171778 04/29/2009 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
ATiN LAURIE SILER CHECK NUMBER: 171778
CARMEL IN 46032
CHECK DATE: 4/29/2009
DEPARTM ACC OUNT PO NUMBER INVO NU MBER J AMOUNT DESCRIPTION
902 4460816 2,769.17 PELTON
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CARMEL OTS, LLC
One Pedcor Square
770 3rd Ave. SW
Carmel, Indiana 46032
February 25, 2000
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
04/01/09 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 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
O TS LL C Purchase Order No.
770 51
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Uy of 09 47.6,9-17
/7
IiN
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.
a
ALLOWED 20
IN SUM OF
7 �0 3..�✓ sue'
2,
ON ACCOUNT OF APPROPRIATION FOR
�1�11�
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
4d2 U`/G� o 9 S`608/� 2769 j7 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
nn Ignatur
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund