172773 05/27/2009 �,4, CITY OF CARMEL, INDIANA VENDOR: 359019 Page 1 of 1
ONE CIVIC SQUARE CARMEL OTS LLC
s'. CARMEL, INDIANA 46032 770 3RD AVE SW CHECK AMOUNT: $2,769.17
ATTN LAURIE SILER CHECK NUMBER: 172773
0 0 CARMEL IN 46032
CHECK DATE: 5/27/2009
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMO UNT DESCRIPTI
902 4460816 050109 2,769.17 PELTON
CARMEL OTS, LLC
One Pedcor Square
770 3rd Ave. SW
Carmel, Indiana 46032
March 25, 2009
Les Olds
Carmel Redevelopment Commission
For Property Located At:
35 East Main Street
Carmel, IN 46032
Unit 3 of Old Town Shops I1
INVOICE
Due: Upon Receipt
Charge Date Item Amount
05/01/09 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 Boardpf 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
O 7T, L LC Purchase Order No.
770 Terms
C�r��P� J/1J Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
312 s" /o9 5 09 /miry 2 X69. %7
Total 2, 1'7
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. WARRANT NO.
ALLOWED 20
IN SUM OF
T
ON ACCOUNT OF APPROPRIATION FOR
962L y6G8��
Board Members
PO# or DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
05 <W6oT16 2 l7 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
Director of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund