319941 12/21/2017 4�.C4Ff!
<<; CITY OF CARMEL, INDIANA VENDOR: 372126
® ONE CIVIC SQUARE GROOM LAW GROUP CHARTERED CHECK AMOUNT: $*****8,425.80*
r•, a' CARMEL, INDIANA 46032 1701 PENNSYLVANIA AVE.NW CHECK NUMBER: 319941
SUITE 1200 CHECK DATE: 12/21/17
WASHINGTON DC 20006
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4340000 10117514 8,425.80 LEGAL FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372126 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GROOM LAW GROUP CHARTERED IN SUM OF$ CITY OF CARMEL
1701 PENNSYLVANIA AVE. NW An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
SUITE 1200 rendered,by whom,rates per day,number of hours,-rate per hour,number of units,price per unit,etc.
WASHINGTON, DC 20006
Payee
$8,425.80
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Department of Law 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
10117514 43-400.00 $8,425.80 1 hereby certify that the attached invoice(s),or 11/30/17 10117514 HSA Matter $8,425.80
1180 101 1180 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
Wednesday, December 13,2017
7
Ulr SO
—1
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Groom Law Group,Chartered
1701 Pennsylvania Avenue,N.W.
Suite 1200
Washington,D.C.20006
FEI##52-1219029
November 30,2017
Bill Number: 10117514
File Number: 025870
CITY OF CARMEL
Douglas C.Haney
Corporation Counsel
One Civic Square
Carmel, IN 46032 12-12-17 P P r' :5ftj-A
FOR PROFESSIONAL SERVICES V
Re: HSA MATTER
File Number 025870-00001
Through October 31,2017
10/05/17 ETD Review reporting issue. 0.30 Hrs
10/20/17 CLK Review prior advice re:HSA correction. 0.30 firs
10/22/17 CLK Review materials and ETD response re: same;begin drafting email to 4.50 Hrs
client.
10/23/17 ETD Review correction issues. 2.00 Hrs
CLK Finish email re: options for addressing income tax overpayment. 1.80 Hrs
CLK Review ETD's edits to wage overpayment email. 0.30 Hrs
KBA Discuss HSA contribution issue with CLK;review draft response re: 0.20 Hrs
same.
10/24/17 LTM Revise CLK draft for client. 0.50 Hrs
ETD Review HSA option. 0.30 Hrs
CLK Revise email to D.Haney to incorporate ETD and LTM's changes and 1.50 Hrs
send to D.Haney.
LOUIS T. MAZAWF,Y 0.50 Hrs 900.00/hr $450.00
ELIZABETH T. DOLD 2.60 Hrs 769.00/hr $1,999.40
CHRISTINE L. KELLER 8.40 Hrs 697.00/hr $5,854.80
KATHRYN B. AMIN 0.20 Hrs 608.00/hr $121.60
11.70 Hrs $8,425.80
TOTAL CHARGES $8,425.80
----------------
Page 1
Groom Law Group,Chartered
1701 Pennsylvania Avenue,N.W.
Suite 1200
Washington,D.C.20006-5811
FEI#52-1219029
November 30,2017
Bill Number: 10117514
File Number: 025870
CITY OF CARMEL
Douglas C.Haney
Corporation Counsel
One Civic Square
Carmel,IN 46032
Professional services rendered during the period ending October 31,2017.
HSA MATTER $8,425.80
Total Fees $8,425.80
Total Disbursements $0.00
Total $8,425.80
Payment may be made by wire transfer or ACH to: Remittance address:
Groom Law Group,Chartered Groom Law Group,Chartered
PNC Financial Services Group,Inc. Department#0589
Washington,D.C. 20006 Washington,DC 20073-0589
ABA Transit Number 054000030(ACH)
ABA Transit Number 031000053 (WIRE)
Account Number 5300759951
Groom Law Group,Chartered
1701 Pennsylvania Avenue,N.W.
Suite 1200
Washington,D.C.20006
FEI#52-1219029
November 30,2017
Bill Number: 10117514
File Number: 025870
CITY OF CARMEL
Douglas C.Haney
Corporation Counsel
One Civic Square
Carmel,IN 46032 12—12-17 P
FOR PROFESSIONAL SERVICES
Re: HSA MATTER
File Number 025870-00001
Through October 31,2017
10/05/17 ETD Review reporting issue. 0.30 Hrs
10/20/17 CLK Review prior advice re:HSA correction. 0.30 Hrs
10/22/17 CLK Review materials and ETD response re: same;begin drafting email to 4.50 Hrs
client.
10/23/17 ETD Review correction issues. 2.00 Hrs
CLK Finish email re: options for addressing income tax overpayment. 1.80 Hrs
CLK Review ETD's edits to wage overpayment email. 0.30 Hrs
KBA Discuss HSA contribution issue with CLK;review draft response re: 0.20 Hrs
same.
10/24/17 LTM Revise CLK draft for client. 0.50 Hrs
ETD Review HSA option. 0.30 Hrs
CLK Revise email to D.Haney to incorporate ETD and LTM's changes and 1.50 Hrs
send to D. Haney.
LOUIS T. MAZAWEY 0.50 Hrs 900.00/hr $450.00
ELIZABETH T. DOLD 2.60 Hrs 769.00/hr $1,999.40
CHRISTINE L. KELLER 8.40 Hrs 697.00/hr $5,854.80
KATHRYN B. AMIN 0.20 Hrs 608.00/hr $121.60
11.70 Hrs $8,425.80
----------------
TOTAL CHARGES $8,425.80
----------------
Page 1