205238 01/05/2012 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: 205238
INDIANAPOLIS IN 46240
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4340000 27202 C 11 -24 3,000.00 RETAINER PAYMENTS
John R. M
.411orrrey at Law (.317) 343 -551 1
9465 Counselors Row, Suite 200 Fax 17) 805 -4723
Indianapolis, IN 46240 -6150 e -mail imolitor;w,prodigy.net
PROFESSION SERVICES INVOICE
Date: January 2012 1 nvoice No. C 11 -24
Re: Planning and Zoning Retainer
December, 2011
To: Citv of Carmel
One Civic Square
Carmel. Indiana 46032
Attn: Michael Hollibaugh, Department of Community Services
cc: Douglas C, Haney, City Attorney
DATE DESCRIPTION OF SERVICE MONTHLY RATE
12/06/1.1 Board of Zoning Appeals Counsel for of Included
Board hearing officer.
12/20/1.1 Plan Co111n71sSlojl Counsel for regular monthly 3,000.00
meeting of Commission.
12/20/11 Plan Commission --meet with staff re pending included
applications and issues.
12/20/11 Board of Public Works—appear at Board meeting to Included
explain easement at West Carmel P�larketplace as
approved by Plan. Commission.
GRAND TOTAL 3 UOU.O(1
For Services Renderecd 1211/11 o 12/3.1/11
i
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 ROCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
27202 I C 11 -24 I 43- 400.00 $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
W esday, January 04, 2012
Dir r
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))
01/03/12 C 11 -24 Dec. 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