178003 10/13/2009 CITY OF CARMEL, INDIANA VENDOR: 361339 Page 1 of 1
ONE CHIC SQUARE OLD TOWN SHOPS PROPERTY ASSOC 1
CARMEL, INDIANA 46032 1 PEDCQR SQUARE CHECK AMOUNT: $1,603.72
770 3RO AVE SW
CARMEL IN 46032 CHECK NUMBER: 17$003
CHECK DATE: 10113/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4358000 92809 1,803.72 ASSESSMENT FEES
Ifi
Old Town Shops Property Association II, Inc.
One Pedcor Square
770 3rd Ave. SW
C Carmel, Indiana 46032
1
September 28, 2009
PAST DUE
CRC
111 W. Main Street
Carmel, IN 46032
Unit of Old Town Shops II
INVOICE
Due: Upon Receipt
Charge Date Item Amount
07/01/09 HOA Dues April 300.62
May 300.62
June 300.62 Pilo
09/01/09 HOA Dues
July 300.62 �So
August 300.62 9
September 300.62
Tntal Amount Due 1.803.72
/7
If you have any questions please contact Laurie Siler at 317.587.0467
Please make checks payable and mail to:
Old Town Shops Property Association I1, Inc.
Attu: Tina Summerlott
770 3rd Ave SW
Carmel, Indiana 46032
WF V 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
Purchase Order No.
fi r, a✓ S61cr�r� Terms
G 32 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
(03, 72
Total �'u3 72
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
x VOUCHER NO, WARRANT NO.
ALLOWED 20
/ssor'f IN SUM OF
V I? foC� ^a SG 7 Llgrr
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s) or
�iaa 9L X09 y35Y-Ze; /T0_'7,;77 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
a 3 2 0 d 9
Sig ture
Dirertnr of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund