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Home My WebLink About327761 07/20/18 1 or_CAAM CITY OF CARMEL, INDIANA VENDOR: 372126 ONE CIVIC SQUARE GROOM LAW GROUP CHARTERED CHECK AMOUNT: $*****2,992.00* CARMEL, INDIANA 46032 1701 PENNSYLVANIA AVE.NW CHECK NUMBER: 327761 SUITE 1200 CHECK DATE: 07/20/18 WASHINGTON DC 20006 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4340000 10123443 2,992.00 LEGAL FEES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372126 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GROOM LAW GROUP CHARTERED IN SUM OF$ 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 $2,992.00 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 10123443 43-400.00 $2,992.00 1 hereby certify that the attached invoice(s),or 7/9/18 10123443 H S A Matter $2,992.00 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 Thursday,July 19,2018 c 2� 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.20006-5811 FEI#52-1219029 July 9,2018 Bill Number: 10123443 File Number:025870 CITY OF CARMEL Douglas C.Haney Corporation Counsel One Civic Square Carmel,IN 46032 Professional services rendered during the period ending May 31,2018. HSA MATTER $2,992.40 Total Fees $2,992.40 Total Disbursements $0.00 Total $2,992.40 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 July 9,2018 Bill Number: 10123443 File Number:025870 CITY OF CARMEL Douglas C.Haney Corporation Counsel One Civic Square Carmel,IN 46032 FOR PROFESSIONAL SERVICES 0 7—17—1 8 P 0 2:0 3 R C V D Re: HSA MATTER File Number 025870-00001 Through May 31,2018 05/04/18 ETD Review 945 forms. 0.30 Hrs 05/10/18 ETD Review response. 0.20 Hrs CLK Email J.Brainard, aney and B.Lamb IRS0.30 Hrs letter. 05/15/18 ETD Review 941 filing. 0.30 Hrs 05/16/18 ETD Review 941-x. 0.80 Hrs 05/17/18 ETD Review correction issues. 0.50 Hrs CLK Participate in conference call with B.Lamb and ETD re: W-2c issues. 0.50 Hrs 05/18/18 ETD Review release. 0.30 Hrs CLK Review ETD email re:sample release and respond to same. 0.30 Hrs KAG Draft sample release statement. 0.50 Hrs ELIZABETH T. DOLD 2.40 Hrs 803.00/hr $1,927.20 CHRISTINE L. KELLER 1.10 Hrs 727.00/hr $799.70 KELLY A. GELONECK 0.50 Hrs 531.00/hr $265.50 4.00 Hrs $2,992.40 TOTAL CHARGES $2,992.40 ---------------- PREVIOUS BILLS OUTSTANDING Date Bill Number Balance 05/31/18 10122375 2,887.50 $2,887.50 Page 1 Groom Law Group,Chartered 1701 Pennsylvania Avenue,N.W. Suite 1200 Washington,D.C.20006 FEI#52-1219029 July 9,2018 Bill Number: 10123443 File Number:025870 CITY OF CARMEL Douglas C.Haney Corporation Counsel One Civic Square Carmel,IN 46032 FOR PROFESSIONAL SERVICES 07-17-18P02:03 R C V Q Re: HSA MATTER File Number 025870-00001 ((�� Through May 31,2018 05/04/18 ETD Review 945 forms. 0.30 Hrs 05/10/18 ETD Review response. 0.20 Hrs CLK Email J.Bramard,D. aney and B.Lamb IRS 0.30 Hrs letter. 05/15/18 ETD Review 941 filing. 0.30 Hrs 05/16/18 ETD Review 941-x. 0.80 Hrs 05/17/18 ETD Review correction issues. 0.50 Hrs CLK Participate in conference call with B.Lamb and ETD re:W-2c issues. 0.50 Hrs 05/18/18 ETD Review release. 0.30 Hrs CLK Review ETD email re:sample release and respond to same. 0.30 Hrs KAG Draft sample release statement. 0.50 Hrs ELIZABETH T. DOLD 2.40 Hrs 803.00/hr $1,927.20 CHRISTINE L. KELLER 1.10 Hrs 727.00/hr $799.70 KELLY A. GELONECK 0.50 Hrs 531.00/hr $265.50 4.00 Hrs $2,992.40 ---------------- TOTAL CHARGES $2,992.40 ---------------- PREVIOUS BILLS OUTSTANDING Date Bill Number Balance 05/31/18 10122375 2,887.50 $2,887.50 Page 1