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308173 02/13/17 (9, CITY OF CARMEL, INDIANA VENDOR: 370770 ONE CIVIC SQUARE KEGLEY &ASSOCIATES CHECK AMOUNT: $****11,077.64* CARMEL, INDIANA 46032 10431 SPRING HIGHLAND DRIVE CHECK NUMBER: 308173 INDIANAPOLIS IN 46290 CHECK DATE: 02/13/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4350900 100074 1020 3,452.64 E4H PROGRAM 1192 R4350900 33659 1022 3,187.50 FEES FOR DETAIL DESIG 1120 R4350900 24846 1023 3,187.50 ENGAGING FOR HEALTH 1205 4350900 100074 1024 1,250.00 E4H PROGRAM VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 370770 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KEGLEY&ASSOCIATES IN SUM OF$ CITY OF CARMEL 10431 SPRING HIGHLAND DRIVE 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. INDIANAPOLIS, IN 46290 Payee $3,187.50 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 1023 43-509.00 $3,187.50 1 hereby certify that the attached invoice(s),or 2/2/17 1023 $3,187.50 1120 Encumbered 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, February 03,2017 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 - � _-- -, INVOICE , INFORMATION SYSTEMS CONSULTING Kegley Et Associates INVOICE##1023 Information Systems Consulting DATE: FEBRUARY 1, 2017 10431 Spring Highland Drive, Indianapolis, IN 46290 Phone 317.432.0383 Fax 317.580.9312 Appropriation #43-509.00 EIN#62-1452072 Tom.Kealey@KealeyAssociates.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 last 5 weeks Due upon receipt Upon receipt 1/1/17- 2/3/17 QTY DESCRIPTION UNIT PRICE LINE TOTAL 85 Consulting Hours-details attached $75.00 $6375.00 Apportion to CFD at 50% $3187.50 SUBTOTAL $ 3187.50 SALES TAX TOTAL $ 3187.50 Make all checks payable to Kegley ft Associates THANK YOU FOR YOUR BUSINESS! Summary of Activity by week (Weeks 20-24) Twentieth week- 1/2 15 hours) Finalize Focus Groups Letters to Senior Centers and Grocery sent to Mayor met with Market District and worked on dietary phase met with Oakleys Bistro to join Dietary Conf call Dr. John LaPuma on Dietary advisory role Met with Trusty solution on software Twenty first week- 1/9 (18 hours) Final preparations for Focus groups Order bands Agree plan with Trusty Solutions Prepared new proposal for City to fund bands and software First draft dietary phase II Twenty-second week 1/16 (15 hours) Focus groups 1 ft 2 Distribution of bands Finalize plan with Trusty Solutions Meet with Apple Draft dietary phase II with Market District Call with Gov Office staffer Call with CVS on Med Compliance Set up three users bands Twenty-third week 1/23 (20 hours) Last 2 focus groups 4 personal band setups complete band distribution software PO Follow up Phase IV and Phase II Twenty-fourth week 1/30 (17 hours) 3 one-one training 2 group training Conf call with Jeff Goodloe- Phase IV Go live set up engaging4health community VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 370770 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KEGLEY&ASSOCIATES IN SUM OF$ CITY OF CARMEL 104311.SPRING HIGHLAND DRIVE 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. INDIANAPOLIS, IN 46290 Payee $4,702.64 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoices)or bill(s)) AMOUNT 100074 1020 43-509.00 $3,452.64 1 hereby certify that the attached invoice(s),or 1/18/17 1020 $3,452.64 1205 101 1205 101 100074 1024 43-509.00 $1,250.00 bill(s)is(are)true and correct and that the 2/7/17 1024 $1,250.00 1205 101 1 materials or services itemized thereon for 1205 1 101 which charge is made were ordered and received except Tuesday, February 07,2017 Barbara Lamb 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 a A H c- ,AMU k INFORMATION SYSTEMS CONSULTING; Kegley Et`Assodates. . Information Systems Consulting INVOICE#1020 DATE: JANUARY 18, 2017 10431 Spring Highland Drive, Indianapolis, IN 46290 Phone 317.432.0383 Fax 317.580.9312 Appropriation #43-509.00 EIN#62-1452072 Tom.Kegtev@KegLeyAssociates.com PO 33659 Vendor number 370770 TO City of Carmel Indiana Attn: Barb Lamb Department of Community Services One Civic Square Carmel, IN 46032 SALESPERSON JOB PAYMENT TERMS' DUE DATE' Tom Kegley Purchase of Fitness Bands Due upon receipt Upon receipt ^ QT1' DESCRIPTION UNIT PRICE LINE TOTAL 30 FitBit Bands - details attached $104.00 $3120.00 Shipping $77.99 Mailing Bands to 5 Participants - 3 receipts $20.79 Total $3218.78 SUBTOTAL $3218.78 SALES TAX $223.86 TOTAL $ 3452.64 Make all checks payable to Kegley ft Associates s f itbit Q Order#: LWTBR749W Order Date: 1111/17 ITEM QTY COST ® Fitbit Alta(Black) -Small $104.00 22 $2,288.00 In stock 0 Fitbit Alta (Black) -Large $104.00 8 $832.00 In stock Subtotal $3,120.00 Shipping Handling $77.99 Tax $223.86 Total $3,421.85 SHIPPING METHOD: FedEx Expedited (1 Business Day) ------ --- -- ------- ---- -- ---- ------ Billed to: Sent to: Thomas W Kegley Thomas W Kegley 10431 Spring Highland Dr 10431 Spring Highland Dr Indianapolis, IN 46290 Indianapolis, IN 46290 United States United States 8 American Express-1005 ----------- 0111512017 04:21:04:21:10 .PMI °'-"- CARMEL..POST OFFICE APC. 3 ____ ---------------- 275'MEDICAL OR DARNEL POST"OFFICE APC 2 CARMEL, IN 46032-999,8 _ es Rece'Uipt, _ —. 275 MEDICAL DR DProduct escription $eQa1e:- '" nit. Final CARMEL014­47f2017.7!20, IN 48032.-9998 03:20:36 PM ty; Price Price, --;__- _— --- 01116/2 17 01:38:43'PM ------------------------------------ ==_ Sales,Receipt BONITA SPRINGS, FL 34114 $3.7e. Product Sale. Unit final Zone-5 Sales Receipt _- Description Qty Price Price First-Class Mail'@ Parcel with .Product Sala Unit -ihal USPS Tracking'" includedDescription :Qty Price Price, i% uspt Tracking #: __ WINTER HAVEN,, FL 33881-9072 $9-.45 9500 '1000 2580 7015 DODO' 70 - "— Zone-5 0 lb. 9.50 oi. NOT-SPRINGS NATIONAL PARK, Priority Mail.3-Day" with up to Expacted Delivery Day Friday, AR 7i043' $3..78 $50.00 Insurance and;USPS January 20• Zona-4 Tracking"' included First=Class Mai1Qi Parcel' with USPS Tracla ng #: j Issue Postage: $3'•7E USPS Tracking^' inciudad 9505 5000 2844 7017 6004 58 %% USPS Tracking iF: 1 lb. 2.40 oz. BRADENTON, FL ,34201 $3'•76...- 9560. 1000 2580 '7016 000.1 54 Expected Delivery Day Friday, ZonerS 11 lb. 9.50 oz. January 20. First-Class Mail(D Parcel-with Expected Deli-very Day Friday, Is ____--_ USPS Tracking'" included January:20. sue Postage: `% USPS Tracking R: $9.45 9500 1000 2580 705'0000.87 Issue Postage: $3.76 Total: f 0 16.'9.7D oz. $9.45 • Expected Delivery Day Friday, Total;:, January $3T 20. Paid by VISA Issue Postage: $3.76 Paid by: XXXX?� XXX5267 45 $9 Account #,:, XXX. VISA" $3x78 Approval #: 074282 ----- Transaction'#: 650 Total: $7 .56 Account #: )CXXX)UCXXXXXX5267 $T.5E; Approval #: 072788 4445023580902-99 Transaction #: 743 SSK Transaction # Paid by 4445023580866=99 it 72 $7.56 USPS® # {, VISA 171276-. Account 9: )(XXxKxxjk X6820 SSK'Transaction fti 31 Approval f/: 015228 USPS® r- i71176-9551 %It Text your 'tracking number- to '28777 Transaction #: 715 (2USPS) target the latest status. 4A4S0235A0886-99 '- %% Text your tacking,number to 28777. Standard Message and Date rates may (2USPS) to gat-the latest status apply. You may also visit USPS.com SSK Transaction #: 21 Standard Message and Data rates may: USPS Tracking or call 1-800-222-1811, 171276-9551 1 You ae also visit USPS com or use this self-service kiosk (or any USPS® aw apP y• y USPS:Tracking or call 1 800-222 181:1, self-service kiosk at other'Postal Text your tracking number to 28777 or use this self sarvice'ki•osk (or. Arg--A locat_ions), f (2USPS) to get the latest. status, self-service kiosk at other'Ocstal Standard Message and Data rates may locations). Save this receipt,as. ,evidence of apply. You may also visit USPS:com insurance. For information on filing USPS Tracking or call 1-800-222-1811, Thanks: an insurance claim go #o 1 It's a pleasure to 'serve you. h'op's-//—..,usps-com/help/claims.htm. of use this self-ssrvica kiosk, (or any serf-survica kiosk.at .other Postal locations). ;� ALL-SALESFINAL ON STAMPS.AND POSTAGE. Thanks. - REFUNDS FOR'-GUARlaNTEED SERVICES ONLY. It's a pleasure to serve you., I Thanks. r I { It I's a pleasuro' to serVa you, ALL SALES FINAL ON STAMPS AND POSTAGE. ` REFUNDS FOR GUARANTEED.SERVICES ONLY. ALL SALES FINAL ON STAMPS AND POSTAGE. 1 REFUNDS FOP, GUARANTEED'SERVICES'ONLY. -K1 i INVOKE INFORMATION,SYSTEMS CONSULTING+, Kegley Ft Associates INVOICE#1024 Information Systems Consulting DATE: FEBRUARY 7, 2017 10431 Spring Highland Drive, Indianapolis, IN 46290 Phone 317.432.0383 Fax 317.580.9312 Appropriation #43-509.00 EIN#62-1452072 Tom.KeQlev@Ke�levAssociates.com PO 33659 Vendor number 370770 TO City of Carmel Indiana Attn: Barb Lamb Department of Community Services One Civic Square Carmel, IN 46032 SALE$PERSOW JOB.. PAYMENT TERMS DUE DATE Tom Kegley Initial software payment Due upon receipt Upon receipt QTY DESCRIPTION UNIT;PRICE LINE TOTAL . 1 Software payment- Phase 1 $1250.00 $1250.00 S:B� ed To 2017Cleas1�rer SUBTOTAL $1250.00 SALES TAX TOTAL $1250.00 Invoice .`,DATEINVOICE# , cam2/7/2017 131 MP Trt sft-j pplicattons: 5525 Shawnee Trail S. Dr. Indianapolis, IN 46220 BILL TO, s' The Engagment For Health, Inc. 10431 Spring Highland Drive Indianapolis, IN 46290 - "DUEbATE = P.O."NUMBER, 3/9/2017 ITEM. DESCRIPTION QTY.. RATE AMOUNT, Website 25% of Quote#TA17-00009 being billed to begin 0.25 5,000.00 1,250.00 Creation project work. PO# 1006 REV Engaging 4 Health Website TOtal 1,250.00 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 370770 KEGLEY&ASSOCIATES IN SUM OF$ CITY OF CARMEL 10431 SPRING HIGHLAND DRIVE 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. INDIANAPOLIS, IN 46290 Payee $3,187.50 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 1022 43-509.00 $3,187.50 1 hereby certify that the attached invoice(s),or 2/2/17 1022 85 hours consulting-DOCS portion $3,187.50 1192 Encumbered 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 Friday, February 03,2017 Mike Hollibaugh Director 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer nn :- .- INVOICE { 91MV k NO(I M! INFORMATION SYSTEMS CONSULTING: Kegley &t Associates INVOICE# 1022 Information Systems Consulting DATE: FEBRUARY 1, 2017 10431 Spring Highland Drive, Indianapolis, IN 46290 Phone 317.432.0383 Fax 317.580.9312 Appropriation #43-509.00 EIN#62-1452072 Tom.Keeiev@KeelevAssociates.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 last 5 weeks Due upon receipt Upon receipt 1/1/17-2/3/17 QTY DESCRIPTION UNIT PRICE LINE TOTAL 85 Consulting Hours -details attached $75.00 $6375.00 Apportion to DOCS at 50% $ 3187.50 SUBTOTAL $3187.50 SALES TAX TOTAL $ 3187.50 Make all checks payable to Kegley Et Associates THANK YOU FOR YOUR BUSINESSI Summary of Activity by week(Weeks 20-24) Twentieth week- 1/2 15 hours) Finalize Focus Groups Letters to Senior Centers and Grocery sent to Mayor met with Market District and worked on dietary phase met with Oakleys Bistro to join Dietary Conf call Dr.John LaPuma on Dietary advisory role Met with Trusty solution on software Twenty first week- 1/9 (18 hours) Final preparations for Focus groups Order bands Agree plan with Trusty Solutions Prepared new proposal for City to fund bands and software First draft dietary phase II Twenty-second week 1/16 (15 hours) Focus groups 1 &2 Distribution of bands Finalize plan with Trusty Solutions Meet with Apple Draft dietary phase II with Market District Call with Gov Office staffer Call with CVS on Med Compliance Set up three users bands Twenty-third week 1/23 (20 hours) Last 2 focus groups 4 personal band setups complete band distribution software PO Follow up Phase IV and Phase II Twenty-fourth week 1/30 (17 hours) .3 one-one training 2 group training Conf call with Jeff Goodloe-Phase IV Go live set up engaging4health community