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305201 11/14/16 �4�a G% ''� CITY OF CARMEL, INDIANA VENDOR: 370770 I ® }• ONE CIVIC SQUARE KEGLEY &ASSOCIATES CHECK AMOUNT: $""`5,100.00' ,� CARMEL, INDIANA 46032 10431 SPRING HIGHLAND DRIVE CHECK NUMBER: 305201 bq�oN��o, INDIANAPOLIS IN 46290 CHECK DATE: 11/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4350900 33659 1014 2,550.00 FEES FOR DETAIL DESIG 1120 4350900 24846 1015 2,550.00 ENGAGING FOR HEALTH VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) KELLEY&ASSOCIATES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 10431 SPRING HIGHLAND DRIVE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46290 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,550.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 33659 1014 43-509.00 $2,550.00 1 hereby certify that the attached invoice(s),or 10/31/16 1014 68 hours consulting $2,550.00 1192 101 1192 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 Thursday, November 03,2016 Mike Hollibaugh Director 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- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer INVOICE iINFORMATION SYSTEMS CONSULTING` Kegley Ft Associates INVOICE#1014 Information Systems Consulting DATE: OCTOBER 28,2016 10431 Spring Highland Drive, Indianapolis, IN 46290 Phone 317.432.0383 Fax 317.580.9312 Appropriation #43-509.00 EIN #62-1452072 Tom.Keeley@KeglevAssociates.com PO 33659 Vendor number 370770 TO City of Carmel Indiana Attn: Lisa Stewart Department of Community Services One Civic Square Carmel, IN 46032 SALESPERSON JOB PAYMENT TERMS DUE'DATE Tom Kegley Program design month 2 Due upon receipt Upon receipt 9/26/16- 10/28/16 QTY DESCRIPTION UNIT PRICE LINE TOTAL 68 Consulting Hours -details attached $75.00 $5100.00 Apportion to DOCS at 50% $2550.00 SUBTOTAL $2550.00 SALES TAX TOTAL $2550.00 Make all checks payable to Kegley E3 Associates THANK YOU.FOR YOUR BUSINESSI 4 Summary of Activity by week (Weeks 6-10) Sixth week- 9/26 (18 hours) Met with Regenstrief and potential developer Met with Market District Dietitian Discussed financial support with PNC Bank Seventh week- 10/3 (14 hours) Continued discussions with developers including SEP Continued financial support pursuit with Roche Contacted developer Vivify Eighth week 10/10(12 hours) Concluded new approach to software development without SEP Continued recruitment of Participants from HOA-total to 25 Ninth week 10/17(11 hours) Finalized IRS 1023 not-for-profit application Explored other software development options with Board member Sent new opportunities to CFD on use of paramedics (EMS 3,0) Tenth week- 10/24(13 hours) Reached out to Roche again for financial support Pursuit of Validic as possible option for collecting tracker band data Started dialogue with Carmel regarding website support VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) KEGLEY&ASSOCIATES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 10431 SPRING HIGHLAND DRIVE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46290 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,550.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 24846 1015 43-509.00 $2,550.00 1 hereby certify that the attached invoice(s),or 11/2/16 1015 $2,550.00 1120 101 1120 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 Friday, November 04,2016 David Haboush Fire Chief 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer nn INVOICE �WIV � NO(IAM INFORMATION SYSTEMS CONSULTING Kegley st Associates INVOICE#1015 Information Systems Consulting DATE: OCTOBER 28, 2016 10431 Spring Highland Drive, Indianapolis, IN 46290 Phone 317.432.0383 Fax 317.580.9312 Appropriation #43-509.00 EIN#62-1452072 Tom.Kealey@KegleyAssociates.com PO 24846 Vendor number 370770 TO City of Carmel Indiana Attn: Denise Snyder Carmel Fire Department Two Civic Square Carmel, IN 46032 SALESPERSON JOB PAYMENT TERMS DUE DATE Tom Kegley Program design month 2 Due upon receipt Upon receipt 9/26/16- 10/28/16 QTY DESCRIPTION UNIT PRICE LINE TOTAL 68 Consulting Hours $75.00 $5100.00 Apportion to CFD at 50% $2550.00 SUBTOTAL $2550.00 SALES TAX TOTAL $2550.00 Make all checks payable to Kegley Et Associates THANK YOU FOR YOUR BUSINESS! Summary of Activity by week (Weeks 6-10) Sixth week-9/26 (18 hours) Met with Regenstrief and potential developer Met with Market District Dietitian Discussed financial support with PNC Bank Seventh week- 10/3 (14 hours) Continued discussions with developers including SEP Continued financial support pursuit with Roche Contacted developer Vivify Eighth week 10/10 (12 hours) Concluded new approach to software development without SEP Continued recruitment of Participants from HOA-total to 25 Ninth week 10/17 (11 hours) Finalized IRS 1023 not-for-profit application Explored other software development options with Board member Sent new opportunities to CFD on use of paramedics (EMS 3.0) Tenth week- 10/24 (13 hours) Reached out to Roche again for financial support Pursuit of Validic as possible option for collecting tracker band data Started dialogue with Carmel regarding website support