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Home My WebLink About157330 03/13/2008 CITY OF CARMEL, INDIANA VENDOR: 359957 Page 1 of 1 ONE CIVIC SQUARE BLOCKOMS GOLF MANAGEMENT CO LLC CARMEL, INDIANA 46032 7033 SEA OATS LANE CHECK AMOUNT: $536.85 INDIANAPOLIS IN 46250 CHECK NUMBER: 157330 CHECK DATE: 3/13/2008 DEPARTMENT: ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION 905 4347500 536.85 GENERAL INSURANCE i I 7007 E PLEASANT VALLEY ROAD CLEVELAND OH 44131 Invoice 395005 February 29, 2008 Page 1 eat Accounts receivable number: 00034 740397 00003671 01 AT 0.334 01 TR 0016 ROBCLVAI 10000 C008 PAUL BLOCKOMS Any questions? Call your ADP BLOCKOMS GOLF MANAGEMENT service representative, 12120 BROOKSHIRE PARKWAY Your Client Service Team (866)505 -7273 CARMEL IN 46033 -3314 Current Call Monitoring Information' J Fie`ase note your "cabs fo ADF may tie monitorei3` ancT�ecordeci for and assurance purposes. N� 1 mot: cx f`" �'a- CW1 A6 �4'e_sd �^.�+�.'±1� +3:t��b3 CF. ��✓�',r.G,� 7 �+�Ss' '�';"4- r acm-, BLOCKOMS GOLFWANAGEM ENT CO. 1018 7 zo-s Ei'C DATE Sao 375 PAY 10 fT t z Ole Lt atoa➢ Cry. Please return the ortion. below with p your payment in the enclosed return envelope Include your accounts receivable number on your check made out to ADP, Inc. Send all service or general information correspondence to the address listed above or call your Client Service Representative. Return Stub BLOCKOMS GOLF MANAGEMENT Accounts receivable number: 00034 740397 .a� 3 Mail payment to: Product- Company code: 1063J Invoice .number: 395005 Invoice date: 02/29/2008 0 Lockbox number: 03 0 e ADP, INC. Total due this invoice: $78.85 P.O BOX 78415 Payment due date: 03/07/2008 a PHOENIX AZ 85062 -8415 Amount enclosed: 0030303407403970022908003950050000078858 7007 E PLEASANT VALLEY ROAD 2 w:g CLEVELAND OH 44131 Invoice 395005 February 29, 2008 Page 1 Accounts receivable number: 00034- 740397 00003671 01 AT 0.334 01 TR 0016 ROBCLVAi t0000 C008 L I, �I,II „IL „I f„,IL„l6 „II„� f Ll„I„l�Ill�„K„III Any questions? Call your ADP BLOC PAUEKB:LOCKOMS OMS GOLF MANAGEMENT service representative, 12120 BROOKSHIRE PARKWAY Your Client Service Teem (866)505 -7273 CA IN 46033 -3314 Current Cali ;.Momtormg titl�iTrf'atrort'_ ``Please node your calsi�to ADF may Ve moni an reco�ded`�or`I�usiness a qualtty assurance purposes. y N BLOCKOMS GOLFMgNAGEMENTCO. 1018 740 PAY TO L l��LLY6Cltlli.9 8 �Fwbv a Please return the portion befovu wrth ,.your payment m the enclosed return envelops: 'Include your accounts receivable number on your check made .out to ADP Inc:” Send all service_ or general information correspondence to the address {fisted above or call your Client Service Representative. i Return Stub BLOCKOMS GOLF MANAGEMENT Accounts receivable number: 00034 740397 Mail payment to: Product- Company code: 10631 Invoice .number: 395005 II��I„ I, IIf��III too 11I,CI1,I.',11.I„.IIJ1I [I III Kill III ,l Invoice: date: 02/29/2008 Lockbox number: 03 g ADP; INC. P.O BOX 78415 Tofal due this invoice: $78..85 PHOENI'X AZ 85062 -8415 Payment due date: 03/07f2008 0 N Amount enclosed: 0030303407403970022908003950050000078858 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. Payee Purchase Order No. �aoK6 V6 &o&4 Vt Terms 5 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) -o PP val( �S Total 1. S 1 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 VOUCHER NO. WARRANT NO. ALLOWED 20 610 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR WI& 10 Board Members PO# or INVOICE NO: ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 5 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 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund WALKER ASSOCIA'T'ES INSURANCE March 3, 2008 PO BOX.,1944,`.. Yage I INDIANAPOLIS, IN 46219 -0445 CET ECTIVY O Insurance SELECT IVY Phone No. 317- 353 -8000 BLOCKOMS GOLF MANAGEMENT CO LLC DBA BR 7033 SEA OATS LN INDIANAPOLIS IN 46250 -4131 ACCOUNT 893- 876 -356 SUMMARY Save Time In Nour Day, x•. .*ct a r k .,rq,� 5N .':�nW. Yr ^a t: 9�'`X' ,er a.:Ri.w+,l+4..: Yi,� n`+ r r; e 5 a 't�.^' <i� nq ��?.�z�:�.:._ �i'.F'� 4; r- vmr•,� -3�"" y "i•:�_. 1019 BLOCKOMS GOLF MANAGEMENT CO. l '1� I Z D u 40 DATE U Pr4� V -P 1 vas u v av� c e (o rM spa v 1 y p� �{,y -er/t C lG 1 T 6 W mv-e u oq, FAc, G-d- CAM d Oa1I.Att.t3S National City® au..... .fir FEK =111-7-1 Detach and return this portion with your payment. Please write your account number on your check. Name on Account Account Number Account Balance Minimum Amt. Due Due Date Amount Enclosed BLOCKOMS GOLF MANA 893 876 -356 1 1,808.00 F s 458.00 03/24/08 Make Check Payable To Selective Insurance Company of America Mail Payment to: Selective Insurance Company of America Box 371468 Pittsburgh PA 15250 -7468 1893876356030220080000045800000018080000000 DB- 40(07 00- 13090 -00000 893 876 -356 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoicA 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. Payee V A� C4 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �V SU v'awt 1 0 0 Total 4 0 d 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 VOUCHER NO. WARRANT NO. AL WED WED 20 TJ�OC�LC� S &Oup P IN SUM OF CtA,o ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or �5•U� 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 20 SJ.00 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund