161856 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 358790 Page 1 of 1
ONE CIVIC SQUARE HEARTHVIEW OLD TOWN CHECK AMOUNT: $987.41
CARMEL, INDIANA 46032 505 CITY CENTER DRIVE
CARMEL IN 46032 CHECK NUMBER: 161856
CHECK DATE: 7/2312008
DEPARTMENT ACCOUNT PO N UM B ER INVOICE NUMBER AMOUNT DESCRIPTION
.!902 4460847 16 987.41 HEARTHVIEW OLD TOWN
I
u I 8. 2008 8 29AM HEARTHVIEW INC No. 1076 P. 1/1
Hearthview Old Town 11, LLC INVOICE
805 City Center Drive, Suite 140 DATE: June 10, 2008
Carmel, IN 46032 INVOICE 16
Phone: 317-663-4827 Fax: 317-663-4800 FOR: 990 W. Main St,
Bill To:
City of Carmel Redevelopment Gommission
Alin: Les Olds
One Civic Square
Carmel, IN 46032
U
OT
Interest (CRC 68%)
June Interest to Fifth Third Bank $2655-07 1,805.45
"Credit applied to June Interest 3. :.::98 7AII
TOTAL
Make all checks payable to Hearthviow Old Town 11, LLC
If yoo have any questions concerning this Invoice, confac(Chrlslie Hollingsworth at 317-663-4816
or chollingsworthQhearthview.corn
9
2
�PP 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
14ear v( b (d T t 0L Purchase Order No.
4. Cu Terms
(A., Lf 0 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
X�
Total �.O US
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 t�
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
�{¢4i fC, v w old GG c IN SUM OF
�6oS C,-� C•..�� IJ� r�. I /G
y&
ON ACCOUNT OF APPROPRIATION FOR
°z
Board Members
PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
4 Y6 o k Y bill(s) is (are) true and correct and that the
q materials or services itemized thereon for
which charge is made were ordered and
received except
20 o,3
S'gna e
✓1 Cc /l
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund