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222863 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 359019 P89@ 1 of 1 ONE CIVIC SQUARE CARMEL OTS LLC CARMEL, INDIANA 46032 770 3RD AVE SW CHECK AMOUNT: $2,769.17 ATTN LAURIE SILER CHECK NUMBER: 222863 CARMEL IN 46032 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1208 4350900 07 . 15 . 13 2 , 769 . 17 OTHER CONT SERVICES CARMEL OTS,LLC One Pedcor Square 770 3rd Ave. SW Carmel,Indiana 46032 July 15, 2013 Les Olds Carmel Redevelopment Commission For Property Located At: 35 East Main Street Carmel, IN 46032 Public Restroom Area INVOICE Due: Upon Receipt Charge Date Item Amount 8/1/2013 Monthly Rent $ 2,769.17 Total Amount Due $ 2,769.17 If you have any questions please contact Laurie Siler at 317.587.0467 Please make checks payable and mail to: Carmel OTS, LLC itiu: i.auiI' Si1ci 770 3rd Ave SW Carmel, Indiana 46032 MB 1 Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 07/15/13 07.15.13 Monthly Rent Restrooms $2,769.17 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Carmel, OTS, LLC Attn: Lurie Siler IN SUM OF $ 770 3rd Ave SW Carmel, IN 46032 $2,769.17 ON ACCOUNT OF APPROPRIATION FOR Building Operations Account PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1208 I 07.15.13 ( -509.00 I $2,769.17 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, August 12, 2013 'Ze Director, Adminstrati Title Cost distribution ledger classification if claim paid motor vehicle highway fund