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192441 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364915 Page 1 of 1 f ONE CIVIC SQUARE G &G CUSTOM HOMES CHECK AMOUNT: $2,701.00 CARMEL, INDIANA 46032 PO BOX 786 WESTFIELD IN 46074 CHECK NUMBER: 192441 CHECK DATE: 12/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 86.00 OTHER EXPENSES 609 5023990 2,615.00 OTHER EXPENSES Fm:G &G Custom Homes, Inc To: lot 17 Saddlebrook (1 31 7571 2265) 09:01 12103/10GMT -05 Pg 02 -02 G &G CUSTOM HOMES, INC. P.O. Box 786 Westfield, IN 46074 Phone: 317- 418 -7665 Fax: 866 347 -7665 www.ggcustomhomes.com "Quality Built From the Ground Up" FAX To: City of Carmel From: Joe I. Garcia Attn: Ted Fax: 579 -2265 Pa es 1 12 3`1,10 4v3 rU. Phone: Date f�r,�� {���sp�� Re:riginal Lot 17 Saddlebrook cc: Ted, Per our conversation we will not be building the home on Lot 17 saddlebrook. I had paid for the water permit already so if it can be refunded that would be great. My homeowners backed out of the deal and will no longer be moving forward. The address is 3236 Homestretch Drive. Thanks, Joe Garcia G &G Custom Homes, Inc 317 -418 -7665 Prescribed by State Board of Accounts Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER TO �j US ADDRESS Invoice Date Invoice Number Item Amount L 01 I hereby certify that the attached invoice(s), or 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 n aTLW Title I hereby certify that the attached invoice(s), or bill(s), is (are) true a correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 19 Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. AC CT. NO. CARMEL, INDIANA L) 57o�►'tF f S I Total Amount of Voucher Deductions Co i Amount of Warrant Old Lkc Month of Acct. VOUCHER RECORD N I Source of Suppl Water Treatment Transmission and Dist. Customer Accounts 1 Administrative and General Operation- Maintenance I I Utility Plant in-Service Constr. Work in Progress Materials and Supplies Customers De osits r i I i Total Allowed i i Board of Control Filed j Official Title ROYCE FORMS SYSTEMS 1- 800- 382 -8702 325