206074 02/08/2012 CITY OF CARMEL, INDIANA VENDOR: 364110 Page 1 of 'I
ONE CIVIC SQUARE SECURITY TITLE SERVICES LLC
CARMEL, INDIANA 46032 9225 PRIORITY WAY WEST DR #110 CHECK AMOUNT: $465.00
INDIANAPOLIS IN 46240
CHECK NUMBER: 206074
CHECK DATE: 2/8/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 4239099 3440 465.00 OTHER MISCELLANOUS
INVOICE
Security Tide Services, LLC
9225 Priority Way West Dr. #110
Indianapolis, IN 46240
BILL TO: American Structurepoint Inc, Invoice Date: December 07, 2011
128 Torrey Pine Drive Payment Due: June 04, 2012
Brownsburg, IN 46112
Invoice No: 3440
ATTN: Skip Ten
File No: 201112013 Sales Amount: 129,013.00
Buyer: The City of Carmel, Indiana Loan Amount: 0.00
5e €ler: The Trustees of First Baptist Church of Carme
PROPERTY INFORMATION:
01: SE
Q2:
03:
Q4:
late: IN Township: 18N
County: Hamilton Range: 04E
PIN: 16- 10- 30- 00 -00- 021.000._.,,......_
Reference: Keystone Parkway/Parcel 62.
Item Code Description Amount
OP Owners Policy Premium ;385.00
UPI Update Fee 75,00
TIEFF TIEFF Fee 5.00
Total: $465.00
Note: By virtue of IC27- 7 -3.6, a fee of $5.00, designated TIEFF (Title Insurance Enforcement
Fund Fee), will be collected from the purchaser of the policy for each policy issued in
conjunction with closings occurring on or after July 1, 2006.
Page 1 of 1
VOUCHER NO. WARRANT NO.
Security Title Services, LLC ALLOWED 20
9225 Priority Way West Dr. #110 IN THE SUM OF
Indianapolis, IN 46240
465.00
ON ACCOUNT OF APPROPRIATION FOR
Security Title Services, LLC
PO #or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
NA 3358• 4239099 $465.00
I hereby certify that the attched invoice(s), or
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
16 -Jan 20 12
Total $465.00 Sig n atu r
Cost distribution ledger classification if Cit K er
claim paid motor vehicle highway fund Title