161000 06/25/2008 i
CITY OF CARMEL, INDIANA VENDOR: 361431 Page 1 of 1
ONE CIVIC SQUARE NATIONAL CITY GOLF FINANCE
CARMEL, INDIANA 46032 PO BOX 931034 CHECK AMOUNT: $17,528.32
CLEVELAND OH 44193 CHECK NUMBER: 161000
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4353099 102328000 17,528.32 OTHER RENTAL LEASES
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1y
PAGE NUMBER: 1
e
LEASE NUMBER: 102328000
GOLF FINANCE INVOICE DATE: 06/02/2008
995 DALTON AVENUE, CINCINNATI, OH 45203 DUE DATE: 07/01/2008
Return Service Requested
BILL TO: REMIT TO:
BLOCKOMS GOLF MANAGEMENT COMPANY, LLC NATIONAL CITY GOLF FINANCE
PAUL BLOCKOMS PO BOX 931034
7033 SEA OATS_ LANE CLEVELAND, OH 44193
INDIANAPOLIS, IN 46250
INVOICE
RENT DUE: $1.7,528.32
TOTAL AMOUNT DUE $17,528:32
FOR BILLING QUESTIONS PLEASE CALL US (513) 455 2323
All payments received after the invoice will be reflected on the next invoice.
H ifion al City PAGE NUMBER: 3
G 0 L F F I N A N C E LEASE NUMBER: 102328000
995 DALTON AVENUE, CINCINNATI, OH 45203 INVOICE DATE: DUE DATE: 07/006/02/2008
1/2008
Return Service_ Requested
LEASE 102328000 DESCRIPTION: GOLF
OPEN INVOICES
INVOICE 2072644 DUE DATE: 07/01/2008
RENTAL PAYMENT: $8,764.16
INVOICE TOTAL: $8,764.16
INVOICE 2024039 DUE DATE: 06/01/2008
RENTAL PAYMENT: $8,764.16
INVOICE TOTAL: $8,764.16
LEASE TOTAL: $17;528.32
TOTAL DUE: $17,528.32
®a, onal CR PAGE NUMBER: 3
LEASE NUMBER: 102328000
GOLF P t N A N C E INVOICE DATE: 05/02/2008
995 DALTON AVENUE, CINCINNATI, OH 45203 DUE DATE: 06/01/2008
Return Service Requested
t
.LEASE 102328000 DESCRIPTION: GOLF
OPEN INV
INVOICE 2024039 DUE DATE. 06101/2008
RENTAL PAYMENT: $8,764.16
INVOICE TOTAL: $8,764.16
LEASE TOTAL: $8,764.16
TOTAL DUE: $8,764.16
Presail)ed'by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
NAJt ^4 c" 4y 6;v 14 F�t..�� Purchase Order No.
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po 0.x 1310 Terms
(f (4 4 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
loz7z8cac 17 szv. 3Z
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Total ��;3Zg, 3Z
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in, accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WAR,RANT-NO.
ALLOWED 20
F-te.Ce IN SUM OF$
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u 14 i53
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ON ACCOUNT OF APPROPRIATION FOR
9�S 53o
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
10 I o z3 t Y O&O 17 sz 8 .3Z 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
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund