183038 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00351669 Page 1 of 1
ONE CIVIC SQUARE UMBAUGH ASSOCIATES
CHECK AMOUNT: $5,500.00
CARMEL, INDIANA 46032 PO BOX 40458
INDIANAPOLIS IN 46240 -0456 CHECK NUMBER: 183038
CHECK DATE: 313/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340300 121123 5,500.00 ARBITRAGE -2002 BONDS
H. J. Umibaugh Associates
Certified Public Accountants, LLP
8365 Keystone Crossing, Suite 300
P.O. Box 40458
Indianapolis, IN 46240 -0458
(317) 465 -1500
Ms. Diane Cordray, Clerk- Treasurer
City of Carmel
One Civic Square
Carmel, 1N 46032
Re: Arbitrage Rebate Calculation for City of Carmel,
Indiana, County Option Income Tax Revenue
Bonds of 2002
Invoice No. 921923
Date 0212512010
Client No. C00600
For preparation of an Arbitrage Rebate and Yield Reduction payment calculation on the above -named
Bonds. (Computation period October 23, 2002 through October 23, 2007), preparation of Tax Return
(IRS Form 8038 T) and assistance with filing.
Current Amount Due 5
Pursuant to the provisions and penalties of Chapter 155, Acts of 1953, 1 hereby certify that the following is
just and correct, that the amount claimed is legally due after allowing all just credit, and that no part of the
same has been paid. j C Partner
David C. Frederick, CPA
r
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
x ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
f Payee
u)Nu 1 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
s5D. Dv
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
4 L A i'b
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund