206428 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 364110 Page 1 of 1
ONE CIVIC SQUARE SECURITY TITLE SERVICES LLC CHECK AMOUNT: $465.00
CARMEL, INDIANA 46032 9225 PRIORITY WAY WEST DR #110
INDIANAPOLIS IN 46240 CHECK NUMBER: 206428
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 4239099 3440 465.00 OTHER MISCELLANOUS
INVOICE
Security Title 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 Tennancour
File No: 201112013 Sales Amount: 129,013.00
Buyer: The City of Carmel, Indiana Loan Amount: 0.00
Seller: The Trustees of First Baptist Church of Carme
PROPERTY INFORMATION:
Q1: SE
Q2:
Q3:
04:
,late: IN Township: 18N
.ounty: Hamilton Range: 04E
PIN: 16-10-30-00-00-021.000
Reference: Keystone Parlkw4a�rl :6�
It �Description Amount
OP Owners Policy Premium 385.00
UPD 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.
Lpq* Page 1 of 1
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
Security Title Services, LLC Purchase Order No. NA
9225 Priority Way West Dr. #110 Terms
Indianapolis, IN 46240 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/07/11 3440 Keystone Reconstruction Project
126th Street
Parcel 62 Owners Policy Premium $385.00
Parcel 62 Update Fee
Parcel 62 TIEFF Fee $5.00
Total +$465.00
I hereby certify that the attached invoice(s), or bills(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.
Security Title Services, LLC ALLOWED 20
9225 Priority Way West Dr. #110 IN THE SUM OF
Indianapolis, IN 46240
465.00
I6X Ib-
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
NA 3440 4239099 $465.00
1 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
2- td=4 20 12
Total $465.00 i nture
9 a
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title