDER NUMBER ORDER DATE SHIPPED DATE
35973913 2695 CARMELPAC 521216119001 02- JUN -10 03- JUN -10 j
BILLING ID ACCOUNT MANAGER RELEASE ORDERED BY DESKTOP COST CEN ER
162198 GEOFF PRATT 01204
CATALOG ITEM dl DESCRIPTION/ U/M QTY QTY QTY UNIT EXTENDED
MANUF GODS CUSTOMER ITEM TAX ORD SHP B/0 PRICE PRICE
486615 TOVVEL,ROLL,I2CA,NATURAL CA 1 1 0 30.990 30.99 i
1725A1 468815 Y
i
j
i
i
n
t
V
N
q
I
O
r I
SUB -TOTAL 30.99
DELIVERY 0.00
i
SALES TAX 2.17
All amounts are based on USD currency TOTAL 33.16
To return suppLies, pteese repack in oriVinaL box and insert our packing list, or copy of thiC invoice. Please note problem so we may issue credit or
rep la eea><'n t, whichever you prefer. Please f o net shin collect. Please do not return furniture or machines until you call us firs[ for instructions. Shortage or damage wst be reported within 5 days after delivery.
A, DETACH HERE A
CUSTOMER NAME BILLING ID INVOICE NUMBER INVOICE 'INVOICE AMOUNT ENCLOSED
DATE AMOUNT
SHIEL SEXTON CO INC 162198 521216119001 03- JUN -10 33 -16
i
i
FLO 001621986 5212161190018 00000003316, 1 6
I
I
Please oFFlce DEPOT Please return IWS Stub with your payment to
Send Your Po Box 633211 your account,
ensure tom t credit to: Cincinnati ON 45263 -3211 P y
Please DO NOT staple or fold. Thank You.
i
004205- 000283 00006!00010
aDJNl ald�rry� e
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unt e account
$alanc 61952158
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i
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*Whon you pro, e a check as payment, you authorize us either to use the informztion
A LA HM E C l from your check la make a one -time electronic fund transfer from your account or to
process the payment as a check transaction.ux1
--ACCOUNT 011E CATE.: AMOUNT -DUE LNOUNT PAID
[nG7 W� rn al7rnkcks:cvre sv rnGncs-
JOU° 0194 009. 07- 0610 :.._.929267::88.
1000194009
MAIL. PAYMENT TO:
Forquestiens or account
inkormation: P.O. BOX 740587
WRITE TO: CINCINNATI, OH 45274 -0587
Speedway SuperAmerka LLC
ATTN: Crvdlt Customer Service
P.O. Boy. 1590 SHIEL SEXTON INC
Springfield, CH 45501 902 N CAPITOL AVE STREET ACORESS
CALL:* 1.800.428-4016
FAX: 19371 -3ss4-3091 INDIANAPOLIS IN 46204 -1005 CITY STATE ZIP
E -mall: 3s3credltcard@3aalkcom IiInI�Ilnultllltrnlnllnlllltttllt
Af4FA COLE I aHONE NUMBER
TAX ID: 31-1551430 Complete above ONLY it address has changed,
For overnight payments:
Speedway SuperAmerkca LLC
CreditSwvices 970001940096002926788
500 Speedway Drive 1
Enon, OH 45$23
Pay online wwwApeedway.COM 1
Pay by phone: 1 066.731 -1345 PLEASE. rclude cur accounr number on all checks Icorres ond8nces.
TRANS REFERENCE TIME CARD' DESCRIPTION OF TRANSACTION AMOUNT
DATE NUMBER. NUMBER
i
05 14 L0135 53 380359 3:48:13 0206 IMPC 114140 3000 US HWY 41 S TERRE HAUTE Ik $35.33
05 -14 10135 50 322103 1:16:18 0208 9MPC 114140 3000 US HWY 41 S TERR£ HAUTE IN 538.87
05 -22 0143 53 001024 11:58:20 0208 MPC 001040 12512 E 116TH STREET FISHERS IN $49.29 i
05 -24 L0145 50 213442 3:24:01 0208 MPC 099564 1333 N KENNEDY BLVD VANDALIA IL $32.73 t
OS-24 10144 52 017110 I 1t8:50:22 0208 STR 5514 6050 CAMBRIDGE WAY PLAINFIELD IN $34.09
05 30 1,0151 53 014059'09:35:02 0208 MPC 007674 5964 W PENOLETON PIKE MCCOROSVILLE IN 945.43
06 -04 10156 53 353758 15:23:331 0208 MPC 114058 922 N DELAWARE ST INDIANAPOLIS IN $48.36
TOTAL FOR CHG TO I0 3769 5334.55
TOTAL FOR DRIVER DAN SMITH $334.55
05 -29 0150 53 106216 5:00:53 0138 MPC 062968 990 S STATE STREET GREENFIELD IN $37.99
TOTAL FOR CHG TO ID 3643 537.99
05-09 0130 53 131525 2:46:59 0138 MPC 078444 7851 OLD TROY PIKE HUBER HEIGHTS OH $38.73
05 -17 0138 53 016653 07:22.24 0138 MPC 007674 5964 W PENDLETON PIKE MCCORDSVILLE IN $36.73
05-21 :0141 52 032274 07:59:38 0138 PIL 006093 2640 NORTH 600 WEST GREENFIELD IN 540.62
TOTAL FOR CHG TO ID 3718 $116.08
TOTAL FOR DRIVER DARYL COLEMAN 9154.07
05 -20 0140 52 017664 9:52:06 0123 STR 6066 8895 E 116TH ST FISHERS IN 549.66
TOTAL FOR CHG TO ID 2695 �4.1 5k9 66'
:s
TOTAL FOR DRIVER DAVE BURCHARD 949.66
05-10 0129 52 014960 05:25:08 0021 STR 1302 1618 N LEBANON LEBANON IN $36.88
05 -13 0133 52 018336 4:37:58 0021 STR 6368 2053 S SHELBY INDIANAPOLIS IN $40.30
05 -20 0139 52 083799 5:54:29 0021 STR 6368 2053 S SHELBY INDIANAPOLIS IN 544.70
05-26 L014S 52 034495 5:36:02 0021 STR 1302 1618 N LEBANON LEBANON IN 1,41.60
06 -04 0154 52 033358 05:24:22 8021 STR 1302 1618 N LEBANON LEBANON IN 537.76
TOTAL FOR CHG TO ID 3573 9201.24
ACCOUNTNUMBER STATEMENT PREVIOUS. PAYMENTS! CHARGES/ FINANCE NEW
CLOSING DATE BALANCE'. CREDITS AD.1 CHARGE BALANCE
ro rvnm +ootrtaxu rr °wer
Y•T•D ANNUAL MONTHLY AVERAGE CAILY
CREDIT AVAILABLE FINANCE PERCENTAGE PEREOOIC BALANCE SUBJECT TO °cr. o..er 4c KW PAGE
LIMIT CREDIT CHARGE RATE INTE=REST RATE FINANCE CHARGE OF
i outV )ATE 6 NOUN s raaa 631
KEEP THIS PART
FOR YOUR RECORDS
Speedway Supe,Am i- LLC QL04 OJ12007 I
NOTICE: SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL INFORMATION
r— 7dn1 -R R•.. Fm5 f
I
peedway Speedway SuperAmerica LLC
*When you provide n chock as oaymo t, you nuthori$e us either to use the information
SUPS RAM RICA, from your check to mates a one -time electronic fund transfer from your account or to
process the p as a check transaction.*
i
ACCOUNT NUMBER OUECATE' AMOUNT E AMOUNTPPJ0
100..0194 009 '.:...07- 06. -10 $2926.7':88
1000194009 MAIL PAYMENT TO:
For questions or occcunt
information: P.O. BOX 740587
WRITS TO: CINCINNATI, OH 45274 -0587
Speedway SuperAmerica LLC
ATTN: Credit Customer Service
P.O. Box 1590 SHIEL SEXTON INC
Springfield, OR 44501 902 N CAPITOL AVE STRELtADORESS
CALL: 1- 800.4284016
FAX: (937) 9"3091 INDIANAPOLIS IN 46204 -1005 r4TY STATE zlP
E•mall:3s.iomdhcard @ssanc.eom 1311d III IIntIt1111111111
AREA LODE PHONE NUMBER
TAX ID: 31 1551410 Complete above ONLY n address has changed,
For cve might puy menu:
Speedway SuperAmerica LLC
CredItServkes 91100011940096002926788
500 Speedway Drive
Enon, OH 45325
Pay online wwwspoedway.com L
Pay by phone: l $66711-1345 PLEASE include y0Ur,1CCQUnT number on all chocks /come. cndenees.
TRANS REFERENCE TIME CARD' DESCRIPTION OF TRANSACTION AMOUNT
DATE NUMBER NUMBER
TOTAL FOR DRIVER DAVE FARRIS $201.24 s
05-12 L0133 53 113100 4:38:03 0019 HPC 068619 109 JANAY DRIVE MARTINSVILLE IN $40.89
05 -16 10137 53 096284 0:52:34 0019 HPC 068619 109 JANAY DRIVE MARTINSVILLE IN $38.15'
05 -19 0139 52 015222 8;20:22 0019 STR 5387 5555 H 86TH ST INDIANAPOLIS IN
$39.59 i
05 -21 0142 53 124696 F17:07:10 0019 MPC 068619 109 JANAY DRIVE MARTINSVILLE IN $24.64
05 -24 0144 52 016070 3:12:54 0019 STR 5387 5555 W 86Th ST INDIANAPOLIS IN .$36.44
05-27 0148 53 129023 17:11 :Z9 0019 MPC 068619 109 JANAY DRIVE MARTINSVILLE IN $36.84
05-30 0150 52 000830 0:16:40 0019 STR 1327 3021 E 3RD BLOOMINGTON IN 037.04
06 -03 0155 53 116063 7:36:22 0019 MPC 068619 109 JANAY DRIVE MARTINSVILLE IN $15.86 j
06 -05 0157 53 187134 2T1D:05 0019 MPC 090662 560 N STATE ROAD 135 GREENWOOD IN $37.13
i
TOTAL FOR CNG TO ID „?�°'2695x S3p6� 8 a
TOTAL FOR DRIVER DAVE LAWRENCE ^4 $3D6.58 f
05-25 0145 52 017934 9:17:21 0140 STR 6065 1999 E CONNER ST NOBLESVILLE IN $33.11
r
i
TOTAL FOR CHG TO IO 7 533.11
05 -10 0130 52 016224 7:58:15 0140 STR 5468 1032 N RANGELINE RD CARREL IN $64.73
TOTAL FOR CHG TO IO 3072915 $64,73
05 -18 0138 52 031968 2:15:16 0140 PIL 006093 2640 NORTH 600 WEST GREENFIELD IN $61.65
TOTAL FOR CHG TO ID 3700900
$61.65 i
TOTAL FOR DRIVER DAVID LAND €IS9.49 I
05 -10 0130 52 005392 4:2B:43 0136 STR 3352 14041 TRADE CENTER FISHERS IN $63.61
06 -05 0156 52 011070 1:05:31 0136 STR 7329 10005 N MICHIGAN CARREL IN $57,73
TOTAL FOR CHG TO.ID 3553 5121.34
TOTAL FOR DRIVER DENNIS WHITE $121.34
ACCOUNT NUMBER' STATEMENT PREVIOUS' PAYMENTS! CHARGES/ FINANCE NEW
CLOSING DATE BALANCE CREDITS ADJ CHARGE BALAhIC>=
to AVOW laalttaaa�
CREDIT AVAILABLE GIxY NCE
NANO ANNUAL MONTHLY AVERAGE MARY CM IAC PA1'MEYI a, MEY PAGE
FINANCE PERCENTAGE PERIODIC BAALANCE SU&IECT TO '_Mce MUST BE Ircrcvm OF
LIMIT CREDIT CHARGE HATE INTEREST RAT FINANCE CHARGE 7 31
OY INE avE or1E sxoua rEtaY
KEEP THIS PARY
FOR YOUR RECORDS
SPOOtlwaY SUPWAT119rica LLC OW4F dlr20
NOTICE: SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL INFORMATION
.nrm 7An1.R Rnv fJni'.
I
I
�edw Speedway SuperAmerica LLC
***When you Pravi e a check as payment, you authorize us either to use the inform Lion
SUt i�111YlERICA,
from your check to make a one- tima eTactronie fund transfer from your account or o
MA process the payment as a chock transaction.K**
ACCOUNTNUMBE9 DUE..DATE A AMOUNT PAID
[neluds.m 7p chrckilaNTrsoap9anu
0194.009 07= 06- I0..- $29267•:88x-
1090194009 ri MAIL PAYMENT TO:
For questions or account
information: P.D. BOX 740587
WRITETO: CINCINNATI, OH 45274 -0587
Speedway SuperArmarka LLC
ATRN: Credit Customer Service
P,O. Box 1590 SHIEL SEXTON INC
Springtleld, off 45501 902 N CAPITOL AVE STREETAOORESS
FALL: 1-800428 ZIP INDIANAPOLIS IN 46204 -1005 cTf STATE.
FAX: (937) 8643091
E mall; ssacredttcard @ssaRe.corn 1111111 fill 111 all It1I1141It II1 If1 111IIIIllfillI IIIII11 rr
11111111
AREA COOE PH:JNE NL -MBER
TAX ID: 31-15,91430 Complete above OONLY A address has changed
For overnight payments:
Speedway SupwAmerka LLC
Credit Services 910001940096002926788
500 Speedway Orive
Enon, OH 95323 I
Pay onllae www.speedway.com L
Pay by phone: 1-866-731-1345 PI-EASE, include your account number on all Checks /corres ordences
TRANS REFERENCE CARD
TIME DESCRIPTION OF TRANSACTION AMOUNT
DATE NUMBER NUedeEft i
05 -17 0138 53 287858 6:20:16 0862 MPG 114157 7901 N MICHIGAN RD INDIANAPOLIS IN 532.99
05-19 0140 53 317126 1:35:47 0062 MPC 114157 7901 N MICHIGAN RD INDIANAPOLIS IN $32.06
05 -23 1 0145 53 194601 7:41:42 0062 MPC 088211 723 S MAIN STREET MONTICELLO IN $77.87
05 -26 .0147 53 332017 5:09:56 0062 MPC 114157 7901 N MICHIGAN RD INDIANAPOLIS IN 960.07
06 -01 0153 53 129847 6:24:48 0062 MPC 073130 6378 CRANE DR STE 8 WHITESTOWN IN $65.69
06-03 0155 53 190806 6:27:24 0062 HPC 088212 723 S MAIN STREET MONTICELLO IN $56.82
06 -07 0159 53 317644 2:35:07 0062 MPC 114157 7901 N MICHIGAN RD INDIANAPOLIS IN $52.14
TOTAL FOR CHG TO ID 3072 $510.46 i
TOTAL FOR DRIVER MATT MARVIN $510.46
05-14 10134 52 002054 7:25:17 0220 STR 1.316 1390 W OAK ZIONSVILLE IN $53.62
05 21 L0141 52 001967 8:08:46 0220 STR 1316 1390 W OAK ZIONSVILLE IN 543.98
05 -28 L0147 52 036667 6:06:50 0220 STR 5468 1032 N RANOELINE RD CARMEL IN $32.75
06 -06 0157 5Z 000839 1:ZZ:07 0220 STR 1316 1390 W OAK ZIONSVILLE IN 529,93
i
TOTAL FOR CHG TO ID i� 2695 .,e 5 160 26 ;z
TOTAL FOR DRIVER MIKE ANDERSON $160.26
05 -09 0129 52 005847 7:25:01 0121 STR 5014 2945 N SCATTERFIELD RO ANDERSON IN $68.42
05 12 0132 52 012793 1:07:14 0121 STR 5016 3801 S MARTIN LUTHER K ANDERSON IN 963.66
OS -14 0134 52 013268 0:04:17 0121 STR 5016 3801 S MARTIN LUTHER K ANDERSON IN 139.69
05 -18 0138 52 012921 8:36:43 0121 STR 5016 3801 S MARTIN LUTHER K ANDERSON IN $54.08
05 -21 0141 52 012624 7:45:48 0121 STR 5016 3801 S MARTIN LUTHER K ANDERSON IN 958.17
05-24 0144 52 013647 06:41:23 0121 STR 5014 2945 N SCATTERFIELD RD ANDERSON IN 540.88
05-26 0146 52 002460 6:18:55 0121 STR 2331 3803 S SCATTERFIELD RD ANDERSON IN $53.58
05 -29 0149 52 007063 7:08:16 0121 STR 5014 2945 N SCATTERFIELD RD ANDERSON IN $60.37
06 -02 0153 52 012833 3:32 :43 0122 STR 5016 3801 S MARTIN LUTHER K ANDERSON IN $68.81
06-07 0158 52 013275 8:45:58 0121 STR 5014 2945 N SCATTERFIELD RD ANDERSON IN $69.09
TOTAL FOR CHG TO I0 1205 $576.75
TOTAL FOR DRIVER MIKE BAUGH $576.75
05 0141 53 276712 5:36:51 0224 MPC 102947 3301 N MORRISON RD MUNCIE IN 960.40
ACCOUNT NUMBER STATEMENT. PREVIOUS, PAYMENTS! CHARGESt, FINANCE NEW
CLOSING DATE. BALANCE CREDffS {(QJ CHARGE E BALANCE
TO AVOID LDDIIIDRAL rlNANC
CREDIT AVAILABLE Y-T-Q ANNUAL MONTHLY AVERAGE DAILY CR. p.rNERI OF NEN p
FINANCE PERCENTAGE PERIODIC BALANCE SUBJECT To
LIMIT CREDIT CHARGE FINANCE CHARGE 91— l RUST It KECt0Ea OF
RATE INTEREST RATE Iv ME DUE h0E T-00 IEL:R 0 31 i
KEEP TM9 PART
TOR YOUR RECORDS
i
Speedway SuparAmerimLLE: OLOdF 0212007 F.— 3401 -R Re, WO4 NOTICE: SEE REVERSE SIDE FOR IMPORTANT ADDiTiONAL INFORMATION
*N�Nh
peed�ra�y Speedway SuperAmerica LLC
an you provid a check as payment, you authorize us either to use the information
from your check to make a one-time electronic fund transfer from your account or to
.A SU PERAMERICA
process the Payment as a check transaction.***
ACCOUNT iSU ?AcEr7 DUE GATE AMOUNT DUE %•MOUNT PAID
InG1Vde an ail,M CKt /<rrr,aavarr:iancr
0194: 009 07- 06 -.10 52926.7:, 88'
1000194004
MAIL PAYMENT TO:
For questions or account
information: P.O. BOX 740587
WRrrETO: CINCINNATI, OH 45274 -0587
Speedway SuperAmerica LLC
ATTN: Credit Customer Service
P.O. Bolt 1590 SHIEL SEXTON INC
Springfield, ON 45501 902 N CAPITOL AVE STREETADDRESS
CALL: 1. 800.428.4016
FAX: (937)•864.3091 INDIANAPOLIS IN 46204 -1005 GTY STATE ZIP
E•ma0:ssacredltcard @ssallc.com fill 111111n1111i 11111111 111 1tt111111n111t111t11111i11,11111
AREA CODE r PHONE NUTABEii
TAX ID: 31-1551430 Complete above ONLY d adoress has changed.
For overnight payments:
Speedway SuperAmerica LLC
Credit Services 910001940096002926788
500 Speedway Drive
Enon, ON 45323
Pay online www.speadv".com L
Pay by phone: 1-866-731-1345
PI include your account number on all checks /correspondences i
TRANS .REFERENCE CARD
TIME.. DESCRIPTION OF TRANSACTION AMOUNT
DATE NUMBER NUMBER
06 -01 10152 52 018235 1 7:09:50 0033 STR 6106 3540 N 30TH ST INDIANAPOLIS IN 545.03
i
TOTAL FOR CHG TO ID 3593 $229.24
i
TOTAL FOR DRIVER TODD ANDERSON $229.24
05 21 0141 52 014653 3:00:52 0124 'STR 5334 4960 E 56TH INDIANAPOLIS IN $72,72
05 0148 52 008470 09:43:24 0224 STR 3993 6741 E 82ND ST INDIANAPOLIS IN $27.68
06-01 '9152 52 018393 7:28:15 0124 STR 6120 401 KENTUCKY AVE INDIANAPOLIS IN $67.32
TOTAL FOR CHG TO ID 2560 $167.72
I
TOTAL FOR DRIVER TOM SCHEELE $167.72
05 -26 0146 52 002207 7:14:33 0128 STR 1316 1390 N OAK ZIONSVILLE IN $52.08 i
i
i
TOTAL FOR CHG TO ID 3633 $52.08
I"
TOTAL FOR DRIVER TOMMY HUTSELL $52.08
I
05 -11 0131 52 030723 7:37:23 0155 PIL 006093 2640 NORTH 600 NEST GREENFIELD IN $70.14
05 -14 0134 52 017190 3:59:13 0155 STR 5556 719 N MORGAN SPENCER IN $72.19
05 -20 0141 53 333001 8:47:20 0155 MPC 113951 1708 E 116TH ST CARMEL IN $64.35
05 -26 0146 52 034785 21:39:14 0155 PIL 006093 2640 NORTH 600 NEST GREENFIELD IN $71.11
i
TOTAL FOR CIIG TO ID zs 2695 F 5277, 79
TOTAL FOR DRIVER TONY EISENHUT $277.79
05 -24 0144 52 013639 3:35 :12 0165 STR 5011 8046 S MERIDIAN INDIANAPOLIS IN $55.00
05 -29 0149 52 D11976 0:53:10 0 STR 7770 4619 S KENTUCKY AVE INDIANAPOLIS IN $15.00
05 -31 0151 52 009379 0:57:14 0165 STR 7770 4610 S KENTUCKY AVE INDIANAPOLIS IN $29.00
05 -31 0151 52 009387 1:15:13 0165 STR 7770 4610 S KENTUCKY AVE INDIANAPOLIS IN 0.34
05-31 0151 52 009388 1:16:37 0165 STR 7770 4610 S KENTUCKY AVE INDIANAPOLIS IN 152.00
06 -03 0154 52 017217 0:20:21 0165 STR 6066 8895 E 116TH ST FISHERS IN $28.00
TOTAL FOR CHG TO ID 3242 $179.34
ACCOUNT NUMBER STATEMENT PREVIOUS PAYMENTSI CHARGESI FINANCE NEW
I CLOSING DATE BALANCE CREDITS- ADJ CHARGE BALANCE
ANNUAL MONTHLY AVERAGE DAILY n dv d99[nawu ,r1,wc
CREDIT Y'T•0 aLt DIYaEN1 ar VEV PAGE
LIMIT CREDIT CHARGE PERCENTAGE PERIODIC BALANCE 5u9tECTTO
CHARGE RATE INTEREST RATE FINANCE CHARGE' 11.19 E M31 IE 1ECEIVE9 9Of31
r1 rKE ME WE SWA4 SEL94 j
KEEP THIS PART
FOR YOUR RECORDS
Speedway SuperAmer(ca LLC OLWF dJ2007
NOTICE: SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL INFORMATION
Fr,rm R., fv'eF
�eedw Speedway SuperAmerica LLC
IEI£KWhen you provi e a --heck an payment, you authorize us either to use tho inforrogtion
SUP CDER I A from your check to make a one time sLactronic fund transfer from your account or o
MA C rl PracesS the payment as a check transaction.XNx
ACCOUNT.NUMSER CUED: TE.. AMOUNTDUE� ov+ouNrPA.❑
[nG1sC! -on r:1Gwckvcorrnva�nc•
1.00:= 0194 004 07 06. -10
6
$2427 &8
20001940 09 MAIL PAYMENT TO:
For questions or account
ntormalioo; P.O. BOX 740587
WRITE TO: CINCINNATI, OH 45274 -0587
Speedway SuperAmerlea LLC
ATTN: Crodtt Customer Service
P.O. Box 1590 SHIEL SEXTON INC
Springiteld,OH45501 402 N CAPITOL AVE STREET ADDRESS
CALL. 1- 800.428.Ot116
FAX: (837).864.3091 INDIANAPOLIS IN 46204 -1005 11 CITY STATE ZIP
E-mail: ssacmdltcardQesa1Ic.eom ItIldIIIIt1tll It I t 114 It 11 It 1IIII111 17111 I I 1 I I I'll III II I[III
AREA CODE J PHONE NUMaER
TAX 10: 31 1551430 Complelo above ONLY it address has changed.
For overnol payments:
Speedway SuperAme&a LLC
Credit Services 910001940096002926788
500 Speedway Drive
Enon, ON 45373
.Pay online 0 www.spoedway.com L
Pay by phone: l- 866.731 -1345 PLEASF..include your acca :nt number on all Cnecks /corrag ndenr
TRANS REFERENCE CARD
HATE NUMBER NUMBER
NUMeEH DESCRIPTION OF TRANSACTION AMOUNT
TOTAL FOR DRIVER TONY JULIAN 5179.54
1-
05-11 10131 52 016091 5:54:42 0180 SIR 6092 10471 N US -31 TAYLORSVILLE IN $137.02
05 -11 0131 52 016090 .5:56:57 0180 SIR 6092 10471 N US -31 TAYLORSVILLE IN $21.75
05 -13 0133 52 017088 3 :54:10 0180 STIR 6092 10471 N US -31 TAYLORSVILLE IN $85.00
05 -17 0137 52 016473 2:13:52 0180 STR 6092 10471 N US -31 TAYLORSVILLE IN 5103.86
05-19 0139 52 017086 5:57:28 0180 STR 6092 10471 N US -31 TAYLORSVILLE IN $81.47 j
05-21 0141 52 016830 5:18:53 0180 STR 6092 10471 N US -31 TAYLORSVILLE IN $73.39
05 -21 0141 52 016831 5:25:36 0180 STR 6092 10471 N US -31 TAYLORSVILLE IN 512.70
05 -26 1 0146 52 018247 5:50:35 0180 STR 6092 10471 N US -31 TAYLORSVILLE IN 0112.46
05-26 0146 52 018248 5:59:06 0180 STR 6092 10471 N US -31 TAYLORSVILLE IN 516.07
06-01 0152 52 020609 7:10:12 0180 SIR 7155 7167 S SR-67 PENDLETON IN $130.17
06 -04 D155 52 017493 6:49 :10 0180 STR 6092 10471 N US -31 TAYLORSVILLE IN $94.44
i
TOTAL FOR CHG TO IO 3697 $868.33
TOTAL FOR DRIVER TRAVIS MILLER $868.33
06 -01 0153 53 018226 9:21:50 0278 MPC 007674 5964 W PENDLETON PIKE MCC12RDSVILLE IN $62.17
06 -06 0158 53 015550 9:14:54 0278 MPC 007674 5964 W PENOLETON PIKE MCCORDSVILLE IN 563.07
TOTAL FOR CHG TO IO 2560 5125.24
TOTAL FOR DRIVER TYRON GARRISON $125.24
05 -11 0132 53 292605 2:16:19 0183 MPC 113951 1708 E 116TH ST CARMEL IN 1148.38
05 -27 0147 52 018743 6:49:44 OI83 STR 6095 7103 N HEYSTONE INDIANAPOLIS IN $39.56
TOTAL FOR CHG TO ID 2695' 07�7587 94z
06 -04 0156 53 353347 b:27:34 0183 MPC 113951 1108 E 116TH ST CARMEL IN S38.97
TOTAL FOR CHG TO ID 9999;Y,5.384_T
TOTAL FOR DRIVER WARREN BREWER $126.91
05 17 L0136 52 016363 4:51:05 0206 STR 6368 2053 5 SHELBY INDIANAPOLIS IN $69.25
i
ACCbUNT NUMBER
STATEMENT PREVIOL15'. PAYMENTS! CHARGESI_ FINANCE NEW
CLOSING SATE BALANCE CREDITS AQJ CHARGE BALANCE
I
y.T ANNUAL MONTHLY AVER>OE DAILY o MID w:uwO.l rtx,ac j
CREDIT AVAILABLE g...0 Oel}i OF lE4 PAGE
LIMIT CREDIT FINANCE PERCENTAGE PERIODIC 8'L4NCE SUBJECT TO ar i
CHARGE RATE INTERESTRATE FINANCECHARGE I+U E r5r 9f 1ECE:r£e OOF31
51 ntL %I 6cR tR4M EELO:i
KEEPTH18 PART
FOR YOUR RECORDS
spe6dwpy SuparAmerica LLC OL04F 99!2047
c.,.-. gar _a NOTICE: SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL INFORMATION
P., unc
I
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hivit-Jlce
IT Services
Invoice Date: 6-24-10
Invoice
Number 061.0-2695
Company: Shlel Sexton Company, Inc.
Project:
Project
Number: Carmel-PAC
Summary
Description-
Wireless Phone,
Equipment, IT
Service Amount
181.75
Total
Contact Tim Malarney with questions (317) 423-6111
Shief Sexton IT Group
902 N. Capitol Ave
Indianapolis, IN 46204
Page 3 of 8 Page 4 of 8
NAAY 15, 201 MAY 15, 201
Account Number: 9463 Account Number: 9463
Invoice Number: 03565568 In Number: 03565568
A. BALANCE DUE, PAYMENTS, ADJUSTMENTS
E. INTERNET a DATA
Balance D" From a Previous Stalem6ni 56,344.13 i Locallo I n IQ: 95921 121 CID
Payments Location Narne:-S ELSEXTON
Thankyou Payment Received ($8.344.13) Iocatlon Address: 9400$QVTHERN PINE BLYD, CHARLOTTE. NC. 28273-,-
Total Pamen
A*stmen((s)
Tyoe-Q�Servlc ON Charge From To q Quantity mpun
Internet Transport 100 Mb
Total Adjustment sport 100 Mbps
TOTAL AMOUNT DUE FOR SECTION A In' errel Transport M 0 0 611O 0 1 IM00
C9, 612.00
Litemet Access 10 Mirps C915110 06i-14JIG
(TOTAL Atlon to: 95921
B, INTEGRATED SERVICES BUNDLES
Location 10: 939
Lmallon Q 3097
Localipp, Namem SHIEL SEXTON Location Name; S IEL SEXTON
Location Addmsi M 3RD AVE SW. CARMEL, IN, 003
Location Addrm: 902 H CAPITALVIINDIANAP Q} {S.IN 4620
Typo of Servic OPT Charge From 7 uanti Amotm
Tyl3e AVVIC Charge From A To Quantity Amoun
Voice T 1 Flat 2way 38 05115+10 06114110 1 $518.00 ONE PORT Intra 0 ($200.00)
FLEXCALL SK FM 0- 10K TIER 04115110- W1411,0 $0.00 04)21110- 0-50411
ONE PORT Ingslate loombps 04121110.0-1414110
$176.54
TOTAL Location ID-. 9,3972 6518.0 4:,PWIntrastte 100MbIps.
05115110 1 $220.80
Enterprise SNLAN In fra 10,'Ab 04121110 WI I) (S288.00)
1
W
TOTAL Charges Without Tax For Section 15118.0 Enterpnse SNLANI.I. 3Nbps 0412 0 -05/14/10 t $328.96
Taxes Fees, Sprcharge$
Ewerprdse SNLAN In, Imbps
0515l10. 06114/10 3411.20
Internet TransPort 100 M*
051 $100.00
"b.
Federal Universal Service Fund (USF) Surcharge 1 3.47 Internet Transport 10( ps
05115110. 1 3276.00-
OEAF Tax Surcharge $0.89
Internet Access 2?,Ibps 05115110 06111 4110 1
IN State Utility Receipts Reimbursement Surcharge $6.02 Internal Atcess 25 Nbps 05115110 0611 S1.164.00
I
SW Sales Tax $30.52
State Universal Service Fund (USF) Surcharge 31.72 TOTA Location to: 30975 112.439A
E911 Surcharge $46.00
TOTAL Tax For Sectlon J1 $9842 LocatIon ID: 6660
TOTAL CHARGE=R SECTION 9 EXT N
-L Loeatloelld -1 I IN N..A
NAPOLIS.IN.46202
D. CALL MANAGEMENT Type of Seryle pQy Quant l ilt Amoun
Unlimited VLAH Tag Seirvice Gut!ij
Locatlyn ID: 9397
Location Name; SWL SEXTON TOTAL Lo tion, to: 66603
Locatio A dd ress: 777 3 R D AV E $W. C AIR ME L. IN 4 6 03 2 C
Type of SeM- Charge From To Qugpt) pt A[aoun
Bit Restqcdon 05115110- 06114110 1 $0.00 arre#SHIEL§ XTON
Call 13100ing 05115110. 03x14110 1
KDO Lw�florl Addrew 1746 N HARDINGST. INDIANAPOLISAN. 4620
Individual Telephone Number 05115110- 06114110 49
TOTAL Location 11): 93972 Tv of Servke Charat From To Quantl Amoun
P
ONE PORT Intra tat! 1 CIVIb 04$21110 05!14!10 ($200.00)
TOTAL Charges Witirout Tax For Sectlon 0 ONE PORT larama-10W ps
04)21/10 051141110, $176.64
Taxes, Fee$,Surcharges ONE POR 4 =ast2te 100M; S220.80
FederN Excis I 8 Tax $0.22 E 10Mbps, 04121 0-051141110 1 ($288.00)
IN Stale Utilint Receipts Reimbursement Surcharge $0.10 ;j: E n se S Inlra 30Mbos 04121I10-05114110 1 $328.96
State Universal Service Fund (USF) Surcharge 30.03 E expose Intra 30MIlps 0 5/15110. 06114110
TOTAL Tex For Sectlon 0 TOTAL Location ID: U604 6d9 6
TOTA
Im
TOTAL C HARGES FOR SECTION D
2
Looakn ID: 939
Location Name: SHIE SEXTON
Location Address: 777 3ROAVE SVY, CARMEL, IN, 4603
Tvl3e of SeNIC Charce From T Quantit Amaim
Internet Transport 10 Wbp3 C5/151.0-06/14110 $250.00
Internet Access 6 Mix; C5115)10-06114110 $795.00
TOTAL Location ID: 93972 T 'M�a
[94631 10/0&151 10791365if3l
ACE, 7Z3 i f3
c 124 E'i m 1E L
TYPE,.OF TRANSACTION
DOCUMENT NUMBER
HOUSE TRANSACTION DATE ACCT NUMBER
BILL_ TO.
PAGE
35904709 c c' A5 07 :46:48
U7102 942 1
SHIEL. SEXTON CO INC*** SHIP TO:
ATTN: ACCOUNTING SHIEL SEXTON CO INC
902 N. CAPITOL AVE. A1TN: ACCOUNTING
INDIANAPOLIS IIV +6 902' N. CAPITOL_ AVE.
c04
IINDIANAPOLI S
PURCHASER tc
CASHIER It`I 4 '04
r 0
l`ERMS? SRLESMAt�l
SHIEL SEXTON CO INC* h•IIMI
2 695
QUANTITY
NU
MBER r.
DESCRIPTION
k E UNIT
3176898 ACC FLUOR F401'1` 48 "CWPI;� aMOUNr
.3176898 ACE FLUOR F40T12 4.8 ""CWPIi� 7 990
3 ACE FLUOR F40T1C 48 CWPI;2 990 7 98`
990 98
11.97
i
HOUSE ?9.89
TAXABLE 7. 93
TAX 1 96
i
NON-TAXABLE 00
SUB TOTAL 2 9. 89
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MLLIAM GALE
PHOTOGRAPHY
E. 61 ST ST'
INDIANAPOLIS, IN 46220
2 b
SAS. E 3P C
�Wlvplu
If E siliel Sexton
Co siliel Sexton Co
902 N Capital Av
q02 N C. Av
"dianalpolfis lN 46
Ivl&-e Anderson
ACCOUN i DATE ED S"lPPPn SHWPED V. 'A
co Rp� B wT
Y 7 0 U
A CIRDER NUMSEP
C3
ANT Uays
QU ANT ITY all L 9') 0004
OESCRIPTION
UNt
Arts site 3 6 0. 0 0
J. C010r aerial Dhoto flivhx of CarlIT",pe—do
8/10 w/4x6 prillts& CD
TOTAL
360.0(
INV.
I P.O. $pX 501423 INDIANAPOLIS, a 46250
f gNAPpLlS, !N DATE
I DISPATC
595 -3500
BONDED INSURED COURIER
PICKUP
TIME
NAME SHIPPER
ADDRESS
RECEIVER
1. NAM
P �y
HONE ZIP
ADDRESS —4 -4 df
MODE: I HouH ZIP
PHONE F�",' R �t,>.
z Houns
S AW DAY
CALL 13 Y NOON DY NOON
NEXT DAY N DAY
SPECIAL INSTRUCTIO CALL By NOON C.0 1)
NS:
AMOUNT DUE
THIS INVOICE
WE OPE RATE UNDER CD gy
R I.U.
R.C. GUIDELINES
THANK YOU FOR.US
BECAUSE Y OU CARE
ING B.T.0 LT
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aED
NAME SHlppE CO URIER
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NAM
No DDR ESS t
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E CIAL I c sAMDay E ZIP
NSTRUCrIO ALL p yNDp N BY NOON r I
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DAY DAY I
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INVOICE
CARMEL PRO PRiN,rER Invoice 00030756
303 West Carmel Drive
Carmel, IN 46032 Date: 5/24/2010
317- 844 -9171
Ship Via: Pick Up
Bill To: Shipping Date:
Your Order Verbal, Lynda W.
Shiel- Sexton Company Inc,
902 N. Capitol Ave.
Indianapolis, IN 46204 Ship To:
Shiel- Sexton Company Inc.
902 N. Capitol Ave.
Indianapolis, IN 46204
E
s
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Description Amount
9 sets of 16 pgs on 284 text 4/0 digital color $56.16
i
1
Thank You For Your Continued Business!
Terms: Net 30 Freight:
1.75% per month added to accounts over 30 days, Sales Tax: $3.93
If Carmel Pro Printer is required to resort to collection proceedings to recover fees I
incurred and expenses advanced on customers (your) behalf, Carmel Pro Printer Total Amount: $60-09
shalt also be entitled to recover all costs incurred in connection with such collection f
proceedings including reasonable attorney's fees incurred. Balance Due: $60.0.9
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Invoice Number Invoice Date Account Number Page
7- 110 -18232 Jun 02 2010 1011- 0951 -8 8 o 12
�ropp�idvff Mey�v 201 a J x. f{4t�„�� c �f.#� rya
►yarilpPer
The Earned Oiscountior this ship date has been calculated hased on a revenue threal�ole of $739.20
Fuel Surcharge FedEx has applied a fuel surcharge of 9.50% to big shipment
Distance Based Pricing, Zone 4
Automation INET Sender Recipient
Tracking 10 798697242146 Stacie Kramer Richard Buns
Service Type FedEx Priority Overnight 902 N Capitol Ave. Greatbatch
Package Type FedEx Box INDIANAPOLIS 1111 62N US 10000 WFHRLE DR
Lone 04 CLARENCE NY 14031 US
Pa gas 1
Rated Weight 5.0lbs, 2.3 kgs Transportation Charge 50.35
Delivered May 26, 2010 D8:53 Earned Discount
19.13
Svc Area A2 F P Automation Bonus Discount 04
Signed by M.BRUNNING Fuel SurcharDe 113
FedEx Use 000000000/0001530 Totat Charge 11SD\ ug q7
i'trltefi v 25, 2Uts3 Clef r r s4 0,9A2
Payor��llpp�r R1rt
y G po Ny
The Earned Otscountfor this ship dais has been calculated based on a ravenuu Urreshold of 5739.20 j
Fuel Surcharge FedEx has applied a fuel surcharge of 8.50`K to this shipment.
Distance Based Pricing, Zone 4
FedEx has a udiled this shipment for correct packages, weight, and service. Any changes mada are tell ectedin die invoice amount.
We celculatedycerchargos based o _n,adimedsiunalwetghtof4Albs., 13'x12'x4', divided hyl94.
Automation INE7i'' Sande Recipient i
Tracking U 798697415700 Stacie Kramer
9 Facilities Warehouse i
Service Type FedEx Priority Overnight 902 N Capitol Ave. Wake Forest University Fac.
Package Type Customer Packaging INDIANAPOLIS IN 1834 Wingate Iload
zone, 04 WINSTON SALEM NC 27109 US
Packages 1
Actual Weight 3.0 Ibs, 1.4 kgs
Rated Weight 4.0lbs,1.8 kgs T ;ration Charge 86.10
Delivered May 7!, 2010 102.3 aroma Discount 17 51
Svc Area AZ fir/_ Fuel Automation Bonus Discount -4.61
Signed by C.TUCKER Surcharge 104
FedEx Use 000000000/0001530 Total Charge USD',,. -0�1
Reference Subtotal USD 54 1 42
Total FedEx Express USD 7r°
-FedEx Ground Sfiipment- Detail Refer ®nce (Original)
0#
pT$�9 1�'i8}r2� f,�t key �69�. P
Rayor^S#upErer r p Y
De
T he Earned Discount for ttiis ship data Etas been calculated hasud on a revenue threshold of USD 139.20
i
Net charge represents minimum package charge for this parcel.
Tracking 10 052519210041954 Sender �ipigm Transportation Charge 562 i
Service Type Ppd Domestic SHIEL SEXTON THOMAS BOYD Perfonnance Pricing -0.45
Zone C6 902 N CAPITOL AVE SERIES SEATING Fuel Surcharge 0,27
Packages 1 INDIANAPOLIS IN 46204 -1005 20900 NE 30TH AVE Earned Discount_ -0.33
Actual Weight 0.2 lbs STE 901 Total Charge USD
Rated Weight 1 Ibs MIAMI FL 33180.216626
Delivered May 28, 2010
i
2695 Reference Subtotal USD
f
"1
E P R 437 N. Illinois
INVOICE
Indianapolis, IN
46204
GRAPE IIX= P 3]7 637.3415 Page Number 1
GelebrAtA 5�� years reprographix.com
Date 5/31110
Invoice 104335
B SHIELI S SHIEL- SEXTON CO. INC.
I ACCTS PAY- COLINDA WALKER H ACCTS PAY- COLINDA WALKER
L SHIEL SEXTON CO. INC. I 902 NORTH CAPITOL AVENUE
L 902 NORTH CAPITOL AVENUE P INDIANAPOLIS, IN 46204
T INDIANAPOLIS, IN 46204 T
O O
PLEASE REMIT TO: Repro Graphix, 437 N. Illinois St. Indianapolis, IN 46204 TOTAL DUE 311.51
a e. e 0. s.
i
6/30/10 5131110 531119 5/31 /10
e a HI M
n/30 CARMEL P -11
Pc o P oc o• P •oe•
BLACKLINES 24X36 1 SF 756.0000 756.0000 .0700 52.92
DIGITAL BLACKLINE BOND PRINTS
9 ORIG FOR 14 PRINTS
SPEC BOOKS 8.5X11 1 EA 4,298.0000 4,298.0000 .0400 171.92
BLACK WHITE PRINTS
307 ORIG FOR 14 PRINTS
COVERS FOR SPEC BOOK 1 EA 28.0000 28.0000 .1000 2.80
FRONT AND BACK COVERS
GBC BINDERS 1 EACi 14.0000 14.0000 1.5000 21.00
PUNCH AND BIND WITH BINDER
FREIGHT /DELIVERY CHG i EA 1.0000 1.0000 42.5500 42.55
UPS
I R T
Bloom
I
i
291.19 0.00 0.00 20.38 0.00 311.57
TOTAL DUE 311.57
Robbins Graphics, LLC Invoice
1011 3rd Ave S.W.
Carmel, IN 46032
317-573-8072
www.robbinsgraphics.com
No. 39221
Date 5/26/10
Shiel Sexton
777 3rd Ave S.W. Customer RO. No.
Carmel IN 46032
"9 WA
Wal
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9 Mount provided prints to 3/16" white foam board, CONTACT: Geoff Pratt 112.50
688-6856, copied on I side
Customer provided print 21 x1 5.5" 9 total
3/16" white foamcore
standard adhesive mount
Sales Ta 0.00
Account Type: Charge Account
Thank you for your business! Please pay from this invoice. SUB 112.50
1.75% per month added to accounts over 30 days. If Robbins TAX 7.88
Graphics, LLG is required to resort to collection proceedings to recover
fees incurred and expenses advanced on customers (your) behalf,
Robbins Graphics, LLG shall also be entitled to recover all costs SHIPPING
incurred in connection with such collection proceedings including
reasonable attomeys'tees incurred. TOTAL 120.38
is
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.
1 Payee
Purchase Order No.
�a 2 Terms
9/626 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 /2 s /�o �G5�S3cwi cr�G� {�o� �✓�hr /'7 277sc,Ol�
G
1'2- s /4 y� l /0 7 27 3 76 3 y
Total
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
Clerk- Treasurer
VG (JCHi!R NO. WARRANT NO.
ALLOWED 20
IN SUM OF
s
A/44G2a4
23� I2G�3y
ON ACCOUNT OF APPROPRIATION FOR
T/ /-P- ///'0
2``
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
?a2 7 27 bill(s) is (are) true and correct and that the
got 1 1y6C Fa7 z/o 37K.-3 y materials or services itemized thereon for
which charge is made were ordered and
received except
20
ignature
mireGtor of Redevelopment
'rifle
Cost distribution ledger classification if
claim paid motor vehicle highway fund