163648 09/17/2008 a CITY OF CARMEL, INDIANA VENDOR: 032250 Page 1 of 1
ONE CIVIC SQUARE BURRELL APPRAISAL INC
CARMEL, INDIANA 46032 9550 WHITTLEY DR,SUITE D CHECK AMOUNT: $5,000.00
INDIANAPOLIS IN 46240 -1352 CHECK NUMBER: 163648
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMO DESCRIPTION
'902 4460851 5,000.00 NATIONAL CITY BANK
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BURRELL APPRAISAL SERVICE, INC. TO: Mr. Matt Worthley
9550 Whitley Drive, Suite D Carmel Redevelopment Com.
Indianapolis, IN 46240 -1352 111 West Main Street, Suite 140
(317) 574 -9848 Fax (317) 574 -0559 Carmel, IN 46032
DATE: September 9, 2008 TAX ID: 35- 1472970
INVOICE
RE: Appraisal Fee National City Bank
21 North Rangeline Road
Carmel, Indiana
TOTAL AMOUNT OF INVOICE $5,000.00
ii.
PresMibed 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
Burrell A Pnc,r rc l Service c Purchase Order No.
q SS p W L 4 Dr t µe. Terms
1 4 7 q&- 3S Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
l et 03 N P, 1 3 e. l' A S 00'n co
Total S O 0p 00
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
-•CHER NO. WARRANT NO.
ALLOWED 20
Barre II /4 PD/4 t 1 S e�y� c mac• IN SUM OF
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ON aACC UNT APPROPRI�► OR
9oz�
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
02 N A (Q o 9.51 o oo t o 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
9 I 's-/20 0�
Signature
e�..a.��
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund