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160280 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 359019 Page 1 of 1 ONE CIVIC SQUARE CARMEL OTS LLC CHECK AMOUNT: $2,769.17 CARMEL, INDIANA 46032 770 3RD AVE SW ATTN LAURIE SILER o CHECK NUMBER: 160280 CARMEL IN 46032 CHECK DATE: 6/10/2008 DEPARTMENT AC PO NUMBER INVOICE NUMBER AMO DESCRIPTIO 902 4460816 2,769.17 PELTON i l d e 1 CARMEL OTS, LLC O RD 1 Pedcor Square IGI 770 3 Ave SW Carmel, IN 46032 C May 21, 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: July 1, 2008 Charge Date Item Amount 7/1/2008 July Rent 2,769.17 Total Amount Due 2,769.17 Please contact Laurie Siler if you have any questions at 587 -0467. Please remit rent payments to: Carmel OTS, LLC Attn: Laurie Siler 770.) rd Ave SW Carmel, IN 46032 Prescribed by State Board of Accounts City Form No. 201(Rev.1995) r 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 CG rye OTS t LC Zti Purchase Order No. 77o 3 4 S Terms CS .PI-a I N L4 G o3 Z Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Sf�� /as 'T Qe,..- 7 761. '7 Total 2 '7(1. 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 V-JUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF 2 761, 17 ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or g a Z bSl Z 761. c7 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