250284 1 0/07/1 5 0.111k
CITY OF CARMEL, INDIANA VENDOR: 367744
CHECK AMOUNT: $*`**"9,200.00'
ONE CIVIC SQUARE INDIANA UNIVERSITYCARMEL, INDIANA 46032 DEPT 78867 CHECK NUMBER: 250284
PO BOX 78000 CHECK DATE: 10/07/15
DETROIT MI 48278-0867
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 R4359300 26841 43180392 9,200.00 STUDY
it
41
INDIANA. UNIVIIRSI.TY
�F PIC6: 4)F It FIS I"A I1 C.1I A WNI INIS•1'11 A T I/IV
INVOICE INVOICE#: 43180392
Invoice Date: September 17,2015
To: IU Account#: 4096903 (3)
City of Carmel
Dept.of Community Relations Prime Award#: N/A
&Economic Development Sub Award#: N/A
One Civic Square Grant/Contract#: N/A
Carmel IN 46032 Purchase Order#: 26841
Award Amount: $92,000.00
Project Title: Evaluation of outcomes resulting from the Carmel city center&old town redevelopment efforts
Project Director: Mark Lawrance
Project Period: 12/18/2013- 12/31/2015 Report Period: 12/01/2014-08/31/2015
I
Project Activity Quantity Unit Price Total
Project commences 1.00 9,200.00 9,200.00 Paid
Initial meeting with advisory group 1.00 9,200.00 9,200.00 Paid
Data collection for objective measures 1.00 9,200.00 9,200.00 Paid
Presentation of findings 1.00 9,200.00 9,200.00 Invoiced
Completion of key Informant interviews 1.00 9,200.00 9,200.00 Paid
i'i���•,I<.0,111,n ia. .I . ,. I. . .,.I\ v '�.- 'I'r ..' l!
Total $ 92,000.00
Income Received: $36,800.00
Outstanding invoices: $0.00
Total Due This Invoice: $9,200.00
By signing this report,I certify to the best of my knowledge and belief that the report is true,complete and accurate,and the expenditures,
disbursements and cash receipts are for the purpose and objectives set forth in the terms and conditions of the Federal award. I am aware that
any false,fictitious or fraudulent information,or omission of any material fact,may subject me to criminal,civil or administrative penalties
for fraud,false statements,false claims or otherwise.(U.S.Code Title 18,Section 1001 and Title 31,Sections 3729-3730 and 3801-3812)
Digitally ed by Scott Phillips
D : n=Scot Phillips,o=IniaaSc®tt
University,ou=Office of REMIT PAYMENT TO:
Research Administration,
2
Indiana UniversityPhillips Date: 015.09.1714:36:02
Dept 78867
-04'00' P.O.BOX 78000
Scott Phillips,Financial Analyst Detroit,MI 48278-0867
Office of Research Administration IU Tax ID#:35-6001673
Indiana University mom«ounibc
Due Date: October 17,2015
509 E.Third Street CAR918
Bloomington,IN 47401 *Please reference Invoice#--> 43180392
(812)856-1487 phillsco@iu.edu when submitting your payment.
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))
09/17/15 43180392 $9,200.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana University
IN SUM OF$
Dept. 78867, P. O. Box 78000
Detroit, MI 48278-0867
$9,200.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26841 I 43180392 I 43-593.00 I $9,200.00 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, October 05,2015
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund