179080 11/10/2009 CITY OF CARMEL, INDIANA VENDOR: 361339 Page 1 of 1
;I. ONE CIVIC SQUARE OLD TOWN SHOPS PROPERTY ASSOC u 1
CARMEL, INDIANA 46032 1 PEDCOR SQUARE ATTNJINA SUMMERLO CHECK AMOUNT: $901.86
770 3RD AVE SW
CHECK NUMBER: 179080
CARMEL IN 46032
CHECK DATE: 11/10/2009
GE PARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
902 4460816 102009 901.86 HOA DUES 10/09 -12/09
Z
r
Old Town Shops Property Association 1I, Inc.
One Pedcor Square
770 3rd Ave. SW
Carmel, Indiana 46032
October 20, 2009
CRC
111 W. Main Street
Carmel, IN 46032
Unit 4 of Old Town Shops Il
INV01C",r,
Due: Upon Receipt
Charge Date Item yy6 DS/6 Amount
11/01/09 October HOA Dues 3 00. 62
November HOA Dues 300.62
December HOA Dues 300.62
Total Amount Due 901.86
10/13/09 Received payment of $1,803.72 for April September Dues. Thank you.
If you have any questions please contact Tina Summerlott at 317.587.1691.
Please make checks payable and mail to:
Old Town Shops Property Association I1, Inc.
Attn: Tina Summerlott
770 3rd Ave SW
Carmel, Indiana 46032
PreJcribed bv Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
.s
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.
Q Payee
61� rog,, 54 y-3 J r,,, Af o�,�T a, ��rc Purchase Order No.
[/yJiP CUr S �t/9'fs
Terms
2 fJ3 2 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
20 O q Oc ov
Total
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), O
zG �S'6U �G 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
6 200
�j �IS r r rf
ure
ign of pe tions
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund