226621 12/03/2013 (9) CITY OF CARMEL, INDIANA VENDOR: 359019 Page 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: 226621
CARMEL IN 46032
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 26740 11 . 15 . 13 2 , 769 . 17 RESTROOM MAINTENANCE
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CARMEL OTS,LLC
One Pedcor Square
770 3rd Ave. SW
Carmel, Indiana 46032
November 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
12/1/2013 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
Attn: Laurie Siler
770 3rd Ave SW
Carmel, Indiana 46032
D
DEC 0 2 2013
By
J
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
26740 I 11.15.13 I -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, December 02, 2013
Director, Ad instration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/15/13 11.15.13 Public Restroom Rent $2,769.17
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer