HomeMy WebLinkAboutSHIEL SEXTON COMPANY, INC.- 001465- 12/17/2010 . CARMEL REDEVELOPMENT COMMISSION '0.01 4 6 5
Shiel Sexton Company, Inc. Check: 1465
902 N Capitol Avenue Date: 12/17/2010
Indianapolis, IN 46204 Vendor: SHIELSE1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
51 14 213,221.16 213,221.16 0.00 0.00 213,221.16
Nov 2010 Reimbursables
2695-58CM 27,750.00 27,750.00 0.00 0.00 27,750.00
• CM Services for November 2010
240,971.16 240,971.16 0.00 0.00 240,971.16
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' e"-05.6 C'E_%� Carmel Redevelopment Commission .0-01.46,8
30 West Main Street A REGIONS
t Suite 220 20-1421/740 ._
CARMEL
' 0,5.TRICS Carmel, IN 46032 •
. 1465 . .
• • DATE. . AMOUNT -
.12/17/2010 ******."`240,97.1.16
'• PAY THE SUM OF TWO HUNDRED FORTY THOUSAND NINE HUNDRED SEVENTY ONE DOLLARS AND 16 CEN1
- TO THE
OROER..
PE ' Shiel Sexton Company, Inc.
902 N Capitol Avenue ,SEA*,
, Indianapolis, IN 46204 ' c
II.0011.55II' 1:074014 2 b31: 00875QL b b Lo
CARMEL REDEVELOPMENT COMMISSION 001465
Shiel Sexton Company, Inc. Check: 1465
902 N Capitol Avenue Date: 12/17/2010
Indianapolis, IN 46204 Vendor: SHIELSE1
Prior '
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
51 14 213,221.16 213,221.16 0.00 0.00 213,221.16
Nov 2010 Reimbursables
2695-58CM 27,750.00 27,750.00 _ 0.00 0.00 27,750.00
CM Services for November 2010
240,971.16 240,971.16 , 0.00 .0.00- 240,971.16
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December 1,21)10
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Mr. Les Olds
Carmel Redevelopment Commission
City of Carmel
One Civic Square
Carmel, IN 46032
RE: Carmel Performing Arts
Construction Management Services—Job 2695
Payment Application 2695-51CM (November 2011))
The following are costs for CM Services on the Carmel Performing Arts Center:
CM Fee: ($I,665,000160 months) $ 27,750.00
(est. 1.85% of construction costs)
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Total due: $ 27,750.00
if you have any questions please call me at 223-5011 or our Accountant, Lynda Weaver, at.423-6008
Sincerely,
David '. iurchard
Construction Manager
Shie] Sexton Company, Inc.
902 North Capitol Avenue
Indianapolis, IN 46204
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November 30, 2010 �• rt �,1
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Mr. Les Olds, Director .i4+' �
, '
Carmel Redevelopment Commission ni �1� ./
City of Carmel N"' -1: "'^
One Civic Square
Carmel, IN 46032
RE: Parcel 7A, Regional Performing Ads Center
Construction Management Services - Shiel Sexton Job#2695
Payment Application 51 (November 2010)
The following is a summary of Shiel Sexton's billable expenses:
CM STAFF
November 2010 2695-43 $ 207,392.50
CM GENERAL CONDITIONS
November 2010 2695-43 $ 5,808.66
CM REIMBURSABLES
November 2010 2695-43 $ 20.00
TOTAL DUE $ 213,221.16
If you have any questions please call me at 223-5011 or our Accountant Lynda Weaver at 423-6008.
Sincerely, J/' /
l�i'
all,...//� •
David C. Burch'
Construction Manager
Shiel Sexton Company, Inc.
902 North Capitol Avenue
Indianapolis, IN 46204
Invoice Disbursement Schedule
Contract: 2695- CARMEL-PAC-CONSTRUCTION
Invoice: 2695-43 11/30/10
Item: 10- CM Staff
Labor
4 salary weeks - 10/15/10 thru 11/11/10
4 hourly weeks - 10/22/10 thru 11/18/10
SUPERINTENDENT- 3 men-salary+ 1 man- hourly 683.00 Hrs @ $105.00 71,715.00
GROUP MANAGER- 1 man- salary 63.00 Hrs @ $110.00 6,930.00
IT CONSULTANT 2.00 Hrs @ $90.00 180.00
PROJECT COORDINATOR- 5 men- hourly 459.50 Hrs @ $65.00 29,867.50
PROJECT ENGINEER- 3 men- salary 480.00 Hrs @ $80.00 38,400.00
PROJECT MANAGER- 2 men- salary 320.00 Hrs @ $110.00 35,200.00
SENIOR SUPERINTENDENT- 1 man- salary 160.00 Hrs @ $105.00 16,800.00
SR PROJECT MANAGER- 2 men-salary 342.00 Hrs @ $110.00 37,620.00
Cumulative thru 11/11/10 for steel remediation issue
VICE PRESIDENT 55.00 Hrs @ $200.00 11,000.00
58 salary weeks 10/02/09 thru 11/11/10 transferred to Carmel Energy Center Phase II Expansion
Senior Project Manager- 1 man- salary <48.00> Hrs @ $110.00 (5,280.00)
Project Manager- 1 man-salary <48.00> Hrs @ $110.00 (5,280.00)
Superintendent- 1 man- salary <64.00> Hrs @ $105.00 (6,720.00)
Project Engineer- 1 man- salary <288.00> Hrs @ $80.00 (23,040.00)
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Total Hours 2,116.50
TOTAL Labor 207,392.50
Material
TOTAL Material -
Subcontract
TOTAL Subcontract
Item: 10- CM Staff 207,392.50
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Invoice Disbursement Schedule
Contract: 2695- CARMEL-PAC-CONSTRUCTION
Invoice: 2695-43 11/30/10
Item: 20- CM General Conditions
Material
AT&T 102510-2695 112.38
BOMAR INDUSTRIES 17292 717.68
CARMEL PRO PRINTER 31483 84.49
DOCUNET ONLINE INC. 230 250.00
LOWE'S BUSINESS ACCOUNT 110210WENZLER 24.93
MILLS SUPPLY 2237297-01 677.00
MILLS SUPPLY 2237325-01 39.00
QWEST 1137420061 2.83
RUNYON EQUIPMENT RENTAL 172220 227.38
SPEEDWAY SUPERAMERICA LLC 110810 1,122.03
SSC IT 1110-2695 1,357.79
SSC IT 9201011 500.00
SSC IT 10201011 500.00
TW TELECOM 3828809 166.35
WHITE'S ACE HARDWARE 35991791 26.80
TOTAL Material 5,808.66
Item: 20- CM General Conditions 5,808.66
Item: 30- CM Reimbursables
Material
BLACK TIE COURIER, LTD. 110110 20.00
TOTAL Material 20.00
Item: 30 - CM Reimbursables 20.00
Summary
10 - CM Staff 207,392.50
20- CM General Conditions 5,808.66
30- CM Reimbursables 20.00
CURRENT DUE : 213,221.16
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k - SIUEE SEXtON Page l ol 2
ACLIS YAYAULL.105 235 Account Number 311!4)55-54643768
272 N LABIIUL AYE Billing Bate Orr26.2010
kk'r nn �A/a INOIANAPOLIS.IN 49264-1
YrT,.- .-,."! ��V\yrr Web Slit dtt.COrll
1< --"" ' BL Iayoica Number 317513248410
Mr_#nt_h y Statement
Sep 26- Oct 25, 2010
i Pa.:n1.a d�SN tb.es k 3- r ;44e
y5;BdIt'Ai ram's-2e'• +}l er tyFyt _a v.A.
7rotri, +cakf 5 ..
Previous Bill 112.53 Promotions and Discounts
Item
Payment Received 10-11-Thank You 112.53CR Nu Pencrinlien
I Osmanli far term Volume Discount Plea lormm
Adjustments .00 Rill Pealed Oct 25,2010 1.511C0
Balance AO Monlfiy Service-Oct 25 thin Now29
Moodily Charges.. 3702 .
Current Charges 112.30 Additions and Changes to Service
This section of Pour hill reflects charges and credits resulting from
Total Amount Due • $i��,3$ income activity
Item Monthly Amount
Amount Due in Full by Nov 15,2010 No. Description Quantity Rale Oilled _
Oats:DM 75.2919
Order Number 89046333194
'O� �r _ Effective Oct 1.2010,your
'Bl-..' Summaryn'kt "� � s'fiCr0- �'�:, s �•
-.., 1 x _s�� l!.ua F9F ti Rq-�, SOrinycts aonhhly al•�t€�`' SOB in you[Monthly .
Billing Questions?Visit att,Loom/billing Service charges.Charges are
prorated horn Oct I,2010
Plans and Services 42.39 duce Oct 24,2110
i-800-480.8088 I.Monthly Service .06CR
Pepsi,Service:
Surcharges and Other Fees
1-800-727-2273 - - —
9-LI EmergenrySysicm
AT&T Internet Services 69.94 Billed for Hamilton County 7.00
1-877-722-3755 Federal Universal Service Fee .71
IN Universal Service Sur charge .12
Total of Currant Chargers 112.38 IN Utility Receigs Surcharge .51
telecommunications Raley Service 03
Total Surcharges and Other Fees 327
Taxes
Feder al at 3% 1.07
State at 7% 257
Total Taxes 360
r,...i m._....a r,....r... ..
68297.320.99722 I AV 0.335
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SHIEL SEXTON
ACCTS PAYABLE JOE 42695
902N CAPITOL AVE
INDIANAPOLIS IN 46204.1005
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11/09/2010 mna 9: 55 PAX 001/001
: u5"'".6v?1Mrii!'AF',n:+nywr-^..5:.i:Jw-:. ]:c' alYx::s+T.:`-T sS.:u:-...c:^.uWrn9^r::,eS,Y:.4J:'2Y."[3Y:rS.t, raTL-Ct ,-,e�Vy
Bomar Industries, Inc
3838 S Adington Ave
Indianapolis,IN 46203
Phone: 317-899-1240
Fax: 317-899-1241
Fed ID: 35-1843148 Invoice No. 17292
Page 1of1
Slap ura:
Shiel-Sexton rat ' BOR
9O2 N Capitol Ave.
Indianapolis,IN 46204
I i
'50$19 SPECIAL SHIPPING INSTRUCTIONS
Invoice Date Due Date Terms Salesperson A0.Number
1119/2010 12/9/2010 Not 30 )011 2695
Qty Sit 41r 60(ay Pan'ID/Depaiptiaa umr uartPna Ed r&PXm
12 12 0 114"METAL PLATE EA 55.64 $667.68
A 36 steel
BM-048-10514
Shipment 17292 Our Order 15631 PO# JOS 2695
r - t
Invoice Subtotal $667.68
Fre/ght $50.00
Tax $0.00
Invoice Total —' $717.68
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CARMEL PRO PRINTER • Invoice#: 00031493
303 West Carmel Drive
Carmel, IN 46032
Date: 10/28/2010
317-844-9171 Rick u
Ship Via: p
Bill To: Shipping Date:
Your Order#: Verbal,Mike A.
Shiel Sexton Company, Inc.
Attn: Accounting
902 N.Capitol Avenue Ship To:
• !ndlanapolis, IN 46204
Shiel Sexton Company, Inc.
Attn: Accounting
902 N. Capitol Avenue
Indianapolis, IN 46204
Description Amount
8 copies at 18 pages 4/0 digital color $55.18
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8 clear covers with black backing $10.80
8 sprial bind 5mm $12.00
_fir
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Thank You For Your Continued Business!
Terms: Net 30 Freight S0•00
1.75%per month added to accounts aver 30 days.
Sales Tax: $5.53
I I Carmel Pro Printer is required to resort to collecilon proceedings to recover less
incurred and ecenses advanced on customers(your)behalf,Carmel Pro Printer Total Amount $84.49
shall also be enlilled to recover all costs Incurred in connection with such collection
proceedings including reasonable attorneys tees incurred. Balance Due: $84 49
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Invoice
Docunet Online,Inc.
10019 Windward Pass
Fishers, Indiana 46037
317-435-4681
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Bill To:
Shiel Sexton Company
l attn: Linda
� 902 N. Capitol Ave
Indianapolis, Indiana 46204
Date Invoice No. P.O.Number Terms Due Date Project
• 11/04/10 230 Net30 I 12/04/10
,.i Item - Description Amount
M Service Agreement Monthly Docunet Service Fee-Carmel Performing Arts Center-Nov. 250,00
\n%
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Thank You Total $250.00
COW E'S I
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■i Secondary Account:9900 655877 1 Statement Date:11 A2H0 Pogo:3 of 3
, Current Invoice Details
• LOWE'S
j MalPaymeb. P.O.BOX 530954
ATLANTA,GA 30353-0954
Dale oT Scle: 10/11110
JIMWENIlER Invo'xe: 909127
1 Arson!: 11525/655877 EL IN - P.0,/JOB: 2W5
• Buyer. WEN27ER JIM
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
000000000236E05 5.90 20X24 BLANK CORRGTD SIGN 1.00 EA 5.90
},00 BO 4.41 4.41
NAiL MASONRY FlTEDiL01 1
• 1 000000000069211 1.00 EA 091 091
ppppp0ppp106956 5'REFLECTIVE% AR 91 1.00 EA 027 OW
000p000001088a8 5'REFI.ECTIVE MYLAR AB 1.00 EA 091 O.9T
. Ira= 000000000108882 5'REFLECTIVE MYLPR e9 2.00 EA 0.91 9 1
5'REFLECT-NE REDAYNT TAP
. ., Balance Due: 2497
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I PACE 3 of 3 CDLR4494 52404
y29 X449 401 R7
11/03/20 04: 45 PI COT via VSI—FAX Page 2 of 3 8285315 86
R0. Box 41296 INVOICE
_ - - Fort Wayne, IN 46857
®eaew.w• 2604949568
Sgy/Yy Inc iau1Ma Sat=
9[1111IIR a lu Iii¢1117 I 4� 'u911 I1{I I�SpI�
11� 111 if11t 16 ' ,It��f11 ji'I�i1 t�1 III I1 lt. ctfittnrtitloll l,1'1::..
SH1100 2237297-01 2237297-01
Blli SHIP
TO: TO:
SHIEL SEXTON SHIEL SEXTON
ATTN: ACCOUNTING 902 N. CAPITAL AVENUE
902 N CAPITOL AVE INDIANAPOLIS IN 46204
INDIANAPOLIS IN 49204
j CUSTOMER P.O.N0. 2695 CU TOMfR P.0.Np. 2995
111 6®k� u°I'9 �5 !1„C l�i' 8�91'i�.." 1:III:p.l:.t4t, i J111 P9tb' ¢.r'�'. GIGId. � .'S•IFF ' sY'rz!J1s 1 pj.f� r.^n1, 1 .'iid"r
2237297-01 220 11/01/10 420 2695 11/03/10
f1,i lA hll. tRI 11I hl r ii 1:I: 11111 �.9a1, 1 1 1 r: 1.. r4.1�I 11 �' I J11111. rt1 d
��I� I � r 1 I� 1 ilil 1 .n.u'-iUL�{I'�V FH . � -^Ii11�. 11 � �I I_i Ii 0:9,1! i oYlw'I.': _'i 11�I IE
WILL CALL H 1
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MIltgLLANEOUS FUEL SURCHARGE
MAY APPLY
1 1 WAP 302004214 EA 589.0000 509.00
VAC WET/DRY ATTIX 50 AS/E
50 LITRES (12GAL)
REPLACES ATTIXI2RDF
WAP ATTIX
1 1 WAP 302004004 PK 39.0000 39-00
FILTER FOR ATTIX 50 5/PACK
WAP 34004
1 1 'WAP 302000490 EA 49-0000 49:00
FILTER FOR ATTIX12
REPLACES 302000461
WAP 30200
--4 *** THIS IS YOUR INVOICE *** SUBTOTAL 677.00
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``in'rtvu: - n HCrrrz 3.fitiyl�k�AEproI�li11 "1111 I,�n'7 11iNI1P,
iauewir°MPS -neriu.ro c*.w THE°LAME
FHEIOKfiprAL, 'j. _NET TERMS: 'NV 30 DUE: 12/03/10 FOX/DT/1W TAR
*** ORDER COMPLETED *** s1AYE
pAYMFM0ECO 0 00
.. I' TOTAL 7TF'}T Pr?E,
.M.OPra area 677.00
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11/03/10 04: 45 PM EDT via VSI-FAX Page 3 o 3 1286315 E1E
' 1.1 r_. RO. Box 11286 INVOICE
Tort Wayne, IN 46857
®Lamas/` 260.184.8588
um amiss,k IaBM
Uaf Supplies
011 0ti«0 4 0 NIOIPf I P l
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SHI100 2237325-01 2237325-01
Bill SOP
TO: TO:
SHIEL SEXTON SHIEL SEXTON
ATTN: ACCOUNTING 902 N. CAPITAL AVENUE
902 N CAPITOL AVE INDIANAPOLIS IN 46204
INDIANAPOLIS IN 46204
CIO TOMER P.O.ND. 2695/CPA CUSTOMERP.0.NO. 2695/CPA
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diR 1reaarL t ha ' L'P56 OGIT.151.ivA s r' MMECEMEEMM b ER4Ld iamb
2237325-01 220 11/02/10 420 2695/CPA 11/03/10
ElI H.41! I V,. � W& r'r 0 I 11 I 111):'' i i! ���9 1 :: .1I II
WILL card B 1
lESti": , ELIMNillftL91d83Ni ' ^ I 11I1
'OtlTr '�tfffi�F P� tik ,l p n IN:11.1'11i% o ,G 1 i I p' it 1f11tlY.i.�i.
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- MISCELLANEOUS FUEL SURCHARGE
MAY APPLY
1 1 WAP 302004004 PR 39.0000 39.00
FILTER FOR ATTIX 50 5/PACK
WAP 34004
„,, THIS IS YOUR INVOICE *** SUBTOTAL 39.00
n n a 'u«•I JC swnEMIAMMENIMMICIT MISC CHA liar f L
flat•OICW/I AI T .• N3 MCI m . .ammo in THE CHARGE
(RCICNi 10141.:;?i
NET TERMS: DIV 30 DUE: 12/03/10 FEO.NTNLA Tax
*"* ORDER COMPLETED *** 67atE .1 + P a ly"
y ] { kl S PAYMENT RECO. 0.00
' c TOTAL ?lPfl DUE
MOPTB a/BB 39.`00
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Qwestg Nevem bar 11.21,10 SHIM_SEFTON
$rc8el ArMSra Invoice 1137420001 Account 61952158 Page 5 of 145
Your Account Balance (continued)
.
t NM Charges (rontinuedl
JOB tj2905 CARMEL PAC 146757439 Owest TW al Advantage
Current gross charges 2.45
Gasemment Fees and Tawas __ 0.05
States and Local Taxes 005 .,.
Other Fees&Msnlhly Charges ._... _.. .. 0.]] a
. Federal 0niversal Serviw Fund 9.32
_ n
Fed Telecom Relay Service -- 0.01
12.83 1
LRC 03525 I4182996—Qwes4-Total advantage
Cunen>jro S CS bogus .+
Gsvcmmeal Fees and Tam _
0.85
Stale and LOW Laxe J ._ 0 05
Other rep&sanely rges _ _
0.33
Federal Uraverss Sena nd 1 032.
Fed Telecom Relay Service __ 001 _
$283"�
BIRCH BATH 03525 141022997 Awes Total•AdJadlag0
Current gross changes „dos'''. ! 29.59
0isceun15.Promotions&.Fees ! A 16
(Government Flm snd Taxes _ 0.51
Slain and Local Tales 0 0 51
Other Foes a Mouthy Charges _ _ r 84
Federal Universal Service Fun 3.75 -_
Fed Telecom RelayService
—.-... �._ .. �._ 019
33.1_611
JOB 03415 142107379 Owes'Toted OVantage l
Current gross eharyse..dor y
2,45
Government Fee.sM Trim 0.0*
T stared Local Taxes At 905
OtherFms a Mvtlhy Charges _ . pj3
Federal universal Senses Fund _ 032
Fed!eleven;Relay Senate 0.01 _
_ ... 22.83
W/AN00TTL ones 143258310 Owes Tmal Advantage.
Current gross char espraLW'^r 'Si s . . _.., _ 2.51
Oovammenl Feet end Terns .r --- 0.05
_--�state and anand Local Tams _ 0.g5�
��thcv eder l Monty M9 Ser ice -- .. ,... �`3
Federal Universal Service Fur 0.32 ,..
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Fed Teiatom Relay Sand. - - -. 01
12.89
Total semi.SLITON current krt Charges 6478.28
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. EQUIPMENT RENTP1- a du awes knead me use oLFe F4upmnt ll 8 m Sast On aannl pail''and an'swarm padun.ed Pe aslant dies natepsel on
410 W.Carmel Drive•Carmel,IN 46032 Pternum pdrya m agoerrnrt to insua
The Renton brew ammWta incept it te a reinar ned egapnma and aieSdS,acowards b we said paerty in a carafe aq pond band I d
UyMCL•FISHERS•INDIPNPPOI.IS SW net bad gilt more an eey nenrerdspose dame logy sewn smut to Niten consul d to dna at Arter agrees brassnte wiener¢
b Rata b attsanibty good eadion as wren tecetnid,read m3 ad teat tottered
317 - 566 - 8888 Ile pares ague tot h to eat be Ratan Heats try d to bars ad apace d ties aurora/he Rata lay Gabl ammo tglher eel nssvr'uo dismay
b a g c u r l=it adiam9dotaadaehar 0 vGpYast pomrdadicd bo ndsdcrla(10)carsad.211mn9 an erne statbe aadrigraet(I3)mart
FAX:317-566.2990 TIC ease oaatcral has ban rained Ly to wremicred banal panes ad L S Uda'nIW tat Rater ad be held tessera*team/aaeaea
daowpe fling dedy a intro*tan boed equipment The Reda nonentity cbtlaTB Si marked Ma wpessel it holed idtdg pry truant
"Don't be a tool-Rent one" ,amatasdmonhottAiyafressbt apattada prods and rater=ernesnor auttd'ves ay other persona assume to1 ay bitty amedmNth the
as d Da alu Pnst The Refine agrees to Warmly Rata,.tan any dais ben.da'ogns b rowmntS atvzausdal cannot'nls at ttlme ably ate/
Ivww.runyonrentat.corn hcgata draws.dun these dimes razed bydonegrgm d Pate tegeher nth Macey tee tot debuting any adm troop nsa mad ul the lease
of Vs eau reset
Open 7 Days a Week Monday-Friday 7:00 am-5:30 pm•Saturday 7:00 am-4:30 pm •Sunday 9:00 am-3:00 pm
JsRENN ACCOUNTING ED'SOC COMPANY INC 1 7901
El t:E=TA ..
+ . "Jon LOCATIF}N F_ 1ill"" rjt aWQ+ TacitstOrre
Con# 172220
902 N. CAPITOL AVENUE
INDIANAPOLIS IN 46204 Loc 100
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W (317) 423-6000 OUT 10/05/10 10:35 AA EL
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25 761445018639 HARD HAT WHITE RATCHET 3013362 212.50 212.50
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IFPERM/R9a 6 NOTRFRUWlED BY-011E It'DATE,111Thal BE SIHIEeI1O AWNME OFOUVWFSEN(REFT1 RENT 0.00 •
Used atmete Sea Patent£55,et.)in Roman ysaboare Road,mdpmrd is PROIMSInEO
Custom d boa for of cantatas&marts and test tom neat¢¢net SALES 212.50
I RAVE DEER arSMUC ED a DEL(INSTRATEO ON THE ONE a PHCBER OPEREAN 01715E ABNE MURMUR Nalll OTHER 0.00
EJLm atmismesfGrf cI NS.IALSOL'MJERSphDTWR IAMTHEPERSON RENTINGINSPPOPERW.Mt
1IW MINION EOIIIWH4RENO'.D55$NOTGYE ME REMISSION TO LENDINS PIIOPHnA1D AIR OTHER P[SIM I DW/FEES 0.00
UAERSwD TIN MUG OR LOOM TICS PROPERTY TO ANY OMER PERSON FOR AM REASON'S UN<RDDrjZFD
lay TIM'EDIYPIIDRMEAL X Addl TAX 0.00
TIE UIDERSIGNEA RAVING READ AN'DU:DERSTOOD NE ABM I F.AEBY AGIEESIO RENT 111E ARMES IWTED SALES TAX 14.88
Oh THE TERMS AND CCM=.NS SET FORM NTHS RENDL AGREEMENT I RAVE RID DE ABOVE INFORMATION DEPOSIT 0.00
NAADNCWIEDOE THAI IT 6 CORRECT COMPLETE AND ACWRNE.I MUSE N C ASA CONDITUt OF 1EMFti
EpiPNJR TRW IF WY EIPIDTMEM,AOORSS OR PHONE NUMBER BE MINCED.I WILL WHEY IRINHN
ELUPMEM RENW IMMEDIATELY EAM N EOJL.MENT RENTAL IS AUTWJRI/ED TO art MV CREI:T CMG FOR NU
NO ALL COSTS,FEES.MICR MEREST DOSSES ASSOCIATED ATM ANY CLAY/.LOSS.OR DVADES TO TOTAL DUE 227.38
PROPERTY ASA RESULT OF WE RENTM-OFTICSED.TPUEM. ANT BILLED 227.38
L O BY X CELL
IFIEA 9EO BY E 13-OCT-10 13:49:34
RERIRED RENTAL FEES DO NOT APPLY TO PURCHASES.
REIFIED BY X
WE CHARGE FOR TIME OUT NOTTIME USED. Equipment is clean and full of fuel please return as such or additional charges
YOU ARE RESPONSIBLE FOR ALLTIRES,FUEL AND ELECTRIC CURRENT. Will apply. X ..
.
•
Tom; Speedway SuperAmerica LLC
Is eeetyhen you provi
Speedway chock as 9ayment, you authorize us either to use the information
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, process the payment as a check transaction.+ee
�Sp`ledrvayl SUKRAMHtICA 1 wACCOL:IT9u`.-'12 '1 j DUE :ATE I AmCtuNTIaYE 1 %reDuCTPV:O
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100 0194 009 j 12-C3-10 I $31649.10
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1000194009 1 -.-...L __._-_._.__ _
MAIL PAYMENT TO:
Fos me berm or account
P.O. BOX n'r_,talon C INC INNAT I,i0 OH745274-0587
WRITE TO:
Speedway SuporAmvica LLC
ATTN:Credit Customer Servko
P.O.Box 1590 SHIEL SEXTON INC
Spdngleld,OH 45501 902 N CAPITOL AVE STREET ADOPESS
CALL 1.300428-4015
FAX: (937).464.3091 INDIANAPOLIS IN 46204-1005 - env STATE 2IP -
j Email:ssacredltcard @ssalk.corn 11111111.11111111111111(11 r1 IIIIurlft list Ii If Iv II!Ir II
=PEA CAGE I PMC'IE we.'SER
TAX ID: 31-1551430 Complete above CELT,l adn'e:s has changed
For,vemyii payments'
Speedway SuporAmerka LLC
Credit Servke9 91000194009600316491
•
500 Speedway Drive I
Enon,OH 45323
Pay online @ www.speedway.com L _ _
Pay by phone:1.866-731•1345 PLEASE,hclune your account number on all Checks/conespedencos
TRANS REFERENCE CARD
DATE NUMBER TIME NUMBER DESCRIPTION OF TRANSACTION AMOUNT
• ILO-11 0284 52 017083 01:45:531 0138 SIR 6066 8895 E 116TH ST FISHERS . IN ;42 S7
110-17 0291 53 089874 7:06:081 0138 MPC 062968 990 S STATE STREET GREENFIELD IN $39.56
I TOTAL FOR CRC TO ID 3855 $82.13
10-14 3,0287 52 008492 3:00:12 0138 !SIR 3766 7940 BROOKVILLE ROAD INDIANAPOLIS IN $27.63
10-21 10295 53 018381 8:42:44 0138 !RFC 007674 5964 N PENDLETON PIKE MCCORDSVILLE IN $76.74
!TOTAL FOR CMG TO ID 3808 $104.37
. (TOTAL FOR DRIVER DARYL COLEMAN $331.13
110-13 10286 52 025624 x^.0:23:55 0123 !SIR 6066 8895 E 116TH ST FISHERS IN $44.65
10-21 10294 52 017806 06:16:58 0123 ISTR 6066 8895 E 116111 ST' FISHERS IN $54.73
11-04 0308 52 017429 23:20:56 0123 STR 6066 8895 E 116TH ST FISHERS IN 3551.70
F
TOTAL FOR CHG TO ID 2695 / 5151.08
I (TOTAL FOR DRIVER DAVE BURCHARD
$151.08
110-12 10285 52 010329 05:38:28 0021 '5TR 1302 1618 N LEBANON LEBANON IN 530.91
10-16 3.0289 52 001129 107:52:13 0021 ISTR 1302 1618 N LEBANON LEBANON IN 542.93
10-21 10294 52 015957 66:02:17 0021 ISIR 5387 5555 N 86TH ST INDIANAPOLIS IN 541.55
10-25 10298 52 002095 85:43:56 0021 ISTR 1302 1618 N LEBANON
LEBANON IN $45.25
10-31 10304 52 006495 2:03:341 0021 SIR 5468 1032 N RANCELINE RD CARMEL IN 145.71
TOTAL FOR CHG TO ID 3752 1214.35
TOTAL FOR DRIVER DAVE FARRIS 5234.35
110-10 10284 53 098672 !11:03:18 0019 :MPC 068619 109 JANAY DRIVE MARTINSVILLE IN $5.72
10-14 10288 53 326570 17:00:52 0019 ihIPC 113951 1708 E 116Tf1 ST CARMEL IN $43.01
10-17 }O291 53 367196 .2:30:091 0019 IMPC 161232 3400 OLD STATE ROAD 37 MARTINSVILLE IN $28.17
10-20 ';p0294 53 110133 06:08:481 0019 MPG 068619 109 JANAY DRIVE MARTINSVILLE IN $38.44
10-23 297 53 372315 7:07:43 0019 IMPC 161212 3400 OLD STATE ROAD 37 MARTINSVILLE IN $39.21
10
10-27 0301 53 400082 8:52:54 0019 MPC 161000 1541 N THOMPSON ROAD INDIANAPOLIS IN 540.26
.11.01 10306 53 298904 19:02:171 0019 !MPG 113951 1708 E 116TH ST CARMEL IN $39.92
•
I
ACCOUNT NUMBER I STATEMENT I PREVIOUS PAYMENTS/ CHARGES/ FINANCE NEW
CLOSING DATE BALANCE CREDITS ADJ CHARGE I BALANCE
I
Y-T.D ANNUAL MONTHLY AVEPAO A 'o avarn.mu:a.L re.v:t'
I CREDIT AVAILABLE E^ IV „vs,e...an v•v
FINANCE PERCENTAGE PERIODIC PA:AN!E SUB;ECT TO PACE
! LIMIT CREDIT .CHARGE RATE INTEREST RATE FINANCE CHARGE al auss wu e,r-Lav OF
my z<o.n:ew 19.0. 6 33
1 I I KEEP 09S PART
L /OH YOUR RECD:RDS
Speedway SupnA9erke LLC 0.64F 9124'
term 3A01-P Rev.490 NOTICE:SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL INFORMATION
I7, 1 payment.SuperAmerica LLC
s �p Assiihen you pros!Speedway check as piymnt. you authorise us either to use the information
// 1 from your check to Wale a one-time electronic fund transfer from your acceolt or to
f®r_L--'1 process 4he payment as a check Iran soot ian..rrl
4ix?dvgT'< :^11,..s Ac- OuNT TILte_p--, �._ULF04TE wva:NT DOE I atto_Nr wo
100 0191!M 00P9 12-03-10 1 031549. 10
1
1000194009
•
MAIL PAYMENT YO:
42T quest:ono Or.„count
na irzt7n
CINCINNATI, CH CH745274-0587
WRITE TO: --„_
• Speedway merka LLC
ATM Credit il Customer Gervioa
• P.O.Bon 1590 SNIEL SEXTON INC
Springtleld,OH 45501 962 N CAPITOL AVE SraE€T topPess
CALL! 1400428.4016
FAX: (937)444.3091 INDIANAPOLIS IN 46204-1005 c;r Wens ZIP
E-maOasacreditcardps=ailncem 6fi111f111111 1 111111 i1 u1 Mli11flr i11surlilllrlllllf11111 .I
TAX 31 9551430 "AEA WOE I IHJNE m,,,I4E9
complete above ONLY if act I-Tat chop__4,
Rir c+mnrgrt pay moo t0- .
Speedway SuperAmerica LLC
. Credit Samna., 9120001940096003164910
500 Speedway Drove
Enos,ON 45323
Pay online 1 artattedway.com I_ _
Pay by phone:0-306-73x•1045 PLEASE made pour arr
• OvnUVimber on n0 Niisch,/nenesocnriaocci
TRANS REFERENCE TIRIE ' CARD I DESCRIPTION OF TRANSACTION AMOUNT
DATE ROMPER NUMBER':
. rlr 1-05 0310 53 126892 106:00:22 Oa19 IHPC 068619 109 JANAY DRIVE HARTTNSVILLE IN 539.75
i � OTAL FOR CNG TO ID 2695 01274.48
I
TOTAL FOR DRIVER DAVE LAWRENCE 1274.48
Ili-12 . 0205 52 013630 . 9:05:07 0140 !SIR 3352 14091 TRADE CENTER FISHERS IN 565.59
;TOTAL FOR CHO IT ID 5537905 $66.59
10-23 0296 52 002740 , 7:33:56 0150 'SIR 3333 17645 LITTLE CHICAGO R NOBLESVILLE IN 557.78
11-07 10311 52 081950 07:05:31 0140 STR 3303 17645 LITTLE CHICAGO R NOIILESVILLE IN 569.761
TOTAL FOR CNG TO ID 3777905 5127.54+
TOTAL FOR DRIVER DAVID LAND 5193.123
10-12 [0255 52 005161 11:53:51 0272 -PIL 006093 2640 NORTH 600 REST GREENFIELD IN 535.00
10-20 10293 52 0412973 �06:40:16 0272 PR 006093 2640 NORTH 600 NEST ' GREENFIELD IN - S30.04
I
TOTAL FOR CNC TO IO 3.914 165.06
TOTAL FOR DRIVER DENNIS COMBS $65,06
10-27 0501 53 075617 2:34:31 0136 -HPC 041401 10655 N HICHICAN ROAD 2IONSVILLF IN 573.31
i 1 TOTAL FOR CHC TO I0 3555 573.31
TOTAL FOR DRIVER DENNIS Nulls 573.31
110-11 10284 52 032661 06:33:30 0141 PIL 0106267 2962 E COUNTY RD 500 N NNTTELAND IN $56.17
110-12 0205 52 025892 0:35:15 0141 ISTR 6026 20 N US-31 WHITELAND IN $79.21
•
110-20 y(`0293 52 020020 5:00:02 0141 ISTR 7329 10005 N MICHIGAN CARREL IN 582.89
,10-26 0299 52 017379 15:10:47 0141 SIR 6135 3631 S KEYSTONE INDIANAPOLIS IN 577.93 •
111-01 k 03115 52 018303 - 0:03:16 0141 STR 6135 3631 S KEYSTONE INDIANAPOLIS IN 365.45
TOTAL FOR CHC TO ID 9999 5361.65
ACCOUNT NUMBER STATEMENT PREVIOUS PAYMENTS! CHARGES! FINANCE NEW
L _ CLOSING DATE BALANCE CREDITS ADJ CHARGE BALANCE
•
•
ra AVAOLABLE Y-T.D ANNUAL MONTHLY AtSP4oE'YLLY .reu�m se.,r,,.ce
CREDIT peter,...,Orr a,e.
• LIMIT CREDIT FINANCE PERCENTAGE PERIODIC ^-LANCE S'J O..'CCr r] i AnGE
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015,4E 1173.3'
norm 0441-1 0n..:;w NOTICE:SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL INFORMATION
.
Speedway SuperAmerica LLC
i1 +ee You provide a check as payment, you author;-o us either to use the Information
9:�7 from your chock to nake a ono-trme electronic fund transfer from
your account or to
s'( process the payment as a chock transaction.***
lSpcodway; AcccuNr`Jidmilra 1 DLE :A IE AMOUNT DUE zuecNr P.;O
mine n.11:e t•r.-mom,.•
100 0194 009 12-03-10 531649. 10 '
■ 1000194009 MAIL PAYMENT TO:
I
c:l^.cE•:Lrl 1.:G0.int
j +">'G•aoon P.O. BOX 740587 _
WRITE TO: CINCINNATI, OH 45274-0587
Speedway SuperAm adca Lie
ATTN:Credit Customer Service
P.O.66.1590 SHIEL SEXTON INC
spnngnelq ON 15501 902 N CAPITOL AVE STREET Af1GaESs
•
CALL: 1400-428-4016
FAX: (937)-8643051 INDIANAPOLIS IN 46204-1005 CITY STAIE 21P
E.maII:ssaeredllcard @ssalle.com r.1lllilll111 llllltltlll.Illlllll111111111111111 lll,il111
'REA CORE I PHONE :e:AIUER
TAX 10: 31•1551430 Domplele above ONLY d lorneS•has•ahurged
For even 9h:payments
Speedway SuperAmertca LLC
Credit Servkes 910001940096003164 910
500 Speedway Drive
Elton,011 45321
Pay online@ www.speodwa cone I_ _
y — -
1 Pay by phone:1465-731-1345 PLEASE Wade Tour-,:count nutter on nnchCCMI/cones
• p,^,n CEnCE9
TRANS I TRANS REFERENCE ' 1 NUMBER CARO
i DATE NUMBER TIME DESCflIPTION QF TRANSACTION AMOUNT
! I TOTAL FOR DRIVER IVAN ROBINETTE $444.45 1
10-22 10295 52 014374 20:17:09 0170 SIR 5181 8202 41.1[SONVILLE RD INDIANAPOLIS IN $45.50
11-04 0308 52 008146 17:33:04 0170 STR 3993 6741 E 82ND ST INDIANAPOLIS IN $43.00
1
TOTAL FOR CHG TO ID 2695 r - $88.30
l TOTAL FOR DRIVER JAMES BENNETT $88.50
110-12 110285 52 024281 16:37:46 0192 SIR 5390 920 N GREEN ST BROWHSBURG IN 589.17
110-29 ' 0302 52 018088 12:00:23 0192 'STR 6120 401 KENTUCKY AVE INDIANAPOLIS IN $87.72
TOTAL FOR CHG TO ID 3697900 5176.891
'10-20 }0293 52 018491 06:41:46 0192 1STR 6372 4743 W 16TH ST
I INDIANAPOLIS IN 080.521
+, ITOTAL FOR CNC TO ID 3804900 $80.52
- jTOTAL FOR DRIVER JASON DAUBENSPECK $257.411
1
10-22 10295 52 016477 06:46:421 0262 :SIR 5489 5103 E WASHINGTON ST INDIANAPOLIS IN 086.58
TOTAL FOR CHG 10 ID 3375. 586.58!
110-29 0302 52 018028 06:56:451 0262 STR 6116 1440 E WASHINGTON INO[ANAPOLTS IN 581.651
;10-30 10303 52 D09312 •4:22:53 0262 STR 5489 5103 E WASHINGTON ST INDIANAPOLIS IN $43.0 I
TOTAL FOR CHG TO 10 3804 0124.66 1
10-12 10285 52 026458 07:05:49 0262 SIR 6120 401 KENTUCKY AVE INDIANAPOLIS IN 657.58
10-18 10291 52 017731 106:34:00 0262 'SIR 6116 1640 E WASHINGTON INDIANAPOLIS IN 582.301
!11-03 10307 52 015764106:42:08 0262 I STR 5489 5103 E WASHINGTON ST INDIANAPOLIS IN $57.34,
1TOTAL FOR CHG TO ID 3842 $197.22
11-05 10310 50 284004 ' 0:01:19 0262 'MPC 110072 2120 E KING STREET FRANKLIN IN $41.28
TOTAL FOR CHG TO ID 5427 $41.28
ACCOUNT NUMBER STATEMENT PREVIOUS PAYMENTS! CHARGES/ FINANCE NEW
CLOSING DATE BALANCE CREDITS ADJ CHARGE BALANCE
I
Y. ANNUAL MONTHLY .,w1r.wr:e.m Ip,Kr
CREDIT AVAILABLE AVERAGE DAILY •!S •.•4.1 J O.
LIMIT CREDIT FINANCE PERCENTAGE PERIODIC 8+1NCE 3UP—EC TO PACE
CHARGE RATE ,INTEREST RATE FINANCE CHARGE pu t vu N ow in 0. OF
i II :w x ian iron sew L2 33
KEEP THIS PARE
I FOR.OUR RECORDS(
SPeedwW SuperAmnica L1C OL•%9F 'i9T:-0I
r<,m 3401-R nM.4.11D NOTICE:SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL INFORMATION
Imo._-• Speedway SuperAmerica LLC
�,( ""then You prevr a a chock as PAYT:ent, you authorize us either to use the infarnation
''YT from your check to make a one-tine electronic -fund transfer from your account or to
process the paymunt as a check transacticn,eee
9''''c-7.-^1 LJPERAMEIiKA
k_�...-.._J. 3VE Cl.Fe 416101;0/T ODE :nw^uvT aaro
100 0194 009 1.12-03-LO $3I649,10
J
i 1003194009 --__ __i_._.__ __.
MAIL PAYMENTTO:
Fcr cr.eslerr s or acaval
rAnpa l'G' P.O. BOX 740587
- i WPITETO: CINCINNATI, DH 45274-0581
Speedway SupeFA medca LLC •
ATTN:Credit Customer S®Nita
, P.O.Boa 1590 SHIEL SEXTON INC
Springfield,OHA5S01 902 N CAPITOL AVE STREET Li/3%SO
1
FALL: 1400-426-4010
FAX: (9371.86d.9091 INDIANAPOLIS IN 46204-1005 or,' ,,JAI'S. ZIP
E-mall ssacredlIcard esalkcorn Irinldl111111119N,li ii101191.,iiui.111I1II1emidiIIn1
A0cc. rot • =Sane rouroben
TA1110: 31.1351930 - Carnplo:O ow,.e CMLt.f am gs>eechmged
For Oucmignl palmONs
speedway SuperAnodce LLC
CredkServkes 9100019400960031611910
500 Speedway Drive I
Enron.OH 45323
Pay en Pro @ www.speedway.com I_
Fay by phone[1-066-711.1349 ..
PLEASE."curie w9L icenc inzeher nmlche;45/Lary eoniencei
• (TRANS' REFERENCE CARD
•
I
•
DATE MIIMHER TIME iNVMBEPl DESCRIPTION OF TRANSACTION AMOUNT
TOTAL FOR CHC III ID 3693900 $677.81
10-26 - 0'.99 52 021069 ?6:07:201 0266 SIR 7774 5990 E 71ST ST INDIANAPOLIS IN 5250.00
10-29 0302 52 022396 '06:01:35 0266 STR 7887 5415 E 65TH ST INDIANAPOLIS IN 5128.821 .
10-29 • 0302 52 022395 06:01 31 0266 SIR 7887 5415 @ 65TH ST INDIANAPOLIS IH $38.711
11-01 8305 52 015042 23:36,33 0266 STR 6108 2615 N EMERSON AVE INDIANAPOLIS IN S60.30
10-02 . 0307 53 106361 06:11:56 0266 NEC 065003 6500 5 SR 67 MUNCIE IN 370,6E
11-03 0307 52 021436 6:37:14 6266 (STR 7774 5990 E 7151 5r INDIANAPOLIS IN 5250.001
1 I
TOTAL FOR OHS TO ID 3940900 3798.44
i11 I ('TOTAL FOR DRIVER JAY WFA THE RL't
31610,44
Ho-2e (.0302 50 039011 . 6:01:52 0210 (MPC 019349 6307 RASIIINCTON ROAD SAUGATUCK MI 546.50
TOTAL FOR CHG TO ID 3615 346.501 '
110-15 0288 52 002278 P 2:56:53 0210 ,STR 1326 6198 ALLISONVILLE RD INDIANAPOLIS IN $28.57
10-16 70289 52 001248 8:55:15 0210 `512 1326 6198 ALLISONVILLE RD INDIANAPOLIS IN $42.00
10-25 yq0298 52 018261 -08:16:09 0210 STR 6195 6001 N MICHIGAN RD INDIANAPOLIS IN 541.43
119-30 - 0303 52 001236 L;33:56 0210 iSTR 1326 6198 ALLISONVILLE RD INDIANAPOLISS IN 571.60
{11-04 X10309 53 296800 4,25:30. 0210 MPC 114058 922 N DELAWARE ST INDIANAPOLIS IN 520,00-
• 11-06 `10310 52 001194 17:46:31! 0210 STR 1326 6198 ALLISONVILLE RD INDIANAPOLIS IN $47.01
'TOTAL FOR CHG TO ID 3873 5250.61
TOTAL FOR DRIVER JEFF FAULKNER 9247.12
10-18 10291 52 015313 '09:17:52 0242 SIR 5351 6302 ROCKVILLE RD INDIANAPOLIS IN $54.851
11-01 10305 52 015617 09:10:49 0242 :SIR 5351 6302 ROCKVILLE ND INDIANAPOLIS IN S43.531
1 TOTAL FOR 6HG TO ID 3553 1
$110.38
, TOTAL FOR DRIVER JERRY BERGMAN $116.38
11-04 0308 52 033366 116:19:47 0147 FaTAL ZL 006043 2640 NORTH 600 WEST GREENFIELD IN la.
FOR CHG TO ID 21195 .�e:+688.89
ACCOUNT NUMBER STATEMENT PREVIOUS PAYMENTS. 1 CHARGES/ FINANCE NEW
CLOSING DATE BALANCE CREDITS I AD./ CHARGE BALANCE
I •
CREDIT AVAILABLE Y-T-O ANNUAL 1 MONTh ILY AVETACE DAILY weep 0131 ono r1;u�nf
LIMIT CREDIT FNANCE PERCENTAGE PERIODIC BA�R,CE54F.IECTmO er—"1-.4"-4 eF'Aa f vacE
CHARGE PATE INTEREST RATE EINANCE CHARGE'
e r'r..cr•rxra err SW OF
"00*sal f"aucorm t 4 33
KEEP Furs PAR"
._ FOR VOIIS rEee rr09
Sprrw.y Supn America tte • aL:4o ..712.).17 d
Donn 3cOT0 Per& ,10 SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL INFORMATION
. ,
I.
,� Speedway SuperArnerica LLC
w0Rhnn you provi o a chock as payment, You.authorize us either to use the information
s_�—'a'a from your chuck to make a one-time electronic fund transfer from our account Cr to
Process the pay�'+ent ns a chock {ransect ion.e4w
r .-- 3. RIE AAIIRICA ACCOUri I NU:`P.::i I:pa IE o AK:I:NI4.l;3 ASIOUNT PAID
100 0194 C09 112-03-10 +31649, 10
I _.____...._._L___.__.__—....I __I__.
1000194009 MAIL PAYMENT TO:
Pc: go-;:crs>r sec:,rt P.O. BOX 740587 •
my-a:IT\,
WRITE10: CINCINNATI , ON 45274-0587
Speedway SupoYArnedca LLC i
ATTN:Clecll Customer Service
P.O.Bog 1590 SHIEL SEXTON INC
Spdngopld,OH 45001 902 N CAPITOL AVE STREET ADORES0
CALL: 1-800428-9016 INDIANAPDLIS IN 46204-1005 —acv 914;8 LP — '
E (sac?ditcar 97 I,IIIIIIIIIIII,IIIIIIIHill UIIII r IIIIIIIll III 1111,11111111111
E-mail:m se _
\flEA CODE I PMOAE kC41E0R
TAX 10: 11-1551430 Coinp'e:e loose ONLY A andm,vuus char jod.
For crrnulhl pd;,nuus' '
Speedway SeperAmorica LLC
CreditServices 910001940096003164910
Soo Speedway Drive 1
Enon,OM 45127 .
— — .
Pay online 4.1 www.speedway.con L _
•
Pay by phone:1-866431.1345 PLEASE.neru0C IAA x_nunlnctotai�i,HIAP
_ y ^ClS'cal 1_npeM.iid^_fl4
TI RANSI REFERENCE I CARD
TIME I DESCRIPTION OF TRANSACTION AMOUNT
DATE NUMBER NUMBER 3
10-13 0287 53 296004 56:07:431 0062 MPC 114157 7901 N MICHIGAN RD INDIANAPOLIS IN 553.72
10-15 10289.53 372778 2:24:30 0062 MPC 114157 7901 N MICHIGAN RU INDIANAPOLIS IN $52.56
10-18 20292 53 294036 5:50:341 0062 MPG 114157 7901 N MICHIGAN RD INDIANAPOLIS IN $39,09
110-20 }0294 53 298119 3:13:17 0062 ;MPC 114157 7901 N MICHIGAN RD
INDIANAPOLIS IN $64,09
10-22 ;10296 53 362540 5:24:421 0062 'MPC 11.4157 790E N MICHIGAN RD INDIANAPOLIS IN 158.41
110-26 10300 53 274050 1:50:541 0062 114PC 114157 7901 N MICHIGAN RD INDIANAPOLIS IN $63.72
110-28 10302 53 310187 3:30:18 0062 MPC 114157 7901 N MICHIGAN RD INDIANAPOLIS IN 565.26 1
11-03 10308 53 298481 2:03:28 0062 IMPC 114157 7901 14 MICHIGAN RD INDIANAPOLIS IN $74.43
11-05 110310 53 348765 ;13:04:49 0062 IMPC 114157 7901 N MICHIGAN RD INDIANAPOLIS IN $67.74
I I
I ,1 ;TOTAL FOR CMG TO ID 3072 560'1.921
TOTAL FOR DRIVER MATT MAR'JIN $602.92
10-15 [0287 52 035969 '06:15:14 0220 SIR 5468 1032 N RANGELINE RD CARMEL IN $44,43
110-21 10244 52 002117 j18:37:10 0220 STR 1316 1390 N OAK ZIONSVILLE IN 134.39 1
10-28 40301 52 002161 `08:56:32 0220 STR 1316 1390 W OAK ZIONSVILLE IN $41.46
11-06 10310 52 001120 }4:24:53 0220 SIR 1316 1390 N OAK 2IONSVILLE IN $38.98
41111111111110(TOTAL FOR CIIG TO 10 2695
TOTAL FOR DRIVER MIKE ANDERSON 5159.26
•
10-15 110288 52 013654 2:33:58 0121 STR 5014 2945 N SCATTERFIELD RD ANDERSON IN $74.98
10-19 10292 52 012933 07:43:29 0121 `STR 5014 2945 N SCATTERFIELD RD ANDERSON IN $48.11
10-22 .0295 52 002326 09:54:28 0121 .SIR 1331 3803 S SCATTERFIELD RD ANDERSON IN $54.23
10-29 10302 52 013411 07:24:53 0121 •'SIR 5016 3801 5 MARTIN LUTHER K ANDERSON IN 580.141
111-04 x0308 52 021902 06:59:05 0121 SIR 7887 5415 E 65111 ST INDIANAPOLIS IN 180.731
I I TOTAL FOR CMG TO ID 1205 $338,22
TOTAL FOR DRIVER MIKE BAUG11 $338,22
10-25 10298 52 01811"1 9:32:29 0224 STR 6135 3631 S KEYSTONE INDIANAPOLIS IN 552,451
11-01 10305 52 018312 16:22:04 0224 SIR 6135 3631 S KEYSTONE INDIANAPOLIS IN 554.001
TOTAL FOR CMG 10 ID 3180 5106.45
ACCOUNT NUMBER STATEMENT PREVIOUS PAYMENTS? r CHARGES? FINANCE { NEW
CLOSING DATE BALANCE CREDITS ADJ I CHARGE BALANCE
Y-T-0 ANNUAL MONTHLY AVERAGE GAILY 'o„a;o vontvs'-v^11
CREDIT AVAILABLE nail."'9'I/1111 PAGE 1
LIMIT CREDIT FINANCE PERCENTAGE PERIODIC INANCE5631ECT TO r
CHARGE RATE NTEREST HATE FINANCE CHARGE "+`1+vO 1111(1:40,0t 00433
P '4 Pot o.e :wn•na+
KEEP[41S PART
FOR FOUR ACCORDS
I v I J
Speedway SupeAmedca LLC JL'AF-moo
Foam 1101.1i n��.9n0 NOTICE:SEE REVERSE SIDE FOR IMPORTANT ADDITIONAL INFORMATION
I
I
„ ,� Speedway SuperArnerica LLC
1 s. saewhen you prov{Speedway Chock es payment, you authorize us either to use tha information
1 4 �� from your check to Hake a one tie etoet anic fund Iransfer from your account or to
L�t1 /� proOess tho payment as a chock transaction tae
13p£Od11W. SuF[P.aMERKJ. 1 ACCOUNT:VLMR-:r REF OF V a4T;NT DL_ 414.):NI Pall)
•p Y.mwr+u-..� I.xlve an All:ra{ar-:rm:•�een,rn n -
100 0194 009 i 12-03-10 $31649+10 I
1000194009 MAIL PAYMENT TO:
Fo 1 0.:55:-.0,5 a:.x:a nl P.O. BOX 740587
°-`w'"'ll'�• CINCINNATI, OH 4 527 4-0 587
1 WRITETO:
• Speedway SuperAmerlca LLC
IATTN:CreeR Customm Service —
I PC.seR 1590 SHIEL SEXTON INC
SpdnglisId,OH 45501 902 N. CAPITOL AVE sr MEET IDDPESS
• CALL: 81 1.600.428-A018 INDIANAPOLIS IN 46204-IO05
FAX: 19371.9284 ,:in, s'ATE ZIP
F-man:ssacraehcar0 @xsalIC.cum 1111111111n Ildfil l,.I'FIr1r IIIIfr 11111111rh1111111.111plIeel
AREA COLE I PHCNE '1l.Yeea
TAX lb: 31'1550.30 Coirpfcie abcre ONL 12 add165l eas crar.2a
For o•:emrttlp.ryrrcros
Speedway Sup.iAnmka LLC
Credit Services 910001940096009164910
500 Speedway Drive
Enon,OH 45323
IPay online. www.speadway.ecm — _ — -
Pay RypRane:1406Ta1-1395 PLEA:>_as''C"19F10u' 1.33001119,nteV:n 11I:Peeks IC91rEsp.ce-Frc es
REFERENCE 1 CA" I AMOUNT
!TRANS! TIME DESCRIPTION OF TRANSACTION ���
DATE 1 NUMOER - [NUMBER .-.._
. I TOTAL FOR DRIVER I'ON? E[SENNOT $379.82
10-11 luza4 52 017074 08:56:54 0165 (SIR 6066 8815 E 115TH 51 FISHERS IN 544-00
1TOTAL FOR CHG TO III 3242 144.00
1 I TOTAL FOR DRIVER TONY JULIAN `+44.00
1
10-26 0299 52 021046 06:07:371 0180 SIR 7774 5990 E 7151 ST INDIANAPOLIS IN $113.73
x
10-26 0299 52 021045 06:08:531 0180 SIR 7774 5900 E 71ST ST TNDIANAPOLIS IN 121.06
10-27 20300 52 021217 13:29:49: 0180 1STR 7774 5990 E 71ST ST INDIANAPOLIS IN $75.341
110-29 10302 52 017787 10:54:56 0160 :STR 6092 10471 N US-31 TAYLDRSVILLE IN 580.53
41-03j0306521035508 00:01:55 0180 1'ISTR 6066 8895 E 116I4 S[ FISHERS IN $114-55
TOTAL FOR CNG TO IO 3697 5414.11
10-11 16284 52 021349 06:49:50 0186 SIR 7774 5940E 71ST ST INDIANAPOLIS IN $108.97
i 1 'TOTAL FOR CHI TO CD 3856 $100.97
10-19 110292 52 007958 121:38:09 0180 SIR 3993 5741 E 82ND ST INDIANAPOLIS IN $54.00
(TOTAL FOR CHO TO ID 3911 554.00
'TOTAL FOR DRIVER-TRAVIS MILLER - 5577.08 .
X1 10-14 ;0287 52 034305 10:57:06° 0278 IP11 006093 2640 NORTH 600 VEST GREENrIELD IN $65.59
1
10-19 0292 52 017454 7:40:03 0278 (STR 6120 401 KENTUCKY AVE INDIANAPOLIS IN 562.71
10-29 .0302 52 018109 7:08:33 0278 SIR 6120 401 KENTUCKY AVE INDIANAPOLIS IN 560.00:
11-03 10307 52 017054 07:44:37 0278 :STR 6097 4830 M 38TH ST INDIANAPOLIS IN $$3.50
11-07 }0311 51 007881 `15:51:48 0278 PIL 000446 15876 WEST COMMERCE RD DALEVILLE IN 059.80
TOTAL FOR CNG T9 ID 2560 5314-eel
• TOTAL FOR DRIVER TTRON GARRISON $311..681
10-18 0292 53 296933 7:24:19 0183 7 MPC 114769 9222 N MICHIGAN ROAD INDIANAPOLIS IN 045.0011
STATEMENT PREYbus PAYMENTS CHARGES, FINANCE NEW
ACCOUNT NUh18ER CLOSING DATE( BALANCE CREDITS 1 ADJ CHARGE BALANCE
ANNUAL MONTHLY qv5 10 r,em uer._na�:.s
CREDIT AVAILABLE Y-T-D ! raSE DAILY I c.nt. ',non m.c PACE
LIMIT CREDIT FINANCE I PERCENTAGE PERIODIC A13NCE.LSoE7U burl,el,,. 11:0 OF
CHARGE RATE INTEREST RATE FINANCE CHARGE n ra ivl.c.:r:WA IFrex I. 33
•
KEEP'HIS PAHI
FOH YOUR REr0RG51
JL':di 'Lti2(r•T
Sp4drvay SuemAmwln ALC
Fm10901.11 arm-a+o NOTICE:SEE REVERSE SIOE FOR IMPORTANT ADDITIONAL INFORMATION
9tirm.BH%PON>
`'
Invoice
IT annul.
IT Services
invoice Date: 11-24-10
Invoice
Number 1110-2695
Company: Shiel Sexton Company, Inc.
Project:
Project
Number: Carmel-PAC
Summary
Descripliun-
\1'ircless Phone.
Equipment, II .
Service Amount
1,357.79
Total 1,357.79
Contact Tim Malarney with questions (317) 423-6111
Shiel Sexton IT Group
902 N. Capitol Ave
Indianapolis, IN 46204
11 :
��s... Invoice
tassurassmassau
•
'�^.'A1XY un ifiH�e�M
IT Services
Invoice Bate: Sept. 20, 2010
invoice Number: 920101 .1
Shiel Sexton Company, Inc.
Company: ! � Y,
902 North Capitol Ave.
Indianapolis, IN 46204
Project: Job 2695—CPAC -Tablet PC Rental
Summary
Una
DesertuFfon Cost Amount
•
1. One(I)Tablet PC's monthly rental 3250 1250
2. One(1)laptop PC—Randerson monthly rental 1250 1250
Note:Phase 01-207
fnvuice Total $500
•
•
•
Shiel Sexton IT Group
• 902 N. Capitol Ave
Indianapolis, IN 46204
li
`'iR9tea�WA
c 11,-1
' Invoice
IT GROUP
IT Services
Invoice Date: Oct. 20, 2010
Invoice Number: 10201011
Company: Shiel Sexton Company, Inc.
902 North Capitol Ave.
Indianapolis, IN 46204
Project: Job 2695—CPAC -Tablet PC Rental
Summary
Unit
Description Cost Amount
1. One(I)Tablet PC's monthly rental $250 $250
2. One(I) laptop PC—Randerson monthly rental $250 $250
Note: Phase 01-207
hwoke Total $500
Shiel Sexton IT Group
902 N. Capitol Ave
Indianapolis, IN 46204
Page 3 of 17 I ii .
OCTOBER OCTOBER 15,2010 OCTOBER 15,2010
Account Number:9463 Account Number 9463
Invoice Number:03826809 Invoita Number.03626809
7
ii
TIM.Feaa.surcnama4
BA O�IE PAYM UJl EkTS IF� Ll:W.14l,3 ne A,9T
Due NOM a Previous 51a marl SR,50409 Fa m'ersal Se 'ne FUndJderal 619E .W_
ayratill lI FAF7ax Surt alga S2
Vital PwY10➢fIt! 0 r IN St FAH Uq4 Ratters Reimburseaem9u rip1,99
TotalA ECTI enls E9 a1g 5"AU
It JgiALANOUNT DUE FOR SECTIDNA SA 50 04 ' $Isle Urduelsal SONNe Fun
TOTAL lax or:5a 150.E L5 /
d{U ee e
TOTAL CHARGES PoRb C7IDNC
B INTEGRATED SERVICES BUNDLES 1/+� la/ """"'°`� --- _
1 Locahnn m.can l SIT ID!LG 6 �! -
I Ltca09n NBme9111FL SFYTON '7�`r '� D.CALL LIANAGfMENT r?O��
Location Address:1 73Rx AVE 51Y CARNFL IN 45032 LgcaEOn 1D:93ell Z(a95�n
1 o Series PON Charge agp_DLe 4uaMIN Atnn9n7 LwatlOod em e:5NIEt SEXT431
Voice 1'Fitt Sony 35 31101190-IC11111d tE5`b 3} L A•• •• ' F3'x CARNE IN 403j
FLFJ(CALLSN FM 0.1071-115F7 OWa5190-i£014110 10E9 ( Jvpo of 91 Me Lag aLene From a Te DuenlNv Amount
T�T,AL Laa0nn 10'9797] 19956-113 II Rif Res6ilJ.Yr. 09'07110.10114110 -1 57.90•
---- - Call91oc4ng 0&07110..104110 -1 %co
-w •, „-le�Tg tvevldual TgOPhrn.e NmMv Norio 10115!10 i9 (59.91) ir
id CaYen ID 1p2lA ��(Er 12j TOTAL1.3400oID)93972 I$4.311
LOeall4n Na,re SPIEL SEXTON `,.gal 1!55
tor-aeon Addrea PITALS.iN,c6T04 / -
�3oaeF5eMee L Charge Fr;m A To Arn91mt 4 Lpcat'onet.1437T4 (y J2.l
• Voe2 11 FW12orai3A V 41-51127%MVO 1 $.. ,a - 'Localism Name'9MEL SgErj ^�
or tlo IC: 1319 3515•09 y„ 11,es loo Address':902 CAPITALINMANaPD 5OA.16204
Tvueol9ervin Pen Charm rot I TO avonI1k Amoue
TA C aces A Tax n.. 1551131 �Li ccics an HUOFReg&Nr IWt5JI0-11014110 a 590:
ret-I TaAn
LL .Su ranee . IndM p e'ephune Number 19/1210.11(19(10 ..........+0^599 599.20
Federal U11Yer:al Serves Food(Led.r zwtharpe IS 9.081 2.1 TOTALSocallontq:141279 9■
DEAF ySurdra-ae Su 00 l` TOTAL Char 11heu1 Tax For Seellan0 560.51
IN State Ulet/Reoalpb Re m 7..colc l Surcharge , J a)
zILS 19s T2a 15/17( laAB9 fL9a$urtheroaa
Slate Unoersal So Moe hod NSF)Surcharge ISO 27j 1; F ed oral Excise Tas $2 A2
• E9115n,Targe 1531.2.6} 714 IN Sate eel lyctt¢tn DRelmuftsemeel SU'Chorga E1.15
TOYA xFor} 9i1i Lsi3u.04f 51a1eldrAcR•ll Senlnt Ein(USF,Sunna,ge 30.22
Ti - .a ES r'x'ci l•a :. IS12ti1• M JOTAL Tax For Sa olio D till
IDTAL OMAROFS FOR 5ECTION yy,1
C.BASIC SERVICE 1''
London 10s rR 11 jY iT E.INTERNET 3 DAT+A������,�/,pDU, j/,
LoolOonito 1FL5NIt15EXTCM 62/2-1 }ocetlon 1dE611
-c.Ii.nAd 902 r • INC s• '0L Nd620 - Liadoistemon 9711EL SEXTON
lost or Adorns et 005W(HERN 9tN9BLVD CHARLOTTE=SIAM
TYr@0(SFrvICa ILL Srh rue From B'TO A L^L P F
Fla: at Sul95L13(iceI / 1E915110-11114(10 f24 no .9= Typapfitn/ko PON Char e T Monier( $211-U1.,
CorAse$absJber Lice Charge F(�] �1"H I10-11/19110 ///2a 51320E wornaammpMlWNhps �10!1`17 0.11114110 t 5
G clflren[e 1rJ1S,70.11/14110 f 51•30 a OtlOrsolASess 10 Mt71 \`..•�I 1i'1i110-11!14110 { h12.9•
TOTALLocallon ID,.112272 5T Pa iF TOTAL Location IU:9590 584300
TDTAL ChtoEea With out Tax For SSICtlon C 1{ 31e9
1
Tl
yff
[Air.
1945311a10,,v1Oar3asq=1
Page 5 of 17
OCTOBER 15,2610 Page 601 17
Account Nurnben 9463 OCTOBER 15,2010
Invoice Number 03826869 - A4copnt Number:9963 .
Invoice Number:07828809
}CmNOn r 30975 WZ./ Lorelion Ia:146 i 3 ]52 I(."`T 2C 41
LoLetIon Nano.BHIEL S6XTON� /]j
Lpntlon Ad6reas'B92N CAPOAL.1NolANAPOLI9,W AEZDd 1Onlhn Nam6t 5HIEL9 Pk
.✓� • 1't Om Adttres3A39021Q346yI1 I F I>,�,ING'A AP9LIS IN A616ll
ILtr ->ico uI-1j el To GeGUIY Amm n1nOasale 1pOMbps d'10 l SlLq,N 11109)Mbs ) Sam B0,4/B0 !fl:20 apM1Ch Mtp9 er 100 Mhpp 1 6260.8E P 1O 1 62164E Access 2 Mips 14/16 15250.07 P iW'Y'A-1111411[•
Irttemel Aa'sss 2b MbP S ICli5N0 7ffN110 5f,isd-03 TOTAL Locatlm IC.14B762�1� p //
TOTAL Local:n JO:30975 93422.00 - TOTAL Charges V61hou1 Tax For Seeds?E #i1m®3
Eocalian Pi 66607 _ �. Tam asF es.5CfcAnr6o6
IN EPP DliL:y a rraursamenl5 rge
LocaHen Name•SHIEL'- ETD 14 St9{e Sa rnro lBOT
LoraVCOANdass:1465 GENT AVE.Ih'pIANAPDLI$,IN.43302 Sis:a elnirveala15cmu Fund/USA) ama 5509
IV104_Semlb ` Cha!Refipm&TO AmousC eV TOTAL Tax FCT4FCRon Li 12
Q ntl
lltrolted VI-424 Tag SeMx 1Givm.11 114110 1 $51407 Fat
TOTAL CHARrzS FORS E ;3'639,11
TOTAL LOra1bn1Th66603
3. G.LATE PAYMENT INSTALLATION ANU OTHER CHARGES
>.ornlbn ID:66604 a Lveallen IDS 014+>
Lgp&Hoc Name:SHIEi$C ON qq,�I s 1oc6Ven Nmiso I 1SFXT.ON
Leeshan Address:17454/HARDING ST.INDIANAPOLIS.IN 620; izo = 1ocn(cnAAOrefs•7n WO AVE SW CARI6EL IN 4e2
�� F TYCO Or 9enle
Teo*o(SeMmF 1 9 Pp_N {Larne From A Ta
ChFWlFrom d14Te uanli, AT9 11'1 y? i0lemetAccra 9e 135as pe Cie.90(y Ameu^:
ONE PORT Inlnd rage 103Mhps iN15fiG-3 V1dN0 05115/10
FoierpnssPUN Infra 301Abps /0115110-11114110 l 622060 inlerretArcess6Lrips 09!15110 1 59)QC
_�,�e�� 5411.2' 5080
TOTAL Lp[alivnlD:MP u37_oo -, TOTAL Locatlon1E:9351] pp C4•
Location ID;93077 _ c,=!� Location ID lam2 r1 r �
LgCatloo Nenm'SNIEL SEXTON qq LputiOfl Name. HIEL SEXTON ��J~r5�1l7r-w
LOCatori A66reS0 7773 DANE SW,CARVE..IN 46077 7 /(]f U Lc/cation AtldaeaCB3701ION6V LLE RO,14/01.04/.0 4LI5 IN d6266 /
NHor$erske P_4N Chaos From B Te2 Duapply A .oee Waiver AON Cnaw•FIVm II quanliy
nlerrNl7ranspon 10 MN1 0.W101W70114lf0 -1 ��`r' 1 Waivx iniw'r:�tlnsx 14/11110 Amount
etxrel Tmnspor,10 Maps 09!15110.10114110 1 15250,001 ;; fntemaIACCess 01MOos�s 1MI1f10 1 1$174,01255°0C11°
nlmnel Tranppm110 M6Ps 10715!11-t1/1411a r 0'V rtO
ntemelA¢ess6 WTI 0530/10-00114110 5250.01 1 5750.01
Moot Arces56 Mbps 06115110.10.'14110 5 (5727.601 77 Late Payrcm.NChar I.i Allan 0]:748747 951.025.Op
tame:Acxss6Map3 . 14/15/10-11114110 1 $705 DO i� - 2125.01
TOTAL Le[agem ID:93372 $172 By erAeSWflhCat Tax For sec-Gong 337,750,61
,eC011pn 4/;96135 ° —°- - Teaes.Fes,,Surmha ec
A[ellen Name SHIELSEXTO4K Z�&o/U�?C9 IN 01010Ullty Re Pip Reimbusenenl$Igcharpn ;766,75
ffitl Add 429 W'bOUTH 9T INWA APOL5IN L]>6 TOTAL TM For Svabna 579673
TOTAL CH'R 16
•+temM ANT OltarR@_FrOm}TO a }27,919.10
10115;10-11(74110 Ore 14/ $a2In
tale ce 10!16110-1iI1dI10 � 264"1 E0 ?°
3 s3 e0 t H LOCAL CALLS SUMMARY TbT1bL caiOn 0` ALqnamne +:O .
41, Olrecion9elliia nee Cal
ete'P rev od T PPICell' a 'of IN&EE
D 7ohlAmount YAlhout Tar
DI - 2.02
1-5.2��
�i TOTAL 2
�
In 7 1,000
irli
33110/1e15Y 1049,04941
•
Ld I-i I -I-E..a F=l c E 1-I pt IR 01.3 s r---,,^ E
®
" �'l1"' -7,7» J. rA C r C,"3 i ..L. :r NI LE Fes".I.}
ba Zi— :m_
C7.::1lFt Eel ET.IL_ „ Ir4 zi-a vis i_
•
t3A-C_. - 8 3 1. 1.
I TYPE OF TRANSACTION DOCUMENT NUMBER _ TRANSACTION DATE ACCT NUMBER PAGE
HOUSE 7599179/ 22 10/29/1171 12, : 1E:55 002942 1
- . ----.- - .-
BILL TM SHIP TM
SHIEL SEXTON CO INC*** 5H:EEL. SEXTON CC INC***
ATTN : ACCOUNTING ATTN: F1CCOLJNTING
902 N. OPPPITOL FIVE. 902 N. CAPITOL AVE.
INDIANAPOLIS IN 4E2i)4 INO"IANAPOl._IS IN 45204
PURCHASER: CASHIER: ' PO 0: TERMS: SALESMAN: '
SHIEL SEXTON CO INC*. MIMI 20,95
QUANTITY ITEM NUMBER DESCRIPTION PRICE/UNIT AMOUNT
15 5954 KEY SINGLE CUT 1, 570 25. 03
Ni..10 . Et. SJIL - L-25. 03
TAXABLE
1. 7J
TAX
. 00
NON-TAXABLE
ca,. 611 !
--. _ -- - ___- - SUB-TOTAL
X (2 *- •ax :- �' .-e • r
' nr EOIALn 'J?t9
•
Okc c_TO OlICeetc'_ / am INV. #
�Yarb Si✓f0-84 ,(00 63,0it ier
DATE 30.M___
P.O. BOX 501423 • INDIANAPOLIS, IN 46250 COURIER _p. /C
DISPATCH 595-3500- PICKUP TIME ` 1 J
BONDED • INSURED
6�= ��
NAME(3 Sr NAME (%) L i�I RECEE
ADDRESS c ADDRESS 1
•
PHONE - ZIP _ PHONE - ZIP YI c 3
MODE: I HOUR 2NOURS SAME DAY BY NOON NEXT DAY C.O.O.
- CALL LY NOON NEC LAY CALL BY NOON
//1y4S/
SPECIAL INSTRUCTIONS: AMOUNT DUE
THIS INVOICE
FIEC'D BYM-CMAIA"
O ' THANK YOU FOR US4N
WE OPERATE UNDER I.U.R.C. GUIDELINES $ G B.T.C. LTD. I 0 --)U BECAUSE YOU CARE - WE CARE
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