186511 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00351028 Page 1 of 1
ONE CIVIC SQUARE SIMON AND COMPANY INC
CARMEL, INDIANA 46032 1660 L STREET NW, SUITE 501 CHECK AMOUNT: $2,963.08
WASHINGTON DC 20036
CHECK NUMBER: 186511
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 042810 1,044.17 OTHER EXPENSES
651 5023990 042810 1,044.16 OTHER EXPENSES
1160 4340400 MAY2010 874.75 CONSULTING FEES
SIMON AND COMPANY
INCORPORATED
Intergovernmental Relations and Federal Affairs
1660 L Street N.W. Suite 501 Washington, D.C. 20036
(202) 659 -2229 Fax (202) 659 -5234 e -mail: Ien.simon q sirmncomponv.coin
May 27, 2
Mayor James Brainard
One Civic Center Square
Carmel, Indiana 46032
Statement
May 2010
Summary of.Maior .Activities Undertaken in the Last Month
City of Carmel
We prepared and forwarded additional information regarding regulations and guidance
for the TIGER II DOT discretionary funding program. We reviewed and forwarded to
Mayor Roll Call article regarding Rep. Burton. We worked with HUD regarding response
to Mayor's February 4 letter on HUD program regulations. We prepared and submitted
project request for 2010 WRDA to Senator Lugar. We met with the staff of the Speaker
of the House to discuss next steps pending jobs and economic recovery legislation. We
reviewed the Department of Education Promise Neighborhoods planning grant launch
announcement and preparation and forwarding for memorandum for City. We reviewed
HUD background materials on the new "Choice Neighborhoods" program and forwarded
memorandum regarding the program and the "pre- notice We prepared and forwarded
the following grants: the Corporation for National Community Service's Learn and
Serve America Youth Engagement Zone grants, designed to improve student engagement
and achievement in the community; the Department of Homeland Security, FEMA
Assistance to Firefighters Grant Program, providing financial assistance directly to fire
departments and nonaffiliated EMS organizations and; the Bureau of Justice Assistance's
FY10 Project Safe Neighborhoods grant program, a nationwide network designed to
create safer neighborhoods by reducing gang and gun violence and crime. We prepared
and forwarded the Washington Friday Report including Immigration reform, FEMA and
firefighters, the Restoring American Financial Stability Act of 2010, EPA Energy and
Greenhouse Gases, Housing Finance Reform, Health Care Act, Appropriations, Build
America Bond Extension, DOT TIGER 1I, On the Hill; Chairman David Obey, Adolfo
Carrion, Jr., Promise Neighborhoods, Coal Ash Regulations, Comprehensive
Immigration Reform, Senate Focus on Passenger Rail, Bipartisan Fiscal Commission,
High Risk Pool, Climate Change indicators, BP Oil spill; the American Power Act,
FCC's Third Way Approach, DOT and HUD, Safe Drinking Water Act, Chairman
Oberstar's letter, Miller, Harkin Jobs and Layoffs, Fiscal Commission Working Groups,
Task Force on Childhood Obesity, WRDA Submissions, National Strategy to Reduce
Drug Use, National Rail Plan and the Tax Extenders, NSP 1.1 and NSP 3.0, the
Administration on Jobs Bills, FYI Supplemental Chairman's Mark, Miller Jobs Bill, the
Gregg Amendment, Transportation and Climate Bill, AQUA 2010, Peter Rogoff, Social
Solutions, Ford Foundation.
Professional Services for the Month of May 2010 ........................$833.00
Expenses (see attached summary and receipts 28.6 .........................$41.75
TOTAL AMOUNT DU E ........................$874.75
LEONARD S. S MON
President
SIMON AND COMPANY, INC.
Carmel Expenses Summary
May 2010
EXPENSE DATE DESCRIPTION TOTAL
Telephone 03/13/10 04/12/10 Long Distance Charges $0.79
Applicable Taxes
Postage 04/22/10- 05/20/10 Postage Due $1.49
Photocopy 04/22/10- 05/20/10 Photocopying Expenses $4.20
Publications 04/24/10 10/09/10 The Washington Post $6.23
(prorated)
Registration 06/10/10- 06/14/10 Registration for USCM $77.77
(prorated) Annual Meeting,
Oklahoma City, June 10-
14
Travel Expenses 06/10/10- 06/15/10 Roundtrip airfare to U.S. $55.53
(prorated) Conference of Mayors
Annual Meeting
TOTAL CARMEL $146.01
EXPENSES:
r>r U N I T E 0 Thank you for choosing United
E- Receipt and Itinerary
Confirmation Print Confirmation Issued: Mon, May 10, 2010 /CONXA
number: WQMXHA
Your e -ticket has been issued Thank you for choosing United Airlines Your electronic airline ticket is stored in our
computer system. As with all airline tickets, your electronic ticket is not transferable.
Flight info
Washington, DC (IAD) Oklahoma City, OK (OKC)
Flight Depart Arrive Cabin Seats
All United 0395 IAD 03:04 PM ORD 04:09 PM Economy (W) 19A
Thu, Jun 10, 2010 Thu, Jun 10, 2010
Equipment: 763 1 Duration: 2h 5m I Non -stop I Fare code: WE30SFN
Traveled miles: 589 1 Award miles: 5891 No Meal Service
Download to calendar
connecting to
IN United 6.405 ORD 05:05 PM OKC 07:05 PM Economy (W) 12A
Operated by: Thu, Jun 10, 2010 Thu, Jun 10, 2010
Un ited
Express /skywest
Airlines
EMIus
Equipment: CR7 I Duration: 2h I Non -stop I Fare code: WE30SFN
Traveled miles: 6931 Award miles: 6931 No Meal Service
Download to calendar
Oklahoma City, OK (OKC) Washington, DC (IAD)
Flight Depart Arrive Cabin Seats
1#1 United 7992 OKC 06:00 AM ORD 08:05 AM Economy (W) 12A
Operated by: Tue, J un 15, 2010 Tue, J un 15, 2010
United
ExpreWtrans
States Airlines
Equipment: ER4 I Duration: 2h 5m I Non -stop I Fare code: WE30SFN
Traveled miles: 693 1 Award miles: 6931 No Meal Service
Download to calendar
connecting to
ldff United 0382 ORD 08:45 AM IAD 11:29 AM Economy (W) 11A
Tue, Jun 15, 2010 Tue, Jun 15, 2010
Equipment: 320 1 Duration: 1h 44m I Non -stop I Fare code: WE30SFN
Traveled miles: 5891 Award miles: 5891 No Meal Service
Download to calendar
Check -in information
Please note that valid, government issued photo identification must be presented at check -in.
of 2 511012010 2:33 PM
Name Frequent flyer Ticket Fare(s) Additional taxe sPrice breakdlcd
and fees subtotal(s)
LEONARD SIMON 00128904476 0162107483830 507.00 USD 42.80 USD 549.80 USD
Please review the fare rules for this itinerary. Fare total: 549.80 USD
Penalty
CXL BY FLT TIME OR NOVALUENONREF /CHGFEEPLUSFAREDI F1
Purchase summary
Product Credit card: Receipt Price
Ticket price Visa v000000cooQ007 WQMXHA 549.80 USD
Ticket total:549.80 USD
Itinerary total: Grand total: 549.80 USD
Billing Delivery information
LEONARD S S SIMON
1660 L STREET NW SUITE 501
WASHINGTON DC 20036
USA
View baggage policies Updated
Contact United customer relations to provide comments or file a complaint about United's scheduled flight service.
oft 5/10/2010 2 :33 PM
SIMON AND CO MPANY INC
e t 2746110
Communications
le ao2osoal'.
e 04112/10
1 20
Account Cade Details Continued Account Code Details CortinU
Long Distance Call Details for Account Code 25 Group Long Distance Call Details for Account Code 29 Group
Call Call
Date Time Called From Called To Called Location Type Duration Amount Date Time Called From Called To Called Location Type Duration Amount
03/15/10 03 :22pm (413)545 -2920 (202)659 -5234 Amherst (MA) 1:00 0.05 03116/10 04:30pm (559)449 -2490 (202)969 -1696 Fresno (CA) 2:18 0.13
03/16110 02.39pm (970)242 -2525 (202)969 -1696 Grand Jct (CO) 10:30 0.48 03117110 06:07pm (559)476 -6777 (202)293 -9160 3118 0 18
03/16/10 04:55pm (717)468 -9022 (202)293 -9160 Lancaster (PA) 18:48 0.82 03/22/10 04:42pm (559)476 -5777 (202)293 -5317 1:05 0.09
03/17/10 11:32am (206)842 -8776 (202)293 -9160 Bainbdg Is (WA) 1042 0.48 03123110 04:36pm (559)476 -6777 (202)293 -9160 3:06 0.18
031l9110 04.28pm (206)842 -8776 (202)659 -4596 Bainbdg Is (WA) 1:00 0.05 Total Long Distance Call Charges for 29 Group Calls: 4 9:48 0.58
03/23/10 11:02am (717)468 -9022 (202)293 -6317 Lancaster (PA) 4:42 0.22
03/23/10 11:58am (412)804 -1502 (202)293 -9160 Pittsburgh (PA) 12:42 0,56 Long Distance Call Details for Account Code 33 Group
03/23/10 12:33pm (206)842 -8776 (202)293 -9160 Bainbdg Is (WA) 7:00 0.30 Call
03/31/10 05:40pm (206)842 -8776 (202)293 -9160 Bainbdg Is (WA) 27:18 1.21 Date Time Called From Called To Called Location Type Duration Amount
03/31/10 07:57pm (208)842.8776 (202)293 -9160 Bainbdg Is (WA) 2:48 0.13 04!07!10 04 38p (916)440 -1391 (202)293 -9160 Sacramento (CA) 1:00 0,05
04/01/10 12:15pm (206)842 -8776 (202)293 -9160 Bainbdg Is (WA) 1:48 0.09 Total Long Distance Call Charges for 33 Group Calls: 1 1:00 0.05
04/01/10 12:18pm (206)842 -8776 (202)293 -9160 Bainbdg Is (WA) 1 00 0.05
04101110 12:21pm (208)842 -8776 (202)293 -9160 Bainbdg Is (WA) 1:00 0.05 Long Distance Call Details for Account Code 37 Group C r
04101110 12:25pm (206)842 -8776 (202)293 -9160 Bainbdg is (WA) 2:24 0.13
04/01/10 12:52pm (206)842 -8776 (202)293 -6317 Bainbdg Is (WA) 4:00 0.18 Call
04/01/10 02 51pm (617)827 -7832 (202)293 -9160 Weymouth (MA) 6:06 0.30 Date Time Called From Called To Called Location Type Duration Amount
04102110 12:36pm (206)842 -8776 (202)293 -9160 Bainbdg Is (WA) 6 03111/10 05:14pm (317)571 -2400 (202)293 -9160 Carmel (IN) 1:00 0.05 00 0.26 03!19(10 08:51am 317 571.2451
04/06/10 10:43am (717)468 -9022 (202)293 -9160 Lancaster (PA) 5:54 0.26 (202)293 -9160 Carmel (IN) 1:00 0.05
04/06/10 12:19pm (202)293 -9160 Bainbdg Is (WA) 1:10 0
2b6)842 -877fi 03125(10 02:12pm (317)571 -2400 (202)293 -9160 Carmel (IN) 15:30 0.69
.05 Total Long Distance Call Charges for 37 Group Calls: 3 17:30 0.79
04/06/10 05:19pm (206)842 -8776 (202)293 -9160 Bainbdg Is (WA) 3:18 0.18
04/07/10 03:25pm (505)368 -3514 (202)969 -1696 La t er t er (PA 9 2:24 0.13
04107110 05:35pm (717)468 -9022 (202)293 -9160 18 0
Lon Distance Call Details for Account Code 7 Group e
Lancat (PA p
04/09/10 03:44pm (608)663 -6300 (202)293 -9160 Madison (WI) 1:12 0.09 Call
Total Long Distance Call Charges for 25 Group Calls: 27 158:30 7,29 Date Time Called From Called To Called Location Type Duration Amount
04/09/10 11:31am (206)618 -9902 (202)293 -9160 Seattle (WA) 39:00 1.68
Long Distance Call Details for Account Code 26 Group 'vUr�- 04/09110 11:32am (253)377 -5436 (202)293 -6317 Tacoma (WA) 38:00 1 63
Cal Total Long Distance Call Charges for 7 Group Calls: 2 77:00 3.31
Date Time Called From Called To Called Location Type Duration Amount Lo Distance Cal! Details for Account Code Gro /jt
03/30/10 05:34pm (801)568 -7106 (202)293 -9160 Midvale (LIT) 1:00 1.05 9 v
Total Long Distance Cali Charges for 26 Group Calls: 1 1:00 0.05 Call
Date Time Called From Called To Called Location Type Duration Amount
Long Distance Call Details for Account Code 28 Group j6 03/11/10 01:46pm (206)684 -8263 (202)293 -9160 Seattle (WA) 1:00 0.05
03/12/10 11.27am (206)684 -8335 (202)293 -9160 Seattle (WA) 14:54 0.65
Gall 03/12/10 01:16pm (206)684 -8261 (202)293 -9160 Seattle (WA) 40:48 1.76
Date Time Called From Called 3- Called Location Type Duration Amount 03/12/10 Ot57pm (205)684 -8263 (202)293 -9160 Seattle (WA) 2:12 0.13
03/16!10 03:51 pm (916)725 -2448 (202)293 -9160 Rsvl Ctht (CA) 248 0.13 659 -5234 206)682 -8016 Seattle WA
04/07/10 11:33am (916)532 -3007 (202)293 -9160 Rsvl Main (CA) 1:00 0.05 03112110 02:18 p m (202 3:24 0.18
Total Long Distance Call Charges for 28 Group Calls: 2 3:48 0.18 03/12/10 02:57pm (206)553 -0701 (202)293 -9160 Seattle (WA) 1:00 0.05
03/12/10 04:12pm (206)615 -0740 (202)293 -9160 Seattle (WA) 1:00 0.05
03/12/10 04,13pm (206)615 -0463 (202)293 -9160 Seattle (WA) 1:00 0.05
03/12/10 04:17pm (205)684 -8067 (202)293 -9160 Seattle (WA) 1:00 0.05
03115110 01:26pm (206)684 -8261 (202)293 -9160 Seattle (WA) 1:00 0.05
63115110 01:27pm (206)684 -8263 (202)293 -9160 Seattle (WA) 1:00 0.05
03/15/10 03:28pm (206)684 -0213 (202)293.9160 Seattle (WA) 1:24 0,09
/Manage your account online: www.xo.com /aim 14 of 16 Contact Customer Care: 800.553.1989
JUG
t4c tva'64ingtjon past
®v
PO Box 26089, Richmond VA, 23260 For Billing Questions Contact:
HOWARD E. KENNEDY
Telephone: (202)543 -6880
Email: agent1208 @washpost.com
3376 O D 0 0 0 5 8 5 3 'Ihe price for home delivered weekday and Saturda
_issues of The Washington Post is increasing by 10 cent
LEONARD S. SIMON a day to 59 cents plus applicable sales tax. The Sunday
price is increasing from $1.50 to $1.85. Thank you
1660 L ST NW STE 501 for subscribing to The Washington Post.
WASHINGTON DC 20036 -5662
Account Number: 20965788 Subscription Type: Daily and Sunday Statement Date: March 25, 2010
Delivery Address: 1660 L ST NW STE 501
WASHINGTON DC 20036 -5662 wN10032&001 -3376- 00000585
0 0• e
You have currently paid for Please select the next period for home delivery:
home delivery until: 4/24/2010
This includes the following activity on your account For service until 06/19/2010 (8 Weeks) please pay $45.71
since your last statement: For service until 07/17/2010 (12 Weeks) please pay $68.56
Description Transaction Date Amount
Payment 04/13109 $244.16(CR) For service until 10109/2010 (24 Weeks) please pay $137.1P2
Note: Your bill includes transportation costs of $0.14 daily,
$0.48 Sunday sales tax of $0.25 per week and any current
balances.
Most subscribers consider reading a newspaper a daily habit
that lasts a lifetime. That is why we continue to deliver
your newspaper until you call and ask us not to.
The average transportation cost for home delivery
subscriptions across all delivery areas is $.14 daily and
$.48 Sunday. Actual costs for some areas and offers may
All credits and paper stops were used to extend differ from this average.
your period of service.
DETACH AND MAIL WITH YOUR PAYMENT. PLEASE MAKE SURE THE ADDRESS SHOWS THROUGH THE WINDOW.
4
Len Simon
From: USCM Meetings Department [meetings @usmayors.org]
Sent: Tuesday, April 27, 2010 2:43 PM
To: len.simon@simoncompany.com
Subject: 78th Annual Meeting Registration Confirmation
YVix
t V;�
E{
Thank you for submitting your registration online.
NOTE: ALL Changes and /or Cancellations of your registration must be submitted in writing and
faxed to the USCM Meetings Department at (202) 467 -4276. (You cannot make changes /or
cancellations online)
Confirmation Number: 10Annua186706
Submission Date: 412712010 2:37:03 PM
REGISTRATION INFORMATION
First Name: LEN
Last Name: SIMON
Title:
Organization: Simon and Company, Inc.
Address: 1660 L Street, NW
City: Washington
State: DC
ZIP: 20036
Phone: 202 659 -2229
E -Mail: len.simon@simoncompanycorn
Fax: 202 659 -5234
Name on Badge: Len
Payment Amount: $700
VOUCHER NO. WARRANT NO.
ALLOWED 20
Simon and Company
IN SUM OF
1660 L Street N.W.
Washington, D.C. 20036
$874.75
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 43- 404.00 $874.75 1 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
Friday, June 04, 2010
May
4 I 9L=::�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/27/10 $874.75
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
Clerk- Treasurer
SIMON AND COMPANY
INCORPORATED
Intergovernmental Relations and Federal Affairs
1660 I, Street N.W. Suite 501 Washington, D.C. 20036
(202) 659 -2229 Fax (202) 659 -5234 e -mail: len.simon 0a imoncompany-com
April 28, 2010
Mayor James Brainard
One Civic Center Square
Carmel, Indiana 46032
Statement
April 2010
Summary ofMaior Activities Undertaken in the Last Month
Carmel Utilities wkm* 6"4w e-
We attended a meeting with Senator Barbara oxer, Chair, Senate Environment and
Public Works Committee to discuss pending federal priorities including transportation,
climate change, WIC and potential public employee. We corresponded with Senator's
Legislative Assistants about WRDA forms and due dates; additionally we reviewed and
forwarded background information to the city regarding the beginning of the WRDA
process on the Senate side, including solicitation of projects. We updated the City
regarding that the COPS Office FY10 round of funding for the COPS Hiring and
Retention Program (CHRP) and the plans for COPS to notify the city in the next two
weeks in writing to update its application. We reviewed and forwarded to the City
background information on the next steps for the new HUD Sustainable Communities
Planning Grant Program focusing on HUD's request for preliminary indications of
interest and registration for the program. We attended a meeting with Senate Majority
Leader Harry Reid for discussion of pending federal issues and preparation of follow -up
summary. We prepared and forwarded the following grant opportunities: the DOE's
Weatherization. Innovation. Pilot program to accelerate innovations in whole -house
weatherization technologies and services; EPA's Brownfields Area -Wide Planning Pilot
Program Grant; EPA's Wetlands Program Development grant to provide applicants an
apportunity to crry_ out_ projects to_develop_and_refne. comprehensive wetland= programs in their region and; the National Endowment for the Humanities' Preservation and Access
Education and Training program, which is central to NEH's efforts to preserve and
establish access to cultural heritage resources. We worked with HUD regarding response
to Mayor's letter as well as forwarded background information concerning DOT roll -out
of the second round of the TIGER We prepared and forwarded the Washington Friday
Report to the Mayor which included Health Care reform, Local. Jobs for America Act,
Summer Jobs, Small Business Infrastructure Jobs Tax act, EECBG funding, Housing
Market, EPA Urban Redevelopment, Senate Climate Change bill, Mobility in Urban and
Rural America, Municipal Bond Ratings, Childhood Obesity, Earmarks; Housing and
Mortgage Program enhancements, Energy Security, Climate Change, Chairman Oberstar
and the Gas Tax, Race to the Top, EECBG Notices, Blue Dogs plan for Fiscal Reform,
Interagency Council on Homelessness, Choice Neighborhoods, Ban on Texting;
Healthcare reform, Transportation and the New Climate Change Bill, FCC Authority and
Broadband, Distracted Driving, EPA Lead Safety, Gang Problem, NEA Chairman Rocco
Landesman; meeting with Senator Harry Reid, Broadband meeting with FCC, HUD
Sustainable Communities, COPS, FTA, Secretary Duncan, NEA on the Hill, EPA
Brownfields Pilot and lastly; Oberstar's Clean Water Act, 2011 Senate Budget
Resolution, Water Resources Development Act Local Jobs for America Act, TIGER Il,
EPA Lead Paint Rule, Mayors Against Illegal Guns Initiative, V Biden and Ener,v
Efficienc Concern about Fiscal Commission, High Speed Rail, Great Outdoors
Initiative, Dr. Donald Berwick, Chairman and the Secretary.
Professional Services for the Month of April 2010.......................$2,083.00
Expenses (see attached summary and receipts 71.4 ..........................$5.33
TOTAL AMOUNT DUE ......................$2,088,33
r
LEONARD S. SIMON
President
VOUCHER 105615 WARRANT ALLOWED
357028 IN SUM OF
SIMON COMPANY INC.
1660 L Street, N.W., Ste 501
Washington, DC 20036
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
042810 01- 7360 -08 $1,044.16
Voucher Total $1,044.16
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER'
CITY OF CARMEL
An invoice or bill to be properly itemized most show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357028
SIMON COMPANY INC. Purchase Order No.
1660 L Street, N.W., Ste 501 Terms
Washington, DC 20036 Due Date 6/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/7/2010 042810 $1,044.16
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
Date Officer
VOUCHER 101821 WARRANT ALLOWED
357028 IN SUM OF
SIMON COMPANY INC.
1660 L Street NW, Ste 501
Washington, DC 20036
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Cade
042810 01- 6360 -08 $1,044.17
1
Voucher Total $1,044.17
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER*
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357028
SIMON COMPANY INC. Purchase Order No.
1660 L Street NW, Ste 501 Terms
Washington, DC 20036 Due Date 6/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/7/2010 042810 $1,044.17
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
Date Officer