HomeMy WebLinkAboutHAMILTON COUNTY TREASURER- 002858- 5/3/2012 ,CARMEL REDEVELOPMENT COMMISSION 002858
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Hamilton County Treasurer Check: 2858
Hamilton County Courthouse Date: 5/3/2012
33 N 9th Street, Suite 112 Vendor: HAMCOTR1
Noblesville, IN 46060
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
051012 37,906.52 37,906.52 0.00 0.00 37,906.52
first half 2012 property taxes
37,906.52 37,906.52 0.00 0:00 37,906.52
' THE?KEY TO DOCUMENT SECURITY HEATACTIVATED THUMB PRINT•.ADDITIONAL SECURITY FEATURES INCLUDED,}SEE BACK FOR DETAILS :',,,'' a., _.
P9.06 BES�C. Carmel Redevelopment Commission
30 West Main Street �A-REGIONS 002858
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• Suite.220
`""""S` Carmel, IN 46032
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2858
DATE AMOUNT
5/3/2012 . **********37;906.52
PAY THE SUM OF THIRTY SEVEN THOUSAND NINE HUNDRED SIX DOLLARS AND 52.CENTS***********
,
TO THE
ORDER
OF Hamilton County Treasurer
Hamilton County Courthouse - ,sc's
33 N 9th Street, Suite 112 . A
Noblesville, IN 46060 -
.
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CARMEL REDEVELOPMENT COMMISSION 002858
Hamilton County Treasurer Check: 2858
Hamilton County Courthouse Date: 5/3/2012
33 N 9th Street, Suite 112 Vendor: HAMCOTR1
Noblesville, IN 46060
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
051012 37,906.52 37,906.52 0.00 0.00 37,906.52
first half 2012 property taxes
37,906.52 37,906.52 0.00 0.00 37,906.52
Ili,
TFf .. ,1042®12.
PD # 952 ,
11-52 COMPUTEREASE FORMS DIVISION(877)577-5791: T-37228 iyg
STATE FORM 53569(R3/8-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS 2010 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 6-1 1-22-8 1
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, ,d ., �� ��ms' , . � ,.. b 1-, ,.� �
Property taxes are constitutionally capped at 1% of property values for homesteads(owner-occupied),
2% for other residential and farmground, and 3% for all other property.
Don't lose your homestead benefits-submit the pink form today!'
For more information on local spending,visit http://giteway.ifionline.org.
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Taxpayer Name and Property Address Date of Notice Parcel Number I Taxing District
BobbyJohn LLC March 16,2012 State:29-09-25-405-005.000-018 I 16
Local: 16-09-25-04-05-005.000 I Carmel
9589 Valparaiso Ct
Property ID No. Legal Description
Indianapolis IN 46268 1 6030641 Acreage.98,Section 25,Townsh
Location Address: ip 18,Range 3 I
457 3RD AVE SW,Carmel 46032 Lot:
ritTIP2-1":" ✓ ;S `fl at t «r' sr qtr i ff VIS`'s✓Y y
ASSESSED VALUE AND TAX SUMMARY 2010 pay 2011 2011 pay 2012
la.Gross assessed value of homestead property $0.00 $0.00
lb.Gross assessed value of other residential property and farmland $0.00 $0.00
1c.Gross assessed value of all other property including personal property $790,000.00 $790,000.00
2.Equals total gross assessed value of property $790,000.00 $790,000.00
2a.Minus deductions(see table 5 below) $0.00 $0.00
3.Equals subtotal of net assessed value of property $790,000.00 $790,000.00
3a.Multiplied by your local tax rate 1.9863 1.8996
4.Equals gross tax liability(see table 3 below) $15,691.78 $15,006.84
4a.Minus local property tax credits -$0.00 -$0.00
4b.Minus savings due to property tax cap(see Table 2 and footnotes below) -$0.00 -$0.00
I 4c.Minus savings due to 65 years or older cap -$0.00 -$0.00
5.Total property tax liability(See remittance coupon for total amount due) $15,691.78 $15,006.84
Please see Table 4 for a summary of other charges to this property.
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Property tax cap(1%,2%,or 3%,depending upon combination of property types') I $23,700.00 $23,700.00 I
Adjustment to cap due to voter-approved projects and charges' I $1,500.22 $1,504.16
Maximum tax that may be imposed under cap $25,200.22 $25,204.16 I
. /,:2422 .;r a " .; Q=, `-.-. .. :. , 0 l ''. ;P:::TIM } tf v 'f :i a 11.
TAXING AUTHORITY TAX RATE TAX RATE TAX AMOUNT TAX AMOUNT TAX DIFFERENCE PERCENT
2010 pay 2011 2011 pay 2012 2010 pay 2011 2011 pay 2012 2010 pay 2011- DIFFERENCE
2011 pay 2012
COUNTY 0.2769 0.2901 2187.51 2291.79 104.28 I 4.77
TOWNSHIP I 0.0753 0.0693 594.87 547.47 -47.40 I -7.97
SCHOOL DISTRICT 0.8990 0.7900 7102.10 6241.00 -861.10 -12.12
CORPORATION 0.6664 0.6788 5264.56 5362.52 97.96 I 1.86
LIBRARY 0.0657 0.0682 519.03 538.78 19.75 I 3.81
SOLID WASTE 0.0030 0.0032 23.70 25.28 1.58 6.67
TIF n/a .00 .00 .00 .00
STATE n/a 0 0 0 .00
TOTAL 1.9863 1.8996 15691.78 15006.84 -684.94 -4.365
k / ..1 .,..r 4r' `£ i l ". a .) F t a av t= 4, ,_vrSi% .. #- d Mx:.. W ✓fi
11 r� .
LEVYING AUTHORITY 2010 pay 2011 2011 pay 2012 TYPE OF DEDUCTION 2010 pay 2011 2011 pay 2012
Ditch Assessments $0.00 $0.00 Homestead Standard $0.00 $0.00
Sewer Liens $0.00 $0.00 Mortgage $0.00 $0.00 I
Weed Liens I $0.00 $0.00 Supplemental $0.00 $0.00
Unsafe Buildings $0.00 $0.00 Disabled/Blind $0.00 $0.00
Barrett Law $0.00 $0.00 Veteran $0.00 $0.00
Other SPA Charges $0.00 $0.00 Other Deductions $0.00 $0.00
TOTAL ADJUSTMENTS I $0.00 $0.00 TOTAL DEDUCTIONS $0.00 $0.00
t The pink homestead verification form must be completed at least once by January 1,2013 in order to continue receiving homestead benefits.If you did not receive a copy of the form with this statement,it is possible you already
verified your eligibility.For more information or to obtain a copy of the form,contact your County Auditor.
z The property tax cap is calculated separately for each class of property owned by the taxpayer.It is possible,therefore,that you may receive credit for the tax cap on line 4b even if your net property tax bill is lower than this amount.
'Charges not subject to the property tax cap include property tax levies approved by voters through referendum,as well as any relief provided by the State of Indiana Distressed Unit Appeals Board(for 2011 only).In Lake County and
St.Joseph County.this Tine also reflects debt obligations incurred prior to the creation of property tax caps.When added to the base property tax cap amount for your property,this creates the effective tax cap rate.For more information,
see the back of this document.
41f any circumstances have changed that would make you ineligible for a deduction that you have been allowed in Table 5 on this tax bill,you must notify the County Auditor.If such a change in circumstances has occurred and you
have not notified the County Auditor,the deduction will be disallowed and you will be liable for taxes and penalties on the amount deducted.
STATE FORM 53569(R3/08-11) TREASURER FORM TS-1A
APPROVED BY STATE BOARD OF ACCOUNTS 2011 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 6-1.1-22-8.1
NOTICE OF PROPERTY TAX ASSESSMENTS
Name and Address of Taxpayer—The owner and mailing address of the owner of record as of the date of this notice.
Date of Notice/Due Date—Date that the property tax bill was mailed and the date by which payment must be made in order to avoid late charges.
Property Number(State/Local)—State mandated property number of the taxable real estate and the local parcel number,if applicable.
• Taxing District—The number assigned by the Department of Local Government Finance to the taxing district in which this property is located.
TABLE 1:SUMMARY OF YOUR TAXES
Tax Summary Item—The amounts involved with calculating your real estate property taxes.
Taxes 2010—The summary of calculations based on tax rates for taxes payable last year.
Taxes 2011—The summary of calculations based on this year's tax rates.
Tax Relief Credits—Credits are determined annually and are used to reduce property tax bills applied to applicable properties in this table.
• Local Property Tax Credits—Relief credit as paid by the City/Town and/or County. Revenue generated by the local option income tax is used to
reduce property tax bills.
• Over 65 Circuit Breaker Credit—credit for a calendar year if homestead qualifies and age,adjusted gross income,homestead assessed value,and
other eligibility requirements are met. The credit caps the increase of the homestead property tax liability of credit recipient at two percent(2%).
TABLE 2:PROPERTY TAX CAP INFORMATION
Property Tax Cap—Property may not be taxed at a higher rate than prescribed by law,unless that rate is approved by voters. Those rates are 1%for homesteads,
2%for other residential property and farm ground,and 3%for all other classes of property. When voters approve additional spending in a referendum,an
Adjustment to the Cap is made to reflect the additional expense. This excess revenue is calculated as a separate rate and added to the cap rate. This new value is
considered your effective property tax cap,or the Maximum tax that may be imposed under the cap. Taxpayers should note that the circuit breaker cap amount
is the combined cap amount for all classes of property applicable to a parcel.
TABLE 3:GROSS PROPERTY TAX DISTRIBUTION AMOUNTS APPLICABLE TO THIS PROPERTY
Taxing Authority—The name of the unit levying the taxes.
Tax Rate 2010 pay 2011—The tax rate per$100 of assessed value for this property allocated to each taxing authority for 2010 pay 2011.
Tax Rate 2011 pay 2012—The tax rate per$100 of assessed value for this property allocated to each taxing authority for the current year.
Tax Amount 2010 pay 2011—the amount of taxes for this property allocated to each taxing authority for 2010 pay 2011.
Tax Amount 2011 pay 2012—the amount of taxes for this property allocated to each taxing authority for the current year.
Tax Difference 2010 pay 2011-2011 pay 2012—the difference in dollars between current taxes and prior year taxes for each taxing authority.
Percent Difference—The percent change between last year's tax amount and this year's tax amount for each taxing authority.
TABLE 4—OTHER APPLICABLE CHARGES TO THIS PROPERTY
Levying Authority—The type of additional charge added to your property tax bill such as sewer,ditch or other special assessment.
Amount 2010 pay 2011—The total amount of other charges added to your tax bill in 2011.
Amount 2011 pay 2012—The total amount of other charges added to your tax bill this year.
TABLE 5:DEDUCTIONS APPLICABLE TO THIS PROPERTY
Type of Deduction—No credit,deduction or exemption is automatic. All must be applied for with the appropriate office by the due date of the application for the
benefit of the year prior to the year taxes are payable. Various restrictions apply. For more information,call the County Auditor at(317)776-9602 or visit
http://www.hamiltoncounty.in.gov/department/index.php?structureid=6. Deductions/exemptions provided in this report include the following:
Types of Benefits—Deductions,credit and exemptions are determined annually and are applied to applicable properties.
• Abatement—Exemption for eligible properties where taxes have been lowered or eliminated,generally through the action of the City Council or
County Council.
• Blind/Disabled—Deduction for blind or disabled. Must supply proof from a doctor or Social Security Awards letter.
• Enterprise Zone—Exemption for eligible properties located within a designated enterprise zone.
• Geothermal—Deduction for eligible properties using geothermal utilities.
• Homestead Standard Deduction—Deduction for owner-occupied primary residence.
• Supplemental Standard Deduction—Additional deduction for homesteads after the application of the Homestead Standard Deduction.
• Mortgage—Deduction for mortgaged property for eligible persons.
• Nonprofit—Exemption for eligible properties. See I.C.6-1.1-10.
• Over 65—Deduction for individuals over 65 years of age;subject to income and assessed value limits.
• Veterans—Deduction for individuals with service related disabilities or WW1 veteran or spouse,must supply awards letter.
Amount 2010—The amount deducted from your bill in 2010 pay 2011 for each deduction.
Amount 2011—The amount deducted from your bill this year for each benefit.
Information on the valuation of your property and a copy of the property record card can be obtained from your Assessor or at
http://www2.hamiltoncounty.in.gov/apps/reports/defaulttax2.asp. To obtain a review of an assessment,the taxpayer must file an appeal not later than forty-five
(45)days after the date of the required notice(Form II). If the assessing official fails to send proper notice(Form 11)as required,the taxpayer's receipt of the tax
bill resulting from the change of assessment serves as notice of the taxpayer's right to appeal. The appeal filed by a taxpayer must include:(1)the name of the
taxpayer;(2)address and parcel or key number of the property;and,(3)address and telephone number of the taxpayer(optional Form 130). The assessing official
who receives an appeal filed by a taxpayer must:(1)immediately forward the notice to the county board;and,(2)attempt to hold a preliminary informal meeting
with the taxpayer to resolve as many issues as possible. Taxpayer may use Correction of Error(Form 133)process to allege only objective errors with County
Auditor(e.g.,math error committed in computing assessment). The taxpayer's right to appeal an assessment or petition for correction of error can be found at
Indiana Code chapter 6-1.1-15(found at http://www.in.gov/legislative/ic/code/title6/arl.l/chl5.html). For further instructions on filing an appeal or correction of
error,contact your County Assessor at(317)776-9617. Please note the appeal requires relev2.nt evidence of the true tax value of the property as of March
1,2011.
STATE FORM 53569(R3/8-I0) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS 2010 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 6-1 1-22-8 1
Property taxes are constitutionally capped at 1% of property values for homesteads (owner-occupied),
2% for other residential and farmground,and 3% for all other property.
Don't lose your homestead benefits-submit the pink form today!'
For more information on local spending,visit http://gateway.ifionline.org.
Taxpayer Name and Property Address I Date of Notice Parcel Number 1 Taxing District
City of Carmel Redevelopment Commission March 16,2012 State:29-09-36-000-005.217-018 1 16
Local: 16-09-36-00-00-005.217 I Carmel
1 Civic Sq
Property ID No. Legal Description
Carmel IN 46032 1 5137374 Acreage.91,Section 36,Townsh
Location Address: I ip 18,Range 3 I
0 CITY CENTER DR,Carmel 46032 1 Lot:
t ° y fin: x
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ASSESSED VALUE AND TAX SUMMARY 2010 pay 0
ay 2011 2011 pay 2012
la.Gross assessed value of homestead property $0.00 $0.00
lb.Gross assessed value of other residential property and farmland $0.00 $0.00
lc.Gross assessed value of all other property including personal property $237,500.00 $237,500.00
2.Equals total gross assessed value of property $237,500.00 $237,500.00
2a.Minus deductions(see table 5 below) $0.00 $0.00
3.Equals subtotal of net assessed value of property $237,500.00 $237,500.00
3a.Multiplied by your local tax rate 1.9863 1.8996
4.Equals gross tax liability(see table 3 below) $4,717.46 $4,511.56
4a.Minus local property tax credits -$0.00 -$0.00
4b.Minus savings due to property tax cap(see Table 2 and footnotes below) -$0.00 -$0.00
4c.Minus savings due to 65 years or older cap -$0.00 -$0.00
5.Total property tax liability(See remittance coupon for total amount due) $4,717.46 $4,511.56
Please see Table 4 for a summary of other charges to this property.
Property tax cap(1%,2%,or 3%,depending upon combination of property types2) I $7,125.00 $7,125.00
Adjustment to cap due to voter-approved projects and charges' 1 $451.02 $452.20
Maximum tax that may be imposed under cap 1 $7,576.02 $7,577.20
TAXING AUTHORITY TAX RATE TAX RATE TAX AMOUNT TAX AMOUNT TAX DIFFERENCE PERCENT
2010 pay 2011 2011 pay 2012 2010 pay 2011 2011 pay 2012 2010 pay 2011- DIFFERENCE
2011 pay 2012
COUNTY 1 n/a 0.2901 n/a I .00 .00 1 .00
TOWNSHIP I nia 0.0693 n/a j .00 .00 .00
SCHOOL DISTRICT I n/a 0.7900 n/a .00 .00 .00
CORPORATION n/a 0.6788 n/a .00 .00 .00
LIBRARY n/a 0.0682 n/a .00 .00 .00
SOLID WASTE 1 n/a 0.0032 .00 .00 .00 n/a
TIF 4717.46 4511.56 -205.90 -4.36
STATE I n/a 0 0 0 .00
TOTAL 1.9863 1.8996 4717.46 4511.56 -205.90 -4.365
LEVYING AUTHORITY 2010 pay 2011 2011 pay 2012 I TYPE OF DEDUCTION 2010 pay 2011 2011 pay 2012
Ditch Assessments $0.00 $0.00 1 Homestead Standard $0.00 $0.00 I
Sewer Liens $0.00 $0.00 I Mortgage $0.00 $0.00
Weed Liens $0.00 $0.00 I Supplemental $0.00 $0.00
Unsafe Buildings I $0.00 $0.00 {Disabled/Blind $0.00 $0.00
Barrett Law $0.00 $0.00 1 Veteran $0.00 $0.00
Other SPA Charges $0.00 $0.00 1 Other Deductions $0.00 $0.00
TOTAL ADJUSTMENTS I $0.00 $0.00 I TOTAL DEDUCTIONS $0.00 $0.00
'The pink homestead verification form must be completed at least once by January 1,2013 in order to continue receiving homestead benefits.If you did not receive a copy of the form with this statement,it is possible you already
verified your eligibility.For more information or to obtain a copy of the form,contact your County Auditor.
2 The property tax cap is calculated separately for each class of property owned by the taxpayer.It is possible,therefore,that you may receive credit for the tax cap on line 4b even if your net property tax bill is lower than this amount.
'Charges not subject to the property tax cap include property tax levies approved by voters through referendum,as well as any relief provided by the State of Indiana Distressed Unit Appeals Board(for 2011 only).In Lake County and
St.Joseph County,this line also reflects debt obligations incurred prior to the creation of property tax caps,When added to the base property tax cap amount for your property,this creates the effective tax cap rate.For more inforrnation,
see the back of this document.
'If any circumstances have changed that would make you ineligible fora deduction that you have been allowed in Table 5 on this tax bill,you must notify the County Auditor,If such a change in circumstances has occurred and you
have not notified the County Auditor,the deduction will be disallowed and you will be liable for taxes and penalties on the amount deducted.
STATE FORM 53569(R3/08-11) TREASURER FORM TS-1A
APPROVED BY STATE BOARD OF ACCOUNTS 2011 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 6-1.1-22-8.1
NOTICE OF PROPERTY TAX ASSESSMENTS
Name and Address of Taxpayer—The owner and mailing address of the owner of record as of the date of this notice.
Date of Notice/Due Date—Date that the property tax bill was mailed and the date by which payment must be made in order to avoid late charges.
Property Number(State/Local)—State mandated property number of the taxable real estate and the local parcel number,if applicable.
Taxing District—The number assigned by the Department of Local Government Finance to the taxing district in which this property is located.
TABLE 1:SUMMARY OF YOUR TAXES
Tax Summary Item—The amounts involved with calculating your real estate property taxes.
Taxes 2010—The summary of calculations based on tax rates for taxes payable last year.
Taxes 2011—The summary of calculations based on this year's tax rates.
Tax Relief Credits—Credits are determined annually and are used to reduce property tax bills applied to applicable properties in this table.
• Local Property Tax Credits—Relief credit as paid by the City/Town and/or County. Revenue generated by the local option income tax is used to
reduce property tax bills.
• Over 65 Circuit Breaker Credit—credit for a calendar year if homestead qualifies and age,adjusted gross income,homestead assessed value,and
other eligibility requirements are met. The credit caps the increase of the homestead property tax liability of credit recipient at two percent(2%).
TABLE 2:PROPERTY TAX CAP INFORMATION
Property Tax Cap—Property may not be taxed at a higher rate than prescribed by law,unless that rate is approved by voters. Those rates are 1%for homesteads,
2%for other residential property and farm ground,and 3%for all other classes of property. When voters approve additional spending in a referendum,an
Adjustment to the Cap is made to reflect the additional expense. This excess revenue is calculated as a separate rate and added to the cap rate. This new value is
considered your effective property tax cap,or the Maximum tax that may be imposed under the cap. Taxpayers should note that the circuit breaker cap amount
is the combined cap amount for all classes of property applicable to a parcel.
TABLE 3:GROSS PROPERTY TAX DISTRIBUTION AMOUNTS APPLICABLE TO THIS PROPERTY
Taxing Authority—The name of the unit levying the taxes.
Tax Rate 2010 pay 2011—The tax rate per$100 of assessed value for this property allocated to each taxing authority for 2010 pay 2011.
Tax Rate 2011 pay 2012—The tax rate per$100 of assessed value for this property allocated to each taxing authority for the current year.
Tax Amount 2010 pay 2011—the amount of taxes for this property allocated to each taxing authority for 2010 pay 2011.
Tax Amount 2011 pay 2012—the amount of taxes for this property allocated to each taxing authority for the current year.
Tax Difference 2010 pay 2011-2011 pay 2012—the difference in dollars between current taxes and prior year taxes for each taxing authority.
Percent Difference—The percent change between last year's tax amount and this year's tax amount for each taxing authority.
TABLE 4—OTHER APPLICABLE CHARGES TO THIS PROPERTY
Levying Authority—The type of additional charge added to your property tax bill such as sewer,ditch or other special assessment.
Amount 2010 pay 2011—The total amount of other charges added to your tax bill in 2011.
Amount 2011 pay 2012—The total amount of other charges added to your tax bill this year.
TABLE 5:DEDUCTIONS APPLICABLE TO THIS PROPERTY
Type of Deduction—No credit,deduction or exemption is automatic. All must be applied for with the appropriate office by the due date of the application for the
benefit of the year prior to the year taxes are payable. Various restrictions apply. For more information,call the County Auditor at(317)776-9602 or visit
http://www.hamil toncounty.in.gov/department/index.php?structureid=6. Deductions/exemptions provided in this report include the following:
Types of Benefits—Deductions,credit and exemptions are determined annually and are applied to applicable properties.
• Abatement—Exemption for eligible properties where taxes have been lowered or eliminated,generally through the action of the City Council or
County Council.
• Blind/Disabled—Deduction for blind or disabled. Must supply proof from a doctor or Social Security Awards letter.
• Enterprise Zone—Exemption for eligible properties located within a designated enterprise zone.
• Geothermal—Deduction for eligible properties using geothermal utilities.
• Homestead Standard Deduction—Deduction for owner-occupied primary residence.
• Supplemental Standard Deduction—Additional deduction for homesteads after the application of the Homestead Standard Deduction.
• Mortgage—Deduction for mortgaged property for eligible persons.
• Nonprofit—Exemption for eligible properties. See I.C.6-1.1-10.
• Over 65—Deduction for individuals over 65 years of age;subject to income and assessed value limits.
• Veterans—Deduction for individuals with service related disabilities or WWI veteran or spouse,must supply awards letter.
Amount 2010—The amount deducted from your bill in 2010 pay 2011 for each deduction.
Amount 2011—The amount deducted from your bill this year for each benefit.
Information on the valuation of your property and a copy of the property record card can be obtained from your Assessor or at •
http://www2.hamiltoncounty.in.gov/apps/reports/defaulttax2.asp. To obtain a review of an assessment,the taxpayer must file an appeal not later than forty-five
(45)days after the date of the required notice(Form 11). If the assessing official fails to send proper notice(Form 11)as required,the taxpayer's receipt of the tax
bill resulting from the change of assessment serves as notice of the taxpayer's right to appeal. The appeal filed by a taxpayer must include:(1)the name of the
taxpayer;(2)address and parcel or key number of the property;and,(3)address and telephone number of the taxpayer(optional Form 130). The assessing official
who receives an appeal filed by a taxpayer must:(1)immediately forward the notice to the county board;and,(2)attempt to hold a preliminary informal meeting
with the taxpayer to resolve as many issues as possible. Taxpayer may use Correction of Error(Form 133)process to allege only objective errors with County
Auditor(e.g:,math error committed in computing assessment). The taxpayer's right to appeal an assessment or petition for correction of error can be found at
Indiana Code chapter 6-1.1-15(found at http://www.in.gov/legislative/ic/code/title6/arl.l/ch15.html). For further instructions on filing an appeal or correction of
error,contact your County Assessor at(317)776-9617. Please note the appeal requires relevant evidence of the true tax value of the property as of March
1,2011.
STATE FORM 53569(R3/8 10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS 2010
�, � � ,,,_ PRESCRIBED BY THE DEPARTMENT GOVERNMENT FINANCE 6-
RI ED EPARTMENT OF LOCAL GO ME FINA E IC 6-1 1-22-8 1
, .% .ter. ., , ._.:,��"' , F. .::. "4 -, 7 k6. R fti.: e' A
}
Property taxes are constitutionally capped at 1% of property values for homesteads(owner-occupied),
2% for other residential and farmground, and 3% for all other property.
Don't lose your homestead benefits-submit the pink form today!'
For more information on local spending,visit Jrttp://giteway.ifionline.org.
c i T;;;,;,,,r7, ? " 1:1111 a'. .,. a 114_:.. . 4.14-4.1i f. , x 'd ,
Taxpayer Name and Property Address I Date of Notice Parcel Number I Taxing District
1 City of Carmel Redevelopment Commission I March 16,2012 State:29-09-36-000-027.000-018 1 16
Don Cleveland I Local: 16-09-36-00-00-027.000 I Carmel
30 Main St W Ste 220 1 I
Property ID No. Legal Description I
Carmel IN 46032 5925037 Acreage 7.10,Section 36,Towns I
Location Address: hip 18, Range 3 I
1212 S RANGELINE RD,Carmel 46032 Lot:
M t n .. l:1 1,/ .vi _„ 111 A- .., ..w a»;f ,'� A3S `5U� P c, Ai
ASSESSED VALUE AND TAX SUMMARY 2010 pay 2011 2011 pay 2012 I
la.Gross assessed value of homestead property $0.00 $0.00 I
lb.Gross assessed value of other residential property and farmland $0.00 $0.00
1c.Gross assessed value of all other property including personal property $1,664,400.00 $1,664,400.00
2.Equals total gross assessed value of property $1,664,400.00 $1,664,400.00
2a.Minus deductions(see table 5 below) $0.00 $0.00
3.Equals subtotal of net assessed value of property $1,664,400.00 $1,664,400.00
3a.Multiplied by your local tax rate 1.9863 1.8996
4.Equals gross tax liability(see table 3 below) $33,059.98 $31,616.94
4a.Minus local property tax credits -$0.00 -$0.00
4b.Minus savings due to property tax cap(see Table 2 and footnotes below) -$0.00 -$0.00
4c.Minus savings due to 65 years or older cap -$0.00 -$0.00
5.Total property tax liability(See remittance coupon for total amount due) $33,059.98 $31,616.94
Please see Table 4 for a summary of other charges to this property.
kij,1 1' i,,, g t0,? 14,. ": . Y 4 Z.a' is e p all , 1' .
Property tax cap(1%,2%,or 3%,depending upon combination of property types2) I $49,932.00 $49,932.00 I
Adjustment to cap due to voter-approved projects and charges' $3,160.70 $3,169.02 I
Maximum tax that may be imposed under cap $53,092.70 $53,101.02 I
TAXING AUTHORITY TAX RATE TAX RATE TAX AMOUNT TAX AMOUNT TAX DIFFERENCE PERCENT
2010 pay 2011 2011 pay 2012 2010 pay 2011 2011 pay 2012 2010 pay 2011- DIFFERENCE
2011 pay 2012
COUNTY 0.2769 0.2901 2903.78 3060.98 157.20 5.41
TOWNSHIP 0.0753 0.0693 789.65 731.22 -58.43 -7.40
SCHOOL DISTRICT 0.8990 0.7900 9427.58 8335.66 -1091.92 -11.58
CORPORATION 0.6664 0.6788 6988.36 I 7162.34 173.98 2.49
LIBRARY 0.0657 0.0682 688.98 719.61 30.63 4.45
SOLID WASTE 0.0030 0.0032 31.46 33.76 2.30 7.31
TIF 12230.17 11573.37 -656.80 -5.37
STATE n/a 0 0 0 .00
TOTAL 1.9863 1.8996 33059.98 31616.94 -1443.04 -4.365
• 44: :z it" ! # F ;:.." . §ii- ,P`, m Y 7 4: 1 f fJ ." rare' « ,145 let l' 7q7'
LEVYING AUTHORITY 2010 pay 2011 2011 pay 2012 TYPE OF DEDUCTION 2010 pay 2011 2011 pay 2012
Ditch Assessments $0.00 $0.00 Homestead Standard $0.00 $0.00
Sewer Liens $0.00 $0.00 Mortgage $0.00 $0.00 I
Weed Liens $0.00 $0.00 Supplemental $0.00 $0.00
Unsafe Buildings $0.00 $0.00 Disabled/Blind $0.00 $0.00
Barrett Law I $0.00 $0.00 Veteran $0.00 $0.00
Other SPA Charges $0.00 $0.00 Other Deductions $0.00 $0.00
TOTAL ADJUSTMENTS I $0.00 $0.00 TOTAL DEDUCTIONS $0.00 $0.00
'The pink homestead verification form must be completed at least once by January I.2013 in order to continue receiving homestead benefits.If you did not receive a copy of the form with this statement,it is possible you already
verified your eligibility.For more information or to obtain a copy of the form,contact your County Auditor.
2 The property tax cap is calculated separately for each class of property owned by the taxpayer.It is possible,therefore,that you may receive credit for the tax cap on line 4b even if your net property tax bill is lower than this amount.
'Charges not subject to the property tax cap include property tax levies approved by voters through referendum,as well as any relief provided by the State of Indiana Distressed Unit Appeals Board(for 2011 only).In Lake County and
St.Joseph County.this line also reflects debt obligations incurred prior to the creation of property tax caps.When added to the base property tax cap amount for your property,this creates the effective tax cap rate.For more information,
see the back of this document.
4If any circumstances have changed that would make you ineligible for a deduction that you have been allowed in Table 5 on this tax bill,you must notify the County Auditor.If such a change in circumstances has occurred and you
have not notified the County Auditor,the deduction will be disallowed and you will be liable for taxes and penalties on the amount deducted.
STATE FORM 53569(R3/08-1 I) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS 2011 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 6-1.1-22-8.1
NOTICE OF PROPERTY TAX ASSESSMENTS
Name and Address of Taxpayer—The owner and mailing address of the owner of record as of the date of this notice.
Date of Notice/Due Date—Date that the property tax bill was mailed and the date by which payment must be made in order to avoid late charges.
Property Number(State/Local)—State mandated property number of the taxable real estate and the local parcel number,if applicable.
Taxing District—The number assigned by the Department of Local Government Finance to the taxing district in which this property is located.
TABLE 1:SUMMARY OF YOUR TAXES
Tax Summary Item—The amounts involved with calculating your real estate property taxes.
Taxes 2010—The summary of calculations based on tax rates for taxes payable last year.
Taxes 2011—The summary of calculations based on this year's tax rates.
Tax Relief Credits—Credits are determined annually and are used to reduce property tax bills applied to applicable properties in this table.
• Local Property Tax Credits—Relief credit as paid by the City/Town and/or County. Revenue generated by the local option income tax is used to
reduce property tax bills.
• Over 65 Circuit Breaker Credit—credit for a calendar year if homestead qualifies and age,adjusted gross income,homestead assessed value,and
other eligibility requirements are met. The credit caps the increase of the homestead property tax liability of credit recipient at two percent(2%).
TABLE 2:PROPERTY TAX CAP INFORMATION
Property Tax Cap—Property may not be taxed at a higher rate than prescribed by law,unless that rate is approved by voters. Those rates are 1%for homesteads,
2%for other residential property and farm ground,and 3%for all other classes of property. When voters approve additional spending in a referendum,an
Adjustment to the Cap is made to reflect the additional expense. This excess revenue is calculated as a separate rate and added to the cap rate. This new value is
considered your effective property tax cap,or the Maximum tax that may be imposed under the cap. Taxpayers should note that the circuit breaker cap amount
is the combined cap amount for all classes of property applicable to a parcel.
TABLE 3:GROSS PROPERTY TAX DISTRIBUTION AMOUNTS APPLICABLE TO THIS PROPERTY
Taxing Authority—The name of the unit levying the taxes.
Tax Rate 2010 pay 2011—The tax rate per$100 of assessed value for this property allocated to each taxing authority for 2010 pay 2011.
Tax Rate 2011 pay 2012—The tax rate per$100 of assessed value for this property allocated to each taxing authority for the current year.
Tax Amount 2010 pay 2011—the amount of taxes for this property allocated to each taxing authority for 2010 pay 2011.
Tax Amount 2011 pay 2012—the amount of taxes for this property allocated to each taxing authority for the current year.
Tax Difference 2010 pay 2011-2011 pay 2012—the difference in dollars between current taxes and prior year taxes for each taxing authority.
Percent Difference—The percent change between last year's tax amount and this year's tax amount for each taxing authority.
TABLE 4—OTHER APPLICABLE CHARGES TO THIS PROPERTY
Levying Authority—The type of additional charge added to your property tax bill such as sewer,ditch or other special assessment.
Amount 2010 pay 2011—The total amount of other charges added to your tax bill in 2011.
Amount 2011 pay 2012—The total amount of other charges added to your tax bill this year.
TABLE 5: DEDUCTIONS APPLICABLE TO THIS PROPERTY
Type of Deduction—No credit,deduction or exemption is automatic. All must be applied for with the appropriate office by the due date of the application for the
benefit of the year prior to the year taxes are payable. Various restrictions apply. For more information,call the County Auditor at(317)776-9602 or visit
http://www.hamiltoncounty.in.gov/department/index.php?structureid=6. Deductions/exemptions provided in this report include the following:
Types of Benefits—Deductions,credit and exemptions are determined annually and are applied to applicable properties.
• Abatement—Exemption for eligible properties where taxes have been lowered or eliminated,generally through the action of the City Council or
County Council.
• Blind/Disabled—Deduction for blind or disabled. Must supply proof from a doctor or Social Security Awards letter.
• Enterprise Zone—Exemption for eligible properties located within a designated enterprise zone.
• Geothermal—Deduction for eligible properties using geothermal utilities.
• Homestead Standard Deduction—Deduction for owner-occupied primary residence.
• Supplemental Standard Deduction—Additional deduction for homesteads after the application of the Homestead Standard Deduction.
• Mortgage—Deduction for mortgaged property for eligible persons.
• Nonprofit—Exemption for eligible properties. See I.C.6-1.1-10.
• Over 65—Deduction for individuals over 65 years of age;subject to income and assessed value limits.
• Veterans—Deduction for individuals with service related disabilities or WWI veteran or spouse,must supply awards letter.
Amount 2010—The amount deducted from your bill in 2010 pay 2011 for each deduction.
Amount 2011—The amount deducted from your bill this year for each benefit.
Information on the valuation of your property and a copy of the property record card can be obtained from your Assessor or at
http://www2.hamiltoncounty.in.gov/apps/reports/defaulttax2.asp. To obtain a review of an assessment,the taxpayer must file an appeal not later than forty-five
(45)days after the date of the required notice(Form 11). If the assessing official fails to send proper notice(Form 1 1)as required,the taxpayer's receipt of the tax
bill resulting from the change of assessment serves as notice of the taxpayer's-right to appeal. The appeal filed by a taxpayer must include:(1)the name of the
taxpayer;(2)address and parcel or key number of the property;and,(3)address and telephone number of the taxpayer(optional Form 130). The assessing official
who receives an appeal filed by a taxpayer must:(1)immediately forward the notice to the county board;and,(2)attempt to hold a preliminary informal meeting
with the taxpayer to resolve as many issues as possible. Taxpayer may use Correction of Error(Form 133)process to allege only objective errors with County
Auditor(e.g.,math error committed in computing assessment). The taxpayer's right to appeal an assessment or petition for correction of error can be found at
Indiana Code chapter 6-1.1-15(found at http://www.in.gov/legislative/ic/code/title6/arl.1/ch15.html). For further instructions on filing an appeal or correction of
error,contact your County Assessor at(317)776-9617. Please note the appeal requires relevant evidence of the true tax value of the property as of March
1,2011.
STATE FORM 53569(83/8-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS 2010 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 6-1 1-22-8 I
Property taxes are constitutionally capped at 1% of property values for homesteads (owner-occupied),
2% for other residential and farmground,and 3% for all other property.
Don't lose your homestead benefits-submit the pink form todayj1
For more information on local spending,visit bttp://g,ateway.ifionline.org.
,'er . .. ri�. 4,p -�6' .*,T,E ''-.*i'4 iat .x:. NYtiki ` ` `°..5,.�. ', i" ::,,7 .' . ,4:.-...7 a z`:.
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Taxpayer Name and Property Address I Date of Notice Parcel Number I Taxing District
BJS LLC(98.6957%);City of Carmel Redevelopment Commission(1.3043%) March 16,2012 State:29-09-36-000-010.001-018 I 16
Les Olds I Local: 16-09-36-00-00-010.001 I Carmel
1 Civic Sq
Property ID No. Legal Description
Carmel IN 46032 5302671 Acreage.76,Section 36,Townsh
Location Address: ip 18,Range 3
918 S RANGELINE RD,Carmel 46032 Lot:
�.,, W - ;y a,t .. ,3'.k A x, ,.t l;A i#:', _.gym...L:z S t:? i,t ".,. 4, II ;,", "f :w ....11..' 4 -i - .a1.'� `
ASSESSED VALUE AND TAX SUMMARY 2010 pay 2011 2011 pay 2012
la.Gross assessed value of homestead property $0.00 $0.00
lb.Gross assessed value of other residential property and farmland $0.00 $0.00
1c.Gross assessed value of all other property including personal property $1,301,900.00 $1,299,100.00
2.Equals total gross assessed value of property $1,301,900.00 $1,299,100.00
2a.Minus deductions(see table 5 below) $0.00 $0.00
3.Equals subtotal of net assessed value of property $1,301,900.00 $1,299,100.00
3a.Multiplied by your local tax rate 1.9863 1.8996
4.Equals gross tax liability(see table 3 below) $25,859.64 $24,677.70
4a.Minus local property tax credits -$0.00 -$0.00
4b.Minus savings due to property tax cap(see Table 2 and footnotes below) -$0.00 -$0.00
4c.Minus savings due to 65 years or older cap -$0.00 -$0.00
5.Total property tax liability(See remittance coupon for total amount due) $25,859.64 $24,677.70
Please see Table 4 for a summary of other charges to this property.
- g� i { l 7
'' �,�.z+fvG� .. ,;::�; •'."���.' �- ,z�`. � jam',°.. �'-,, ,.,��)..a. r-�';. €#s:. �` ,!.fi'Ri 0::T.: 2-1-1771, 11;;; x.,�,r.�kro,- ''%
,
Property tax cap(1%,2%,or 3%,depending upon combination of property types2) I $39,057.00 $38,973.00 I
Adjustment to cap due to voter-approved projects and charges3 I $2,472.30 $2,473.48 I
Maximum tax that may be imposed under cap I $41,529.30 $41,446.48
11'0 5,I:' i ' ....*"S! F.ash,a'�r�`ss'ti✓.�ta),.'cm.,74K �, =e..�-t i.&..ti.hd M®N, # „l f i �� a.t A '.¢ hA3j.._... 111:M7,'4:1
TAXING AUTHORITY TAX RATE TAX RATE TAX AMOUNT TAX AMOUNT TAX DIFFERENCE PERCENT
2010 pay 2011 2011 pay 2012 2010 pay 2011 2011 pay 2012 2010 pay 2011- DIFFERENCE
2011 pay 2012
COUNTY 0.2769 0.2901 108.33 I 104.61 I -3.72 -3.43
TOWNSHIP I 0.0753 0.0693 29.46 J 24.99 -4.47 I -15.17
I SCHOOL DISTRICT I 0.8990 0.7900 351.72 284.88 -66.84 -19.00
CORPORATION 0.6664 0.6788 260.72 244.78 -15.94 J -6.11
LIBRARY 0.0657 0.0682 25.70 24.59 -1.11 -4.32
SOLID WASTE 0.0030 0.0032 1.17 1.15 -.02 -1.71
TIF 25082.54 23992.70 -1089.84 -4.35
STATE n/a 0 0 0 .00
TOTAL 1.9863 1.8996 25859.64 24677.70 -1181.94 I -4.571
y
LEVYING AUTHORITY 2010 pay 2011 2011 pay 2012 I TYPE OF DEDUCTION 2010 pay 2011 2011 pay 2012
Ditch Assessments $0.00 $0.00 I Homestead Standard $0.00 $0.00
Sewer Liens I $0.00 $0.00 I Mortgage $0.00
$0.00
Weed Liens $0.00 $0.00 I Supplemental $0.00 $0.00
Unsafe Buildings $0.00 $0.00 J Disabled/Blind $0.00 $0.00
Barrett Law $0.00 $0.00 Veteran $0.00 $0.00
Other SPA Charges $0.00 $0.00 I Other Deductions $0.00 $0.00
TOTAL ADJUSTMENTS I $0.00 $0.00 I TOTAL DEDUCTIONS $0.00 $0.00
t The pink homestead verification form must be completed at least once by January 1,2013 in order to continue receiving homestead benefits.If you did not receive a copy of the form with this statement,it is possible you already
verified your eligibility.For more information or to obtain a copy of the form,contact your County Auditor.
2 The property tax cap is calculated separately for each class of property owned by the taxpayer.It is possible,therefore,that you may receive credit for the tax cap on line 4b even if your net property tax bill is lower than this amount.
'Charges not subject to the property tax cap include property tax levies approved by voters through referendum,as well as any relief provided by the State of Indiana Distressed Unit Appeals Board(for 2011 only).In Lake County and
St.Joseph County,this line also reflects debt obligations incurred prior to the creation of property tax caps.When added to the base property tax cap amount for your property,this creates the effective tax cap rate.For more information,
see the back of this document.
'If any circumstances have changed that would make you ineligible for a deduction that you have been allowed in Table 5 on this tax bill,you must notify the County Auditor.If such a change in circumstances has occurred and you
have not notified the County Auditor,the deduction will be disallowed and you will be liable for taxes and penalties on the amount deducted.
STATE FORM 53569(R3/08-11) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS 2011 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 6-1.1-22-8.1
NOTICE OF PROPERTY TAX ASSESSMENTS
Name and Address of Taxpayer—The owner and mailing address of the owner of record as of the date of this notice.
Date of Notice/Due Date—Date that the property tax bill was mailed and the date by which payment must be made in order to avoid late charges.
Property Number(State/Local)—State mandated property number of the taxable real estate and the local parcel number,if applicable.
Taxing District—The number assigned by the Department of Local Government Finance to the taxing district in which this property is located.
TABLE 1:SUMMARY OF YOUR TAXES
Tax Summary Item—The amounts involved with calculating your real estate property taxes.
Taxes 2010—The summary of calculations based on tax rates for taxes payable last year.
Taxes 2011—The summary of calculations based on this year's tax rates.
Tax Relief Credits—Credits are determined annually and are used to reduce property tax bills applied to applicable properties in this table.
• Local Property Tax Credits—Relief credit as paid by the City/Town and/or County. Revenue generated by the local option income tax is used to
reduce property tax bills.
• Over 65 Circuit Breaker Credit—credit for a calendar year if homestead qualifies and age,adjusted gross income,homestead assessed value,and
other eligibility requirements are met. The credit caps the increase of the homestead property tax liability of credit recipient at two percent(2%).
TABLE 2:PROPERTY TAX CAP INFORMATION
Property Tax Cap—Property may not be taxed at a higher rate than prescribed by law,unless that rate is approved by voters. Those rates are 1%for homesteads,
2%for other residential property and farm ground,and 3%for all other classes of property. When voters approve additional spending in a referendum,an
Adjustment to the Cap is made to reflect the additional expense. This excess revenue is calculated as a separate rate and added to the cap rate. This new value is
considered your effective property tax cap,or the Maximum tax that may be imposed under the cap. Taxpayers should note that the circuit breaker cap amount
is the combined cap amount for all classes of property applicable to a parcel.
TABLE 3:GROSS PROPERTY TAX DISTRIBUTION AMOUNTS APPLICABLE TO THIS PROPERTY
Taxing Authority—The name of the unit levying the taxes.
Tax Rate 2010 pay 2011—The tax rate per$100 of assessed value for this property allocated to each taxing authority for 2010 pay 2011.
Tax Rate 2011 pay 2012—The tax rate per$100 of assessed value for this property allocated to each taxing authority for the current year.
Tax Amount 2010 pay 2011=the amount of taxes for this property allocated to each taxing authority for 2010 pay 2011.
Tax Amount 2011 pay 2012—the amount of taxes for this property allocated to each taxing authority for the current year.
Tax Difference 2010 pay 2011-2011 pay 2012—the difference in dollars between current taxes and prior year taxes for each taxing authority.
Percent Difference—The percent change between last year's tax amount and this year's tax amount for each taxing authority.
TABLE 4—OTHER APPLICABLE CHARGES TO THIS PROPERTY
Levying Authority—The type of additional charge added to your property tax bill such as sewer,ditch or other special assessment.
Amount 2010 pay 2011—The total amount of other charges added to your tax bill in 2011.
Amount 2011 pay 2012—The total amount of other charges added to your tax bill this year.
TABLE 5:DEDUCTIONS APPLICABLE TO THIS PROPERTY
Type of Deduction—No credit,deduction or exemption is automatic. All must be applied for with the appropriate office by the due date of the application for the
benefit of the year prior to the year taxes are payable. Various restrictions apply. For more information,call the County Auditor at(317)776-9602 or visit
http://www.hamiltoncounty.in.gov/department/index.php?structureid=6. Deductions/exemptions provided in this report include the following:
Types of Benefits—Deductions,credit and exemptions are determined annually and are applied to applicable properties.
• Abatement—Exemption for eligible properties where taxes have been lowered or eliminated,generally through the action of the City Council or
County Council.
• Blind/Disabled—Deduction for blind or disabled. Must supply proof from a doctor or Social Security Awards letter.
• Enterprise Zone—Exemption for eligible properties located within a designated enterprise zone.
• • Geothermal—Deduction for eligible properties using geothermal utilities.
• Homestead Standard Deduction—Deduction for owner-occupied primary residence.
• Supplemental Standard Deduction—Additional deduction for homesteads after the application of the Homestead Standard Deduction.
• Mortgage—Deduction for mortgaged property for eligible persons.
• Nonprofii—Exemption for eligible properties. See I.C.6-1.1-10.
• Over 65—Deduction for individuals over 65 years of age;subject to income and assessed value limits.
• Veterans—Deduction for individuals with service related disabilities or WWI veteran or spouse,must supply awards letter.
Amount 2010—The amount deducted from your bill in 2010 pay 2011 for each deduction.
Amount 2011—The amount deducted from your bill this year for each benefit.
Information on the valuation of your property and a copy of the property record card can be obtained from your Assessor or at
http://www2.hamiltoncounty.in.gov/apps/reports/defaulttax2.asp. To obtain a review of an assessment,the taxpayer must file an appeal not later than forty-five
(45)days after the date of the required notice(Form 1.1). If the assessing official fails to send proper notice(Form 11)as required,the taxpayer's receipt of the tax
bill resulting from the change of assessment serves as notice of the taxpayer's right to appeal. The appeal filed by a taxpayer must include:(1)the name of the
taxpayer;(2)address and parcel or key number of the property;and,(3)address and telephone number of the taxpayer(optional Form 130). The assessing official
who receives an appeal filed by a taxpayer must:(I)immediately forward the notice to the county board;and,(2)attempt to hold a preliminary informal meeting
with the taxpayer to resolve as many issues as possible. Taxpayer may use Correction of Error(Form 133)process to allege only objective errors with County
Auditor(e.g.,math error committed in computing assessment). The taxpayer's right to appeal an assessment or petition for correction of error can be found at
Indiana Code chapter 6-1.1-15(found at http://www.in.gov/legislative/ic/code/title6/arl.l/ch15.html). For further instructions on filing an appeal or correction of
error,contact your County Assessor at(317)776-9617. Please note the appeal requires relevant evidence of the true tax value of the property as of March
1,2011.
Prescribed b;;,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
����1, /fv•� / 7/'e cr.y 6/K.-47 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
-ro—(z r' /6 -2 `1.-0 0005, o20 ee)'(ii cJo4,7 75-03. gz
5---ID- 12 2 16 - 5, 2/7 2 7-5-5,76'
S/042 .3 /6 -u�--36-od I6-8o8. /7
54o - (2 'f /6 --C 9- 36-Co- o/c oo/ 54,7/7.-;> l z 3 3,?- P3—
•
e^.
1ni
-ih
Total 37/9V
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and a. - •ited same in accor-
dance with IC 5-11-10-1.6.
S'-L-
IPP
20_12_
2terk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
�(014• ,-'774z.A,7 Co-i4 7;-(=w p� IN SUM OF $
$ 37( 9v� .3�.
ON ACCOUNT OF APPROPRIATION FOR
962.
Board Members
D#r or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
90 2 l — 8 3 5-e-6r.0 37,Ws-- 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
•
S l 20 /2-
Exa? Vrtirector
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund