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302065 08/22/16
GAq- u' '' CITY OF CARMEL, INDIANA VENDOR: 370878 {'® 22i ONE CIVIC SQUARE MEGAN BURGE CHECK AMOUNT: $•r t a*w►650.75' ;3. CARMEL, INDIANA 46032 1451 OLDE BRIAR LANE CHECK NUMBER: 302065 9,y`TON co, CARMEL IN 46032 CHECK DATE: 08/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4340400 081016 356.25 CONSULTING FEES 1701 4340400 081816 294.50 CONSULTING FEES Prescribed by State Board of Accounts City Form No.201 (Rev.1995) VOUCHER NO. WARRANT NO. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MEGAN BURGE 1451 OLDE BRIAR LANE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $356.25 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Clerk Treasurer Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 081016 43-404.00 $356.25 1 hereby certify that the attached invoice(s),or 8118/16 081016 $356.25 1701 101 1701 101 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 22,2016 I hereby certify that the attached invoice(s),or bill is are)true and corr a I h ve audited same,,4'p accordance with IC 5-11-10-1. 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. 0 Clerk- asurer Megan Burge Office of the Clerk-Treasurer-2016 Appropriation#; P.O.# Contract Not To Exceed$2,000 Invoice Date: Name of Company:MTV) CCOMLA LAUQ-132- Address &Zip: kk-tc;�1 0t ou, Y20 V�ue Wim' Telephone No.: 11 Fax No.:. Project Name: Invoice No. Purchase Order'No: Goods Services Person Providing Date Goods/Services Provided Cost Per Hourly Total Goods/Services Goods/ (Describe each good/service Item Rate/ Service separately and in detail) Hours Provided Worked -7/V-6 hours 49-$01hr GRAND TOTAL Signatufe 0 + q Print 6d Name 116 10 Megan Burge Office of the Clerk-Treasurer-2016 Appropriation#; P.O.# Contract Not To Exceed$2,000 Exhibit A Scope of Services Megan Burge Assist the City of Carmel's Office of the Clerk-Treasurer on organized document retention and public records access: Other related tasks may be requested from time to time. . Consultation will also be provided on various aspects of City fiscal operations and policy. Fee for Services: Services rendered shall be billed at a rate of Nine Dollars and fifty cents ($9.50) per hour. EXHIBIT B 9 NAME Sat Q Sun Mon Tue Wed Thu Fro Week Total Payroll Week 1 7/ '7 (ate 4 71201tu 7(2t/ ((,o 1I22/iQ Daily Hours 1 - 50 1 -.,5 I ;. � I -5 o 12---: 1; i`s `15 Comp Used PTO Used Sat Sun Mon Tue Wed Thu Fri Week Total Payroll Weelc2 717, (p jimallla 1(Z7/� 71Zg11lp Daily-Hours 2�-� Comp Used PTO Used *Total time will be calculated by rounding to the nearest quarter hour basis. le; 8.75 hours 3��� VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) MEGAN BURGE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1451 OLDE BRIAR LANE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $294.50 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Clerk Treasurer Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 081816 43-404.00 $294.50 1 hereby certify that the attached invoice(s),or 8/18/16 081816 $294.50 1701 101 1701 101 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 22, 2016 I hereby certify that the attached invoice(s),or bj11(s7,' (are)true and c rec I have audited same in accordance with IC 5-11-10- 2C4 Cost distribution ledger classification if claim paid motor vehicle highway fund. CIeryTreaSurer Megan Burge Office of the Clerk-Treasurer-2016 Appropriation#; P.O.# Contract Not To Exceed$2,000 Invoice Date: Dve - Ic) - Ik4 Name of Company: �cin $Ucir Address &Zip: ILJSI 0ick-9- 'e>ricwr LO-rvz. Ce,,,f vU IN yl0032 Telephone No.: 311 `C,-1 S`1 V3 Fax No.: Project Name: Invoice No. Purchase Order No: Goods Services Person Providing Date Goods/Services Provided Cost Per Hourly Total Goods/Services Goods/ (Describe each good/service Item Rate/ Service separately and in detail) Hours Provided Worked cl4Sp/hr 50, s 1 31 Inas GRAND TOTAL Signa re Print6d Name I 4 10 NAME : meT�n �Uv Sat Sun Mon Tue Wed Thu Fri Week Total Payroll Week I `�/ I / I LIP BIZ /14 �S13f+ 1 � /Ll� l (4 Daily Hours 4 S) Lt.25 e5 Comp Used PTO Used Sat Sun Mon Tue Wed Thu Fri Week Total Payroll Week 2 Io/Ito Daily Hours - �� i�V3�"4 I S © 12.s Comp Used PTO Used *Total time will be calculated by rounding to the dearest quarter hour basis. le; 8.75 hours