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163665 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 359019 Page 1 of 1 0 ONE CIVIC SQUARE CARMEL OTS LLC CARMEL, INDIANA 46032 770 3RD AVE SW CHECK AMOUNT: $2,769.17 o ATrN LAURIE SILER CHECK NUMBER: 163665 CARMEL IN 46032 CHECK DATE: 9/1712008 DEPARTMENT ACC OUNT PO NUMBER INVOICE N UMBER A DESCRIPTION 902 4460816 2,769.17 PELTON CARMEL OTS, LLC 1 Pedcor Square 7703 RD Ave SW Carmel, IN 46032 August 25, 2008 Les Olds Carmel Redevelopment Commission For Property located at: 35 Main St. E Carmel, IN 46032 Unit #3 of Old Town Shops II INVOICE Due: October 1, 2008 Charge Date Item Amount 10/01/08 October Rent 2,769.17 Total Amount Due 2,769.17 Please contact Laurie Slier if you have any questions at 587 -0467. Please remit rent payments to: Carmel OTS, LLC Attn: Laurie Slier 7703 d Ave SW Carmel, IN 46032 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee c c, Au 1 OTS, L L C g J 1 Purchase Order No. Do 3 X Terms (4&03Z Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) p oc� Pa., 2 76`(. 17 c Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VC•JCHER NO. WARRANT NO. ALLOWED 20 C� e,tice/ o LLC S �e� IN SUM OF$ 7? 0 Ins (4037 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or d2 W A qc( orl 2 7 �`I 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 G5120 ad Signatur d� Cost distribution ledger classification if Title claim paid motor vehicle highway fund