203552 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 00351506 Page 1 of 1
ONE CIVIC SQUARE JOHN R. MOLITOR CHECK AMOUNT: $3,000.00
CARMEL, INDIANA 46032 DO NOT MAIL
9465 COUNSELORS ROW, SUITE 200 CHECK NUMBER: 203552
INDIANAPOLIS IN 46240
CHECK DATE: 11/9/2011
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4340000 27202 C11 -22 3,000.00 RETAINER PAYMENTS
John R. Molitor
Atrorne>> at Law (3 17) 843 -5511
9465 Counselors Row, Suite 200 Fax (3l7) 805 -4723
Indianapolis IN 46244 -6150 e -mail jmolitor(Kv�prodiy.net
PROFESSIONAL SER- M 'VOICE
Date: October 27, 201 1 Invoice No. C 11 -22
Re: Planning and Zoning Retainer°
a
October, 2011
To: City of Carmel o
One Civic Square
Carmel, Indiana 46032
Attn: Michael Hollibaugh, Department of Community Services
cc: Douglas C. Haney, City Attorney
DAT DESCRIPTION OF SERVIC MONTHLY RATF_
9!30;'11 Plan Commission —meet with staff to review proposed Included
sign ordinance amendments.
10/4/ Plan Commission— COLmsel for regular meetings of Included
Commission committees.
to l 8/ Plan Commission Counsel for regular monthly 3,000.00
meeting of Commission.
10/24/11 Board of Zoning Appeals Counsel for regular Included
monthly meeting of Board hearing officer.
GRAND TOTAL 3 000.00
For SerWees Rendered 9 130111 to 10127/11
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))
10/27/11 C 11 -22 Monthly retainer $3,000.00
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
John Molitor
IN SUM OF
9465 Counselors Row, Suite 200
Indianapolis, IN 46240 -6150
$3,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
27202 I C 11 -22 I 43- 400.00 I $3,000.00
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
Monday, No emb r 07 011
D i re ctor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund