165353 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 362018 Page 1 of 1
ONE CIVIC SQUARE NATIONAL CITY GOLF FINANCE
i J 995 DALTON AVE CHECK AMOUNT: $3,505.68
CARMEL. INDIANA 46032
CINCINNATI OH 45203 CHECK NUMBER: 165353
CHECK DATE: 10/29/2008
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4353099 102328000 3,505.68 LATE FEES
I
i
i
1
I
Fax Server 10/22/2008 10:32 AM PAGE 2/004 Fax Server
I
National C+ft PAGE NUMBER: 1
G 0 L F F I N A N C E LEASE NUMBER: 102328000
INVOICE DATE: 10/02/2008
995 DALTON AVENUE, CINCINNATI, OH 45203 DUE DATE: 10/01/2008
Return Service Requested
BILL TO: REMIT TO:
CARMEL REDEVELOPMENT COMMISSION NATIONAL CITY GOLF FINANCE
SHERRY MIELKE PO BOX 931034
111 WEST MAIN STREET CLEVELAND, OH 44193
SUITE 140
CARMEL, IN 46032
INVOICE
BILLING SUMMARY
LATE CHARGES: $3,505.68
TOTAL AMOUNT DUE $21,034.00
FOR BILLING QUESTIONS PLEASE CALL US (513) 455 -2323
Al: >vmants riv d 1-7 iwx: -r cntn tell j?: r<':.-Ctnd an r,.c.xt in.::cn.
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
y 4���7 Purchase Order No.
Terms
r Date Due
Invoice 444reiee Description Amount
Date Number (or note attached invoice(s) or bill(s))
a 1
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
J/SO 10�2- ai/ 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