168654 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 354285 Page 1 of 1
ONE CIVIC SQUARE PEDCOR INVESTMENT 1988 -III CHECK AMOUNT: $26,637.98
CARMEL, INDIANA 46032 1 PEDCOR SQUARE
770 3RD AVE SW CHECK NUMBER: 168654
CARMEL IN 46032
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIP
902 4460895 218091 18,721.73 WOODS WIRE BLDG STAYI
902 4460895 218092 7,557.65 WOODS WIRE BLDG STAYI
902 4460895 218093 358.60 WOODS WIRE BLDG STAYI
PEDCOR INVESTMENTS 1988 III
One Pedcor Square
770 3rd Ave. SW
Cannel, Indiana 46032 O
December 24, 2008
Carmel Redevelopment Commission
Attn: Les Olds
For Property located at:
511 3rd Ave. SW
Carmel, Indiana 46032
INV ®ICE
Due: Upon Receipt
Charge Date Item Amount
01/01/09 Monthly Rent 16,645.83
01/01/09 Taxes (a) 1,589.13
01/01/09 Insurance (b) 486.77
Total Monthly Amount Due 18,721.73 J
(a) Taxes are based on the 07pay08 spring and fall tax bills of $23,586.40 for parcel 16-09-25-04-05
008.000 billed on monthly installments.
(b) Insurance is based on prorata share for building and acreage of the property 511 3rd Ave billed on a
monthy installment. Current invoice covers the period from 3/20/08 3/20/09.
Please make checks payable and mail to:
Pedcor Investments 1988 -111
Attn: Laurie Siler
770 3rd Ave SW
Carmel, Indiana 46032
Copy of invoice has been sent to Shiel Sexton, Attn: Michael Anderson, 902 N. Capitol, Avenue,
Indianapolis, Indiana 46204
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03/ 30/2006 -C3% 30/20C'9
Markel Ir.suran��e Co
316675 03 Renew poiicy umbrella Renew policy 1 .000.00
PD 1 i cy TMS S 21RS004715 -1
CIS/30/2006- 03/30/2009
Markel .insurance Co
318676 .03/30/2008 Renew policy Package Renew policy 22,5 30.00
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This program allows you to view and print certain pubiic records. Each section reties incoriration as of e eciriz: bate; so the information
provided in different seftIons or repors may not match. All information has been derived from public records that are consantiy underoomg change and is
not warranted for content or accuracy. It may not refie_ the current information peruainino to the propem of interest.
SPRING TAX STATet+ E NT T his statement refiems vaiues fn- 2007 payable 2005 axes as ff.3unL 2, 200£.
Newer deduction information can be obtained by vu;tbrip or calling the Auditors Offic
Property assessment details can be obtained from the Online Properly Card Repor Newer assessment information can be obtained by visitinD or calling
the Assessors DfncE.
iTREASUREP. COPY DUPLICATE NUMBER A per Ipi LMENT
D6/02/08 0013407 �fSoRINO)
2007 PAYABLE 213DE PARCEL NUMBER 1 TAY. RATE 2.0DP
MAKE ALL CHECKS PAYABLE PROPERTY
16 09 '_5 04 05 006.000 TAX' S TAT EMENT ENT
Q' HOMESTEAD CREDIT 27.5047
HAMILTON 000N71' TREGSUREP. I TAXING UNIT NAME
33 N. NINTH 7 REPLACEMENT CREDIT I 20.1444
NOB= ESVILE IN 4606D Carmel
BUSINESS REPLACEMENT CREDIT 1 13.8568
GROSS II TAXABLE i GROSS HOMESTEAD II OTHER TAX, DELINQUENT PAID TO
4 VALUE JEXEMPT/DED VALUE I TAX SPTRC INETTAX( &PENALTIES PENALTY I DATE TOTAL
I I
R1 D D 1 0 0.00 1 0.00 411,793.201 D I 0.00 1 D 411,79 2 20
N1 147020D D 1' 147020D 14.766.16 i '_•974.96 1 SPECIAL F SESSMEN 7
DEDUCTIONS SPRING CURRENT TAX
BREAKDOWN BARCODE +D00292007020i'S3B21' I BREAKDOWN
1 0 County ti
See below for breakdown of Special
1 Pssessmens (includes drain, ass°;
Mailed ta: men *s, does
0 Sofid Waste 3 50 not include reconstruction aassessments).
0 Welfare
D Pedcor irwestment_s 1966 111 LP State 24.09
0 ownship 337.54
D Box 574 ADDL. SPECIAL
0 0ARMEL IN 46092 Library 1 289.99 ASSESSMENT PENALTIES •OD
0 School 6,982.58
D Corporation 42 4T0TAL DUE 4=1793.20
LEGAL DESCRIPTION 1Ciry Redevio 1 0.004113U=- DATE 107 /3D/21305
0.00 ADD 10% PENALTY ArTcR DUE DAic
2O5 413 A 295 410 I ii /79 310 154 5/16/79 312 -2
TOTAL 111.793.20
Cincinnati Capital Partner
DEEDED OWNER IL>= LLC ACRES I 2.6
Special Assessments Spring
Name 4Current 4Dehnouent 1Paid to Date (Total Due
No drain assessments.
website 5ugoestlons o- Issues of Use I PriveL Poll -v I Site Mam I Tec ini._a! Nelo i HOmt=
2 2006, Hamilton County, indiama all riohs reserved.
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Hamiltol'i Co., IN Online Reports Page 1 of 2
Online Servi
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Fall Tax Report
1. repo type 2, property sea 3 view reports
j Reset new search I I general parcel info. 1 spring.tax statement tax payments property card
fall taxstaternent
I nstru c tions and Im ort Info rmation I THIS LOOKS WRON
Due to a printing error, the 'pay by credit card' phone number
on the tax bills is incorrect.
To pay by credit card, please call 1- 800 -272 -9829.
This program allows you to view and print certain public records. Each section reflects information as of a specific date; so the information
provided in different sections or reports may not match. All information has been derived from public records that are constantly undergoing change and is
not warranted for content or accuracy. It may not reflect the current information pertaining to the property of interest.
2007 2008 Tax Comparison Report (Treasurer's Form TS -3A1) Explanation of Comparison Report
FALL TAX STATEMENT: Th is statement reflects values for 2007 payable 2008 taxes as of ]une 2, 2008.
Newer deduction information can be obtained by visiting or calling the Auditor's Office.
Property assessment details can be obtained from the Online Property Card Report. Newer assessment information can be obtained by visiting or calling
the Assessor's Office.
TREASURER COPY DUPLICATE NUMBER B SECOND INSTALLMENT
0013407 (FALL)
06/02/08 PARCEL NUMBER TAX RATE 2.009
2007 PAYABLE 2008 16 09 25 04 05 008.000 PROPERTY HOMESTEAD
MAKE ALL CHECKS PAYABLE TO: TAX STATEMENT 27.5047
HAMILTON COUNTY TREASURER TAXING UNIT NAME CREDIT
33 N. NINTH ST REPLACEMENT 20.1444
NOBLESVILLE IN 46060 Carmel CREDIT
BUSINESS REPLACEMENT CREDIT 13.8588
GROSS TAXABLE GROSS HOMESTEAD OTHER TAX, DELINQUENT PAID To
VALUE EXEMPT /DED VALUE TAX SPTRC NET TAX FEES TAX OR DATE TOTAL
PENALTIES PENALTY
R 0 0 0 0.00 0.00 11,793.20 0 111,793.20
N 1470200 0 1470200 14,768.16 2,974.96 SPECIAL ASSESSMENTS
DEDUCTIONS FALL +00029200702017538622* CURRENT TAX
BREAKDOWN BARCODE BREAKDOWN
0 County 1;260.91
0 Mailed to: Solid Waste 13.50
0 Pedcor Investments 1988 III LP Welfare 9.39
0 State 14.09
0 P 0 Box 574 Township 337.54
CARMEL IN 46082
JOOO Library 289.99
School 6,982.58
Corporation 2,885.20 TOTAL DUE 1 11793.2
LEGAL DESCRIPTION City Redevlp 0.00 DUE DATE 1 11/10/2008
0.00 ADD 10% PENALTY AFTER DUE DATE
295-413 A 285-410 1/31/79 310-154 5/16/79 312-2 TOTAL 11,793.20
DEEDED OWNER ICincinnati Capital Partners MII LLC ACRES 2.6
Special Assessments Fall
Name Current Delinquent IPaid to Date lTotal Due
No drain assessments.
http: /www.co.hamilton.in.us/ apps/ reports /taxesbillfall .asp ?sparcelno 1609250405008000 &dS... 11/21/08
PEDCOR INVESTMENTS 1988 III
One Pedcor Square IG
770 3rd Ave. SW I�L
Carmel, Indiana 46032
December 24, 2008
Carmel Redevelopment Commission
Attn: Les Olds
For Property located at:
511 3rd Ave. SW
Carmel, Indiana 46032
UTILITY INVOICE
Due: Upon receipt
Charge Date Item Amount
Dec Duke Energy 1,928.78
Nov Vectren 5,495.15f
Nov City of Carmel 133.72
Total Amount Due 7,557.65
Amounts are reflective of the prorata share of 77% per the lease terms. Invoices are attached.
Please make checks p a Y able and mail to:
Pedcor Investments 1988 -1I1
Attn: Laurie Siler
770 3rd Ave SW
Carmel, Indiana 46032
Copy of invoice has been sent to Shiel Sexton, Attn: Michael Anderson, 902 N.
Capitol, Avenue, Indianapolis, Indiana 46204
.VukeEnergy®
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Due.Date Amount Due
Account, Number 6630 3050 -02 -8 CM 09 Jan 5, 2009 2,504.91
For more detailed billing information on
your monthly bill, check box on right HelpingHand Contribution Amount Enclosed
(for Customer Assistance)
I
00000574 PSh ZA 08348 ZIPCODE 09 YNNNNN 1 oz
Pedcor Investments 1988 III Lp
C/O Sam Gettinger PO Box 9001076
770 3Rd Ave SW Louisville KY 40290 -1076 I
Carmel IN 46032 -2036
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900 00002504910 66303050028 010520096 00002575140
4
t PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT. t Page 1 of 1 4
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tame5etitca Address Fortnqufee$ Calf:: Acccunt Nurttaer
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Pedcor Investments 1988 III Lp Duke Energy 1- 800 774 -1202 6630-3050-02-8 i
511 3Rd Ave SW For Account Services, please contact
Carmel IN 46032 Business Service Center
f
Mail Paymerlts Ta Accaunt Information j
PO Box 9001076 Payments after Dec 12 not included Bill prepared on Dec 12, 2008
Louisville KY 40290 -1076 Last payment received Nov 24 Next meter reading Jan 14, 2009 j
Readfng Date Meter Reading Aatuai
Atleter Number From 7�s [lays prevtaus Present llttultt Usage kW
Elec 106917159 Nov 07 Dec 11 34 37,190
i.
On Peak 67.20
Metering Adj 372cr
Metering Add 0.67cr E
>Electr#c:�.Comrriercf�l Current Blilin i
Usage 36,818 kWh 66.53 kW Amt Due Previous Bill 2,109.62 j
52.30 kVar Payment(s) Received 2,109 .62cr i
Duke Energy Rate HSSO 2,341.04 Balance Forward 0.00
Current Electric Charges 2,341.04 Current Electric Charges 2,341.04
Taxes 163.87
Current Amount Due 2,504.91
Taxes 163.87
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After
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Average Cost: 0.0636 per kWh Jan 5, 2009 2,504.91 2,575.14 f
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QQ Q S ACCOUNT NUMBER AMOUN DUE
City �r �i/ Utilities 0651193901 $173.66
V PAYMENT DUE BY AFTER DUE DATE
P.O. Box 109 CARMEL, IN 46082 -0109
01/02/09 $177.90
SERVICE ADDRESS:
CONSOLIDATED BILLING
TO AVOID LATE PENALTIES, ALLOW
PEDCOR INV 198 -III LP POSTAL DELIVERY TIME BEFORE THE DUE
770 3RD AVE SW DATE WHEN MAILING YOUR PAYMENT
CARMEL, IN 46032
I�L�I�II��IIn�nII�r,I�LLI�I SEE BACK FOR LOCATION OF
PAYMENT DROP -BOX
IIIII I III III III II II III III III
RETURN THIS PORTION WITH CHECK PAYABLE TO CARMEL UTILITIES
I I I
KEEP THIS PORTION FOR YOUR RECORDS
armel Utilities
CARMEL UTILITIES CUSTOMER SERVICES
PO BOX 109 (317) 571 -2442
CARMEL, IN 46082 -0109 MONDAY FRIDAY
APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 2002 8:OOAM 5:00 PM
SERVICE PERIOD METER READINGS UNITS AMOUNT
FROM TO PREVIOUS PRESENT BILLED
FIRE LINE $64.07
Total Location Charges For: 511 3RD AVE SW FIRE LINE $64.07
10/29/08 12/04/08 92 92
WATER 0 $7.55
STATE TAX $0.53
Total Location Charges For: 511 3RD AVE SW #B $8.08
10/29/08 12/04/08 4117 4118
WATER 1 $14.87
SEWER 1 $10.43
Total Location Charges For: 511 3RD AVE SW #A $25.30
SEWER $72.25
Total Location Charges For: 511 3RD AVE SW $72.25
10129108 12/04/08 68 68
SEWER 0 $3.96
Total Location Charges For: 511 3RD AVE SW $3.96
ACCOUNT NUMBER: 0651193901 CUSTOMER NAME PEDCOR INV 198 -III, LP
BILLING DATE 12/15/08 PAYMENT DUE BY 01/02/09
PREVIOUS BALANCE FOR ALL LOCATIONS $0.00
CURRENT BILLING FOR ALL LOCATIONS $173.66
TOTAL AMOUNT DUE $173.66
AMOUNT DUE AFTER 01/02/09 $177.90
Narple: PEDCOR INVESTMENTS -1988 III -:LP
Account- Number: 02= 620680673= 5121122 6
Service' Address: 511 3RD AVE SW o A e
CARMEL.IN 46032
,Billing Date: Dec`5, -2008 Charges
Previous Bill Amount ......................$456.62
TotalAmountCDue: $7136.56 Payment(s) $456.62
Due Date Dec 22;.2008
Received
Amount Due afterDec.22, 2008: $7,336.86 Balance Carried Forward ..........................$0.00
Charges This Period ......................$7,136.56
Total Amount Due ......................$7,136.56
Allow:5 business. days for mailing
Gas Meter Information Gas Usage Comparison Gas Usage Detail
Meter Number N0424175 Gas use In themes Therms Used This Period .......................5865.787
Service Beginning 11/01/08 s9oo Distribution and Service Charges ......................$1.053.40
Service Ending 12/02/08 4425 Gas Cost Charge $5,616.28
Number of Days 31 g
Meter Readings 2950 Sales Tax ........................$466.88
Beginning 17608 Estimated Total Gas Charges
Ending 22773 Actual 1475 General Sales Service ......................$7,136.56
CCF Used 5165
Therm Conversion 1.014000 0
Pressure Factor 1.120000 Dec Nov Oct Sep Aug Jul Jun May Apr Mar Feb Jan
2008 2007
Next Scheduled Read Date Average Temperature Current Previous Last Year
01/03/2009 for This Billing Period 40° 56° NA
Remit to: P.O. Box 6248 Indianapolis, IN 46206 -6248 s
Please return this portion with your payment made payable to Vectren.
VECTREN Ener y y Deliver Total Amount Due: $7,136.56
Due Date: Dec 22, 2008
Account Number: 02- 620680673 5121122 6 Amount Enclosed
111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Amount Due after Dec 22, 2008: $7,336.86
1 1456 1 AV 0.324 *AUTO *5 -DIGIT 46032 Mail Payments To:
�t PEDCOR INVESTMENTS -1988 III LP Vectren Energy Delivery
SAM GETTINGER P.O. Box 6248
770 3RD AVE SW
CARMEL IN 46032 -2036 Indianapolis, IN 46206-6248 II
IIIIIIII�IIII�IIIIIIIIIIIIIIIIIIIIIIIIII�Il lllllllill lllllllll
Illllfll' IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIflllllllllll
026206806735121 1226122208000073368600007136562
PEDCOR INVESTMENTS 1988 III
One Pedcor Square 1 j�i
770 3rd Ave. SW I*
Carmel, Indiana 46032 4t
December 24, 2008
Carmel Redevelopment Commission
Attn: Les Olds
For Property located at:
511 3rd Ave. SW
Carmel, Indiana 46032
INVOICE
Due: Upon Receipt
Charge Date Item Amount
01/01/09 Center Operating Costs
Security (a) 282.47
Fire /Alan Protection (b) 76.14
Total Monthly Amount Due 358.60
U
(a) Security is billed monthly as ADT and AT &T invoices are received. Dec AT&T and Jan ADT
invoices are attached.
(b) Fire /Alarm Protection is based on Brenneco's annual inspection fee of S1,130 divided over 12
monthly installments. Invoice was paid in Feb 2008 and covers the period from 2/14/08 2/13/09.
Please make checks payable and mail to:
Pedcor Investments 1988 -III
Attn: Laurie Siler
770 3rd Ave SW
Carmel, Indiana 46032
Copy of invoice has been sent to Shiel Sexton, Attn: Michael Anderson, 902 N.
P00005- 0032600
Purchase InvoiceIriyolce Invoice Payment r
Order D `Number' "'r Due,Date.,'g_� e
12/06/05 53996751 $235.66 01/01/09
Nature :Of 'Seruice: Nonthl Billing Customer Number:
01300 104117301
Business /Account Name:
CUrrent�Charges: PEDCOR INVESTMENTS
01/01109 01/3 Service Address:
Recurring. Service 511 3rd Ave SW
Amount: $238.66 Tax: $0.00 $238.66 Pi 1988- Iii,lp
Carmel, In 46032 -2084
Total= Balance..Due: $238.66
Billing Questions: (888)-'
Did you know Failure to include your invoice could cause a delay Sales /Relocation: (800) 238 -7887
tn,processing your- payment. Monitoring /Service:(800) 238 -2727
ADT Tax ID Number: 58- 1814102
DDon'It:Forge lnclude� the Following. With'Your Payment: Now to Read Your Bill:
http: /www.adt.com /invoiceinfo
.Customer Number
1nvoice.Number
It's fast and even more
important it's easy! You can
save time and money
paying your bill. Please see
the back of your invoice to see
how you can setup your
account for automatic
payments using your bank
account!
Visit www.ADT.com for up -to -date
security services information for your
business.
,Late Fee,Policy: A late fee of 1.5% (or highest rate ,permitted by law, if To pay this invoice and /or future
less er:month will be assessed on the un aid Total Balance Due when e urri g invoices by credit card,
r c n
inorethan 3O.da s= ast due. P II instructions on the
follow the n
y P back of this invoice.
TEST YOUR ALARM SYSTEM MONTHLY TO CONFIRM YOUR SYSTEM IS OPERATIONAL Page 1 of 1
1oz BRE 97
Payment Coupon
Please detach and enclose this coupon with your payment. Do not Invoice Number 83996755
send cash. Please write your customer number on your check or Invoice Date 12/06/08
money order and make payable to: ADT Security Services. Customer Number: 01300 104117301.
If you want to pay by credit card or make any changes to your billing or Due Date: 01/01/09
service account information, please check here and enter the new
information on the back of this invoice. Please Pay $238-66 j
This Amount
27332 1 AT 0.346 0027332 S1 T110 Amount
Enclosed:
#BWNKFYG To ensure timely, accurate application to your account,
#103711401003107# PLEASE INCLUDE THIS STUB.
PEDCOR MAIL PAYMENTTO V
PI- 1988- III,LP
770 3RD AVE SW ADT SECURITY SERVICES INC.
CARMEL IN 46032 -2036 P.O. BOX 371967
PITTSBURGH, PA 15250-7967
Ill 111111k1l11111111111111111111 111 Ill 111111111111111111111111111
001041, 173010008399675500101090000238660000238667
PEDCOR INVESTMENTS -1988 -III, Page 1 of 2
L. P. Account Number 317 575 -6237 565 6
ATTN SAM GETTINGER Billing Date Nov 25, 2008
7703RD AVE SW
a CARMEL, IN 46032 -2036 Web Site att.com at&t Invoice Number 317575623711
Monthly Statement
Oct 26 Nov 25, 2008
Previous Bill 110.71 M Service_ Nov 25 t hn u D ec_ 24
Charges for 317 575 -6137
Payment Received 11 -10 Thank You 1 110.71 CR Monthly Charges 47.05
Adjustments .00, Charges for 317575 -6265
Monthly Charges 47.05
Balance .00 Total Monthly Service 94.10
Current Charges 110.71 Surcharges and Other Fee
9 -1 -1 Emergency System
Total Amount Due $11 Billed for Hamilton County 4.00
Federal Universal Service Fee 2.40
IN Universal Service Surcharge .45
Current Charges Due in Full By Dec 19, 2008 Telecommunications Relay System .06
Total Surcharges and Other Fees 6.91
T
Federal at 3% 2.91
State at 7% 6.79
Questions? Visit att.com Total Taxes 9.70
Plans and Services 110.71 Total Plans and Services 110.71
1- 800 480 -8088
Repair Service:
1- 800 727 -2273
Total of Current Charges 110.71 PREVENT DISCONNECT
Thank you for being a valued customer. It is important to inform you
that all charges must be paid each month to keep your account current
and prevent collection activities. In addition, please be aware that
we are required to inform you of certain charges that MUST be paid in
order to prevent interruption of basic local service. These charges
are already included in the Total Amount Due and are $110.71.
If you don't agree with the amount due, you Should dispute the portion
you disagree with before the payment due date.
LONG DISTANCE INFO
Our records indicate that you have chosen not to have a
local toll or a long distance company.
IMPORTANT INFO
Effective January 9, 2009, the charge for a paper copy of your customer
service record (CSR) will be a flat S5 for each copy requested. For
questions or if you would like to explore using a free online
alternative, please contact your AT &T Account Team or call the
toll -free number on your bill. Thank you for choosing AT &T.
PREVENT DISCONNECT LONG DISTANCE INFO
IMPORTANT INFO ACCESS LINE RATES
See "News You Can Use' for additional information.
Local Services provided by AT &T Illinois, AT &T Indiana, AT &T Michigan,
AT &T Ohio or AT &T Wisconsin based upon the service address location
p?Sar bottom oortion with your check in the enclosed envelope. U.S. Pat. D410,950 and D414,510
3',
Erenneeo Fire Protection. Inc.
D.O. Bay;
I1\ 4ec c
ECO
rte iv. csn nv(aD-.orenneco com. 1
.IT' 866 -96 i 001_ i
Fi re Protecb"ou wwv DrennecoJ7) .com.
'D edcor LLC 5i Dods %ire. I!1'11
776 3rd -4- venue Q 1 3rd _venue T.
Carmel, IN 46032 Carmel 41 I?\ 4603`_'
..�&t�.�n;��f�k����'��d w�u �4rk�i��� "�'����"�''r�{ ,rte.:
'EDC01 `�/18/200E N ,.30
or,DEr, p
DESCRIPTION Jchtduled Maintenance: Annual InsL °ctlon T asz o:" trlt Fire �vnnitier System, Pa vial
Trig o? tilt Dr3 Svstem, FacHlow Tes and activate Pull Station to ve=y horns L
strobes worm.
w
Annual Inspection L T'tning of the, water base fire protection 1130.00 1,130.00
systems 2/14/0E
X
-7 Z SI
p.
4j
Tnank You for Choosier Brenneco Fire Protection. inc!
Toy -kL 4.MOUTT
Ever) Person, Every Home. Ever- Business Protec
Eai.a.nec ouar 0 da -S o rn.anec caar_° of :i uiL( be ai.ricd
�Prescribed`oy 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.
Payee
'2527 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9 S 72/_
2/5 /1-1:5- Al" r 2 ra. 's l 7557 6S
o g P C� SF. 60
Total .z 6 7,
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.
ALLOWED 20
IN SUM OF
770 5v
ON ACCOUNT OF APPROPRIATION FOR Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�C) Z 2 ?O j bill(s) is (are) true and correct and that the
6 2 2 (?a9 z `fY60 7 S materials or services itemized thereon for
2 ,Fo 5 b, which charge is made were ordered and
received except
206
S' nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund