173253 06/10/2009 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
CARMEL IN 46032 CHECK NUMBER: 173253
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUNT PO N UMB ER INVOICE NUM BER AMOUNT DESCRIPTIO
902 4460816 2009 -6 2,769.17 PELTON
CARMEL OTS, LLC
One Pedcor Square
770 3rd Ave. SW
Carmel, Indiana 46032
April 22, 2009
Les Olds
Carmel Redevelopment Commission
For Property Located At:
35 East Main Street
Carmel, IN 46032
Unit 3 of Old Town Shops II
INVOICE
Due: Upon Receipt
Charge Date Item Amount
06/01/09 Monthly Rent 2,769.17
Total Amount Due S 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 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.
Cam tl Payee
QTS L L C— Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
qU;
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.
Q ALLOWED 20
IN SUM OF
77 0 3 1nJ
OZA kU IM Li (o 03
�7&
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
qb 0o`i 4y (oU 1 9 I (o b 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
Yl� 20U�1
Signature
Director of Operations
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund