167022 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 359019 Page 1 of 1
ONE CIVIC SQUARE CARMEL OTS LLC CHECK AMOUNT: $2,769.12
CARMEL, INDIANA 46032 770 3RD AVE SW
ATTN LAURIE SILER CHECK NUMBER: 167022
CARMEL IN 46032
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
902 4460816 112108 2,769.12 PELTON
f
CARMEL OTS, LLC
One Pedeor Square o pt 3rd Ave. SW JQx1v
Carmel, Indiana 46032 4z
November 21, 2008
Les Olds
Carmel Redevelopment Commission
For Property Located At:
35 .East Main Street
Carmel, IN 46032
Unit 3 of Old Town Shops 11
INVOICE
Due:. Upon Receipt
Charge Date Item Amount
12/01/08 Monthly Rent 2,769.17
Total Amount Due 2,769.17
If you have any questions please contact Laurie Siler at 317.587.0467
Please make checks payable and mail to:
Carmel OTS, LLC
Attn: Laurie Siler
770 3rd Ave SW
Carmel, Indiana 46032
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
f 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
'(ail d T S L L L Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total f
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
VQUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
77
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
OZ it Z1 ht!( 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
C 1 20 0
0, Oign C (,'(A C
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund