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