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