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HomeMy WebLinkAbout303845 10/06/16 ,� *f CITY OF CARMEL, INDIANA VENDOR: 361566 ? ® tl ONE CIVIC SQUARE PROS CONSULTING, INC CHECK AMOUNT: $*****6,000.00* r.. q; CARMEL, INDIANA 46032 201 S CAPITAL AVE SUITE 505 CHECK NUMBER: 303845 INDIANAPOLIS IN 46225 CHECK DATE: 10/06/16 roN� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 853 5023990 40519 PROS3549 6,000.00 STRATEGIC FUNDING PLA Voucher No. Warrant No. p Pros Consulting Inc Allowed 20 'l.�'�" 201 S Capitol Ave., Ste 505 ��� Indianapolis, IN 46225 In Sum of$ $ 6,000.00 ON ACCOUNT OF APPROPRIATION FOR 853 -Gift Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 40519 PROS3549 5023990 $ 6,000.00 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 September 28, 2016 Signature $ 6,000.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Pros Consulting Inc Terms 201 S Capitol Ave., Ste 505 Indianapolis, IN 46225 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 9/24/16 PROS3549 Financial Strategic Funding Plan Task 4- 40519 $ 6,000.00 Foundation Strategic Plan Total $ 6,000.00 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 1� Form W-9 Request for Taxpayer Give Form to the (Rev,December Treasury identification Number and Certification requester.Do not of the Treas Department ury send to the IRS. IMernel Revenue Service E 1 Name(as shown on your income tax return).Name Is required on this line;do not leave this line blank, y PROS Consulting Inc N 2 Business name/disregarded entity name,if different from above cu a 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to ocertain entities,not individuals;see ❑Individual/sole proprietor or ❑ C Corporation ©S Corporation ❑ Partnership ❑Trust/estate instructions on page 3): c single-mamber LLC 4.°F1 Llmlted liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)11, Exempt payee code Of any) `o Note.For a single-member LLC that Is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting 9 the tax classification of the single-member owner, code(H any) Other see Instructions)► IL O ❑ ( (Apples to accounts malntaUmd outdda tho U.S.) 5 Address(number,street,and apt,or suite no.) quester's ame and address(optional) w201 S.Capitol Ave.,Suite 505 �� ���Et^t►rr+t.✓ w 6 City,state,and ZIP code QAr MC 1 Ckw'� PArks l (n Indianapolis,IN 46225 SGVN keww%f'r p CpYMO ala cirks , 7 List account numbers)here(optional) yyl I Taxpayer Identification Number(TIN) Enter your TiN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this Is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other _M entitles,it Is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. or Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer identification number guidelines on whose number to enter. 3 5 — 1 9 6 2 8R 2 JM Certification Under penalties of perjury,I certify that: 1. The number shown on this form Is my correct taxpayer Identification number(or I am waiting for a number to be Issued to me);and 2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all Interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3. 1 am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)Indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage Interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3, Sign Signature I U.S.person Here U.S.person► /t. r_A,, n Date 11- General General Instructions •Form 1098(home mortgage interest),1098-E(student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release It)Is at www.1rs.gov/fw9. Use Form W-9 only If you are a U.S.person(Including a resident alien),to Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who is required to file an Information if you do not return Form W-9 to the requester with a TIN,you might be subject return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What Is backup withholding?on page 2. which may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you: number(ITiN),adoption taxpayer Identification number(ATIiv),or employer 1.Certify that the TIN you are giving Is correct(or you are waiting for a number identification number(EIN) to report on an Information return the amount paid to to be issued), you,or other amount reportable on an information return.Examples of information returns Include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or •Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If •Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of any partnership Income from a U.S.trade or business is not subject to the •Form 1099-MISO(various types of Income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected Income,and •Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA codes)entered on this form Of any)Indicating that you are brokers) exempt from the FATCA reporting,is correct.See What is FATCA reporting?on •Form 1099-5(proceeds from real estate transactions) page 2 for further Information. •Form 1099-K(merchant card and third party network transactlons) Cat.No,10231X Form W-9(Rev.12-2014) if 1 � • i (PROS Consulting,IfVCfi pro, * Indianapolis;IN 46225 US • (317) 840-2020 consultIngkatherine.younger@prosconsulting.com INVOICE BILL TO R 'C�'VEI� INVOICE# PF30S 3549 Carmel Clay Parks and fl DATE;09/24/2016;- � SEP 2 7 2016 A _ } : Recreation DUE DATE 10/24)2016 Attn: Michael Klitzing TERMS Net 30 1411 E. 116th St. BY: I Carmel, IN 46032 i PROJECT NAME Financial Strategic Funding PROFESSIONAL SERVICE QTY RATE AMOUNT Charges Consultation 1 6,000.00 6,000.00 Task 4-Carmel Clay Parks Foundation Strategic Plan .........--•----------------------------------------------------------------------------------------------------------------•---------------------.•-•--------- Thank you for the opportunity to provide services to youl BALANCE DUE ga y, ft �,.- PROS Consulting INC