182156 02/03/2010 ,mac'' CITY OF CARMEL, INDIANA VENDOR: 358097 Page 1 of 1
ONE CIVIC SQUARE BRAZILL RESTER PC
x I CARMEL, INDIANA 46032 334 N SENATE AV
CHECK AMOUNT: $152.50
INDIANAPOLIS IN 46204 CHECK NUMBER: 182156
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CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4340000 11103 152.50 LEGAL FEES
Brazil/ Hester, PC The Emelie Building 334 N. Senate Ave. Indianapolis, IN 46204
317.624.9600
Invoice submitted to:
City of Carmel
January 14,2010 01- 25 -10Al1 :28 RCV°
Invoice #11103
Professional Services
Hrs /Rate Amount
12/2/2009 JH -C Legal Service 0.10 17.50
Review ruling that client has 14 days from 11/30/09 to file the return 175.00/hr
12/3/2009 JH-C Legal Service 0.50 8T50
Draft Motion to Reconsider 14 day period for filing of Return; finalize and 175.00 /hr
file
BKD Legal Service 0.30 30.00
Prepare document for filing, file with Court and send service 100.00/hr
12/9/2009 JH -C Legal Service 0.10 17.50
Review order granting our Motion to Correct Error and extending time to 175.00 /hr
file return to January 29, 2010
For professional services rendered 1.00 $152.50
Additional Charges
Qty /Price
12/3/2009 PAC Postage 1 0.44
Postage 0.44
Total additional charges $0.44
Total amount of this bill $152.94
Previous balance $442.94
Accounts receivable transactions
12/30/2009 Payment Thank You No. 180749 ($442.94)
City of Carmel Page 2
Amount
Total payments and adjustments ($442.94)
Balance due $152.94
C 0 INDIANA RETAIL TAX EXEMPT PAGE
ity ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
P1 7 /47 r'" Z j FEDERAL EXCISE TAX EXEMPT y
35- 60000972 `!l
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
r tree 2 PAYMENT 7. v f e
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
1 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. VI f�� r��
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE "C Lr`z `-F"" �4 6 e/
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. f
CLERK TREASURER v
DOCUMENT CONTROL NO. A. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.
ALLOWED 20
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ON ACCOUNT OF APPROPRIATION FOR
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PO# or INVOICE NO. ACCT /TITLE AMOUNT
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
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which charge is made were ordered and
received except
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