HomeMy WebLinkAbout231293 04/08/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 364196
ONE CIVIC SQUARE KELLER MACALUSO LLC CHECK AMOUNT: $*****7,609.00*
CARMEL, INDIANA 46032 770 3RD AVENUE SW CHECK NUMBER: 231293
CARMEL IN 46032 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
212 4462865 2014-591 2,747.00 ILLINOIS STREET
1180 R4340000 31619 597 406.50 LEGAL FEES
1180 R4340000 31619 598 100.50 LEGAL FEES
1180 R4340000 31619 599 100.50 LEGAL FEES
1180 R4340000 31619 600 100.50 LEGAL FEES
1180 R4340000 31619 601 100.50 LEGAL FEES
1180 R4340000 31619 602 100.50 LEGAL FEES
1180 R4340000 31619 603 100.50 LEGAL FEES
1180 R4340000 31619 708 871.00 LEGAL FEES
1180 R4340000 31619 709 234.50 LEGAL FEES
1180 R4340000 31619 710 67.00 LEGAL FEES
1180 R4340000 31619 711 67.00 LEGAL FEES
1180 R4340000 31619 712 67.00 LEGAL FEES
1180 R4340000 31619 713 67.00 LEGAL FEES
1180 R4340000 31619 715 167.50 LEGAL FEES
1180 R4340000 31619 716 2,311.50 LEGAL FEES
Date 2/18/2914
�����° `�lt°�1��®
LLC Invoice#'597
J�:�►. invoice
770 3rd Avenue SW Phone# 317-660-3400
Fax 4 317-660-3401
Carmel, Indiana 46032 W ww.keUerrnacaluso.com
(317) 660-3400 Federal ID-.27-1716316
Bill To
City of Carmel
Douglas C.Haney Esq.
Department of Law q t;C V Q
One Civic Square
Cannel,Indiana 46032
_,01007=065'Sale-of 300 Mallard C6urt,Lot 28
Professional Fees
Time Amount
Service Date Initials Description of Services of tat
0.70 105.00
12/1 t/2013 IS Research plat and Declarations on-line;obtain copy p
summary and Declarations on-line;e-mail same to Tanury
Haney. 0.30 100.5Q
regarding „• related
01/30/2014 TH Meeting with S.Engelking eg
matteers. 0.60 201,00
flet
matters
plat and declaration regarding e�asting access to lake
01/30/20I4 TH and possible $406.5Q
Sub-total Fees:
Total Current Billing:
5406.50
1
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1
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Page lofl
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EM-Eric McNamar SO-Shari ONYMS
-
TK-Too Keller KH-Kaye Howard
PvtM-Matthew R.Macaluso JS-Jennifer Schulz.
TK-Tammy Haney
Kelley, �/� caaluso LLC Date 2/18/2014
1�� Invoicel.598.
V®1ce
770 3rd Avenue SW Phone # 317-660-3400
Carmel,Indiana 46032 Fax# 317-660-3401
(317) 660-3400 www.kellermacaluso.com
Federal ID:27-1716316
Bill To
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square r, %r-
Carmel,Indiana 46032
--01007-066:"S0d of 301 Mallard Court,Lot 29
Professional Fees Time Amount
Service Date Initials Description of Services 0.30 100.50
01/30/2014 TH Meeting with S.Engellcing regarding
and related
matters.
Sub-total Fees: $100.50
Total Current Billing: $100.50
I
i
Page iofI
1
TK-Too Keller EM-Eric McNamar SO-Shari Omens
MM-Matthew R.Macaluso JS•Jennifer Schulz KH-Kaye Howard
TK-Tammy Haney
euer 'acalus® LLC Date 2/18/2014
1V1 Invoice# 599
Invoice
770 3rd Avenue SW Phone# 317-660-3400
Carmel,Indiana 46032 Fax# 317-660-3401
(317) 660-3400 www.kellermacaluso-com
Federal ID:27-1716316
Bill To
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square -
Carmel,Indiana 46032
OI007=0b7:Sale of 870 Enclave Circle
Professional Fees Time Amount
Service Date Initials Description of Services and related 0.30 100.50
01/30/2014 TH Meeting with S.Engelking regarding
Cow
matters. Sub-total Fees: $100.50
Total Current Billing: $100.50
Page I of 1
TK-Too Keller EM-Eric McNamar SO-Shari Otiens
MM-Matthew R.Macaluso JS-Jennifer Schutz KH-Kaye Howard
TK-Tammy Haney
Kehler MacalUS® LLC Date 2/18/2014
Invoice#";600 '
770 3rd Avenue SW Invoice
Phone # 317-660-3400
Carmel,Indiana 46032 Fax# 317-660-3401
(317)660-3400 www.kellermacaluso.com
Federal 1D:27-1716316
Bill To
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square �;-5._?c,_1 ,g -",', : 1 <C U
Carmel,Indiana 46032
01007=068:.S616-6f 10407/10409 Pennsylvania Street
Professional Fees
Time Amount
Service Date Initials Description of Services
01/30/2014 TH Meeting with S.EngeWng regarding and related 0.30 100.50
matters.
Sub-total Fees: $100.50
Total Current Billing: $100.50
Page lofI
TK-Too Keller EM-Eric McNamar SO-Shari Omens
MM-Matthew R.Macaluso JS-Jennifer Schulz KH•Kayc Rovmrd
TK-Tammy Haney
Keller acaluso LLC Date 2/18/2014
InvInvoice#`6Q1
770 3rd Avenue SW Phone Phone# 317-660-3400
Carmel,Indiana 46032
Fax# 317-660-3401
(317)660-3400 www.kellermacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square 0 3—-2 5—;
Carmel,Indiana 46032
"01007-070:Sale of 10401710403 Pennsylvania Street
Professional Fees
Service Date Initials Description of Services Time Amount
01/30/2014 TH Meeting with S.EngeWng regarding and related 0.30 100.50
matters.
Sub-total Fees: $100.50
Total Current Billing: $100.50
Page 1 of l
TK-Too Keller EM-Eric McNamar SO-Shari Oti,ens
MM-Matthew R.Macaluso JS-Jennifer Schulz KH-Kaye Howard
TK-Tammy Haney
lller acaluS® LLC Date 2/18/2014
Invoice Invoice:#X602-
770 3rd Avenue SW Phone# 317-660-3400
Carmel,Indiana 46032 Fax# 317-660-3401
(317)660-3400 www.kellennacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square
Carmel,Indiana 46032
---"01007-'073-.Sale of303 Pintail Court#11
Professional Fees
Service Date Initials Description of Services Time Amount
01/30/2014 TH Meeting with S.Engelking regarding&' and related 0.30 100.50
matters.
Sub-total Fees: $100.50
Total Current Billing: $100.50
Page I of 1
TK-Too Keller EM-Eric McNamar SO-Shari OHens
MM-Matthew R. Macaluso JS-Jennifer Schulz KH-Kaye Howard
TK-Tammy Haney
Keller Macaluso LLC Date 2/18/2014
voice Invoice,,#'603..
770 3rd Avenue SW
Carmel,Indiana 46032 Phone# 317-660-3400
Fax# 317-660-3401
(317) 660-3400 www.kellermacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square 0 -=5 s � � �D
Camel,Indiana 46032
01007=075:Safe of7th aiid Rarigeline R6ad Property
Professional Fees
Service Date Initials Description of Services Time Amount
01/30/2014 TH Meeting with S.Engelking regarding smand related 0.30 100.50
matters.
Sub-total Fees: $100.50
Total Current Billing: $100.50
Page 1 of I
TK-Too Keller EM-Eric McNamar SO-Shari OHens
MM-Matthew R.Macaluso JS-Jennifer Schulz KH-Kaye Howard
TK-Tammy Haney
Keller Macaluso LLC Date 3/14/2014
Invoices#.708
770 3rd Avenue SW Invoice
Carmel,Indiana 46032 Phone# 317-660-3400
Fax# 317-660-3401
(317)660-3400 www.kellermacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square _ `I`�+D
l�,, n�_ t L.. J J
Carmel,Indiana 46032
01007=065: co a ard Court,Lot 28
Professional Fees
Service Date Initials Description of Services Time Amount
02/10/2014 TH Review executive order;correspondence regarding executive 0.20 67.00
order.
02/12/2014 TH Work on schedule for Board of Public Works and Council 0.40 134.00
meetings/hearings/notices.
02/13/2014 TH Work on schedule for notices,hearings,bids,etc;telephone 1.70 569.50
conferences and correspondence regarding scheduling.
02118/2014 TH Correspondence regarding timeline for sales. 0.30 100.50
Sub-total Fees: $871.00
Total Current Billing: $871.00
Page I of I
TK-Too Keller EM-Eric McNamar SO-Shari Owens
MM-Matthew R.Macaluso JS-Jennifer Schulz KH-Kaye Howard
TH-Tammy Haney EL-Erica Leath
Keller Macaluso LLC Date 3/14/20.14
Invoice:=#`--709
770 3rd Avenue SW Invoice
Phone# 317-660-3400
Carmel, Indiana 46032 Fax# 317-660-3401
(317)660-3400 www.kellerinacaluso.corn
Bill To Federal 1D:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square .-2 -. 1 [�(� : 'r C'd D
Carmel,Indiana 46032
01007-066:Sate of 301 Ma[laid CdUrt-,-Uf29
Professional Fees
Time Amount
Service Date initials Description of Services
02/10/2014 TH Review executive order;correspondence regarding executive 0.20 67.00
order.
02/19/2014 TH Telephone calls and correspondence regarding easement for 0.50 167.50
lake access;review information on lake access.
Sub-total Fees: $234.50
Total Current Billing: $234.50
Page 1 of 1
TK-Too Keller EM-Eric McNamar SO-Shari O%Nrns
MM-Matthew R.Macaluso JS-Jennifer Schulz KH-Kaye Howard
TH-Tammy Haney EL-Erica Leath
Keller Ma.ealus® LLC Date 3/14/2014
770 3rd Avenue SW
Invoice
Invoice`#''710
Carmel, Indiana 46032 Phone# 317-660-3400
(317) 660-3400 Fax# 317-660-3401
www.kellermacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square t;V D
Carmel,Indiana 46032
01007-Ob7:Sale of 870 Enclave Circle
Professional Fees
Service Date Initials Description of Services Time Amount
02/10/2014 TH Review executive order;correspondence regarding executive 0.20 67.00
order.
Sub-total Fees: $67.00
Total Current Billing: $67.00
Page I of I
TK-Too Keller EM-Eric McNamar SO-Shari Ovens
MM-Matthew R.Macaluso JS-JennirerSchulz KH-Kaye Howard
TH-Tammy Haney EL-Erica Leath
Keller Macaluso LLC Date 3/14/2014..
hivolee InvoicAe„,#.'711.
770 3rd Avenue SW
Carmel,Indiana 46032 Phone# 317-660-3400
(317) 660-3400 Fax# 317-660-3401
www.kellermacaluso,corn
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
V
One Civic Square 5-- 1 4 12 R C V D
Carmel,Indiana 46032
61667-068:Sale of 10407110409 Pennsylvania Street
Professional Fees
Service Date Initials Description of Services Time Amount
02/10/2014 TH Review executive order;correspondence regarding executive 0.20 67.00
order.
Sub-total Fees: $67.00
Total Current Billing: $67.00
Page I of i
TK-Too Keller EM-Eric McNamar SO-Shari O�Nens
MM-Matthew R.Macaluso JS-Jennifer Schulz KH-Kaye Howard
TH-Tammy Haney EL-Erica Leath
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
KELLER MACALUSO LLC
Purchase Order No.
770 3rd Avenue SW
Terms
Carmel, Indiana 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/18/14 597 Le al services rendered to the Cit of Carmel per
2/18/14 598 the attached Invoices $100.50
2/18/14 599 $100.50
2/18114 600 $100.50
2/18/14 601 $100.50
2/18/14 602 $100.50
2/18/14 603 $100.50
3/14/14 708 $871.00
3/14/14 709 $234.50
3/14/14 710 $67.00
3/14/14 711 Total $67.00
$2,249.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
KELLER MACALUSO LLC IN SUM OF $
770 3rd Avenue SW
Carmel, Indiana 46032
$ $2,249.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430-40000 Legal Fees
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 1 hereby certify that the attached invoice(s),
31619-E 597 43400 0 406.50 or bill(s) is (are) true and correct and that
31619-E 598 4340000 $100.50 the materials or services itemized thereon
31619-1 599 4340000 $100.50 for which charge is made were ordered and
31619-1 600 4340000 $100.50 received except.
31619-1 601 4340000 $100.50
31619- 602 4340000 $100.50
31619-E 603 4340000 $100.50
31619-1 708 4340000 $871.00
31619-1 709 4340000 n $234.50
31619-E 710 4340000 $67.00 11
31619- 711 4340000 $67.00 �p[C,n 9(0 20 f q
1
gnature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Keller acalu5® LLC Date 3/14/2014
770 3rd Avenue SW voice Invoice#,712
Caramel, Indiana 46032 Phone 4 317-660-3400
(317) 660-3400 Fax# 317-660-3401
www.keUermacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square �� ;�- } 4 P')3: 1 4 k
Carmel,Indiana 46032
--01007-070:Sale of 10401/10403 Pennsylvania Street
Professional Fees
Service Date initials Description of Services Time Amount
02/10/2014 TH Review executive order;correspondence regarding executive 0.20 67.00
order.
Sub-total Fees: $67.00
Total Current Billing: $67.00
Page I of 1
TK-Too Keller EM-Eric McNamar so-Shari ONNens
MM-Matthew R.Macaluso JS-Jennifer Schulz KH-Kaye Howard
TH-Tammy Haney EL-Erica Leath
Keller acaluso LLC Date 3/14/2014
770 3rd Avenue SW Invoice Invoice #.713
Carmel, Indiana 46032 Phone# 317-660-3400
(317)660-3400 Fax# 317-660-3401
www,ke llermacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square i a P0! CVD
Carmel,Indiana 46032
01007-073:Sate of303 Pintail Court#11
Professional Fees
Service Date Initials Description of Services Time Amount
02/10/2014 TH Review executive order;correspondence regarding executive 0.20 67.00
order.
Sub-total Fees: $67.00
Total Current Billing: $67.00
TK-Too Keller EM-Eric McNamar SO-Shari ON%rnS Page 1 of 1
MM•MatthewR.Maealuso JS-Jennifer Schulz KH-Kaye Howard
TH-Tammy Haney EL-Erica Leath
filler Macaluso LLC Date 3/14/2014
770 3rd Avenue SW hivoice Invoice.#:715
Carmel,Indiana 46032 Phone# 317-660-3400
(317) 660-3400 Fax# 317-660-3401
www.kellermacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C,Haney Esq.
Department of Law
One Civic Square
Carmel,Indiana 46032 t j 5 C V C
4 ;
0100 -wM.,Verizon WaterTower lease
Professional Fees
Service Date Initials Description of Services Time Amount
02/12/2014 TH Initial review of lease;telephone conferences and 0.50 167.50
correspondence regarding lease.
Sub-total Fees; $167.50
Total Current Billing: $167.50
TK-Too Keller EM-Eric McNamar SO-Shari Oiwns Page 1 of 1
MM-Matthew R.Macaluso 1S-Jennifer Schutz KH-Kaye Howard
TH-Tammy Haney EL-Erica Leath
Keller Maca us® ILC Date 3/14/2014
770 3rd Avenue SW Invoice Invoice#.716
Carmel,Indiana 46032 Phone # 317-660-3400
(317)660-3400 Fax# 317-660-3401
www.kellermacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square
Carmel,Indiana 46032
01007-079:Brookshire Swimming Facility lease
Professional Fees
Service Date Initials Description of Services Time Amount
02/11/2014 TH Work on Board of Public Works resolution forpurehase;reveiw 1.50 502.50
appraisals and other documents;telephone conferences and
correspondence regarding documents.
02/18/2014 TH Work on lease and purchase issues;telephone conferences and 1.90 636.50
correspondence regarding lease and purchase issues.
02/19/2014 TH Telephone conferences and correspondence regarding 3.50 1,172.50
fAMbresearch ;begin work on lease.
02/20/2014 TH Work on lease;research regarding requirements for lease of 0.00 0.00 No Charge
property;prepare reviewregarding requirements for lease.
Sub-total Fees: $2,311.50
Total Current Billing: $2,311.50
TK-Too Keller EM-Eric McNamar SO-Shari ONenS Page lofl
MM-Matthew R.Macaluso JS-Jennifer Schulz KH-Kaye Howard
TH-Tammy Haney EL-Erica Leath
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
KELLER MACALLISO LLC
Purchase Order No.
770 3rd Avenue SW
Terms
Carmel, Indiana 46032
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/1414 12 Legal services rendered to the City of Carmel per $67.00
3/14/14 713 the attached Invoices $67.00
3/14/14 715 $167.50
3/14/14 716 $2,311.50
Total
$2,613.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
KELLER MACALUSO LLC IN SUM OF $
770 3rd Avenue SW
Carmel, Indiana-46032
$ $2,613.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430-40000 Legal Fees
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
31619-E 712 4340000 $67.00 or bill(s) is (are) true and correct and that
31619-E 713 4340000 $67.00 the materials or services itemized thereon
31619-E 715 4340000 $167.50 for which charge is made were ordered and
31619-E 716 4340000 $2,311.50 received except
h a 60 20 JL4
Sign ure
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
MEMORANDUM
TO: Jeremy Kashman, City Engineer
FROM: Douglas C. Haney, City Attorn
RE: Keller Macaluso, LLC Invoice No. 14-591
Illinois Street acquisition from John Pittman
DATE: March 26, 2014
Jeremy,
Attached is Keller Macaluso's Invoice No. 2014-591 dated February 18, 2014 in the amount of
$2,747.00 for legal services provided to the Engineering Department regarding the referenced matter. I
recommend you issue a purchase order to Keller Macaluso LLC in the amount of$2,747.00 in payment of
this invoice.
Please let me know PROMPTLY if you believe that your Department is not responsible for the
payment of the attached invoice or if you have any questions regarding this memorandum.
/ab
jeb:mswordA\iisswapps l\user data-admin\1a%\e bass\my documents\outsidecounseNwller macaluso,Ile\illinois street\pitta=\pittrrm-illinois street 42014-591.doe 3/26/141
Feller Macaluso LLC Date 2/18/2014
770 3rd Avenue SW TIlillvoice Invoice # 591
Carmel, Indiana 46032 Phone # 317-660-3400
(317)660-3400 Fax# 317-660-3401
www.kellermacaluso.com
Bill To Federal ID:27-1716316
City of Carmel
Douglas C.Haney Esq.
Department of Law
One Civic Square 03-25-14P03 ' 18 RCVD
Carmel,Indiana 46032
01007-032;Carmel/Illinois Street acquisition from John Pittman
Professional Fees
Service Date Initials Description of Services Time Amount
01/02/2014 TH Telephone conferences and correspondence regarding right of 0.50 167.50
entry issues.
01/03/2014 TH Work on right of entry issues;review documents regarding right 0.80 268.00
of entry.
01/06/2014 TH Prepare for meeting regarding right of entry;correpondence 0.50 167.50
regarding right of entry.
01/07/2014 TH Attend meeting regarding right of entry;work on right of entry 1.60 536.00
for sewer relocation.
01/08/2014 TH Work on right of entry. 0.50 167.50
01/09/2014 TH Telephone conferences and correspondence regarding costs for 0.50 167.50
sanitary sewer stub and water main.
01/14/2014 TH Revise right ofentry;telephone conferences and 0.80 268.00
correspondence regarding right of entry.
01/15/2014 TH Draft right of entry for sewer relocation;telephone conferences 1.40 469.00
and correspondence regarding sewer relocation.
01/20/2014 TH Work on new right of entry for sewer relocation;telephone 1.60 536.00
conferences and correspondence regarding right ofentry.
Sub-total Fees: $2,747.00
Total Current Billing: $2,747.00
i
Page 1 of 1
TK-Too Keller EM-Eric McNamar SO-Shari Owens
MM-MatthewR.Macaluso JS-Jennifer Schulz KH-Kaye Howard
TK-Tammy Haney
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
Keller Macaluso LLC Purchase Order No.
770 3rd Avenue SW Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
2/18/2014 2014-591 III St ROW Matter-Pittman $ 2,747.00
Total $ 2,747.00
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 NC WARRANT NO.
Keller Macaluso LLC ALLOWED 20
770 3rd Avenue SW IN SUM OF $
Carmel, IN 46032
$ 2,747.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 2014-591 212-4462865 $ 2,747.00 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
4/3/2014
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund