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178532 10/26/2009
CITY OF CARMEL, INDIANA VENDOR: 163775 Page 1 of 1 ONE CIVIC SQUARE INTEGRITY AUTOMOTIVE INC CHECK AMOUNT: $332.50 CARMEL, INDIANA 46032 40 S RANGELINE ROAD CARMEL IN 46032 CHECK NUMBER: 178532 CHECK DATE: 10/26/2009 DEPARTMENT ACCOUNT PO NUMBE INVOICE N AM OUNT DESCRIPTION 902 4460893. 100109 332.50 PARKING EASEMENT 4 Mark V. Bromund, Esq. 4436 Blue Creek Drive Carmel, IN 46033 Phone (317) 843 -1781 Fax (317) 573 -7893 mvbromund@sbcglobal.net Statement For Services To: Bob Waeiss Integrity Automotive, Inc. 40 S. Rangline Road Carmel, IN 46033 October 1, 2009 Date Professional Services Hours 8/21/2009 TC B. Waeiss re: parking easement 0.1 8/24/2009 Review Parking Easment Agreement draft #1 and exhibits 0.4 8/25/2009 Revise Parking Easment Agreement draft #2 0.6 8/25/2009 TC B. Waeiss re: Parking Easement Agreement draft #2 0.1 8/31/2009 Review Parking Easment Agreement draft #3 0.2 8/31/2009 Draft e-mail response to Parking Easement Agreement Draft #3 0.1 9/1/2009 TC B. Waeiss /R. Wilmering re: Parking Easement Agreement draft #3 0.3 9/2/2009 Review final Parking Easement Agreement exhibits 0.1 Total Time 1.9 Rate /Hr. $175.00 Services Balance Due $332.50 Postage $0.00 Photocopies $0.00 Total Balance Due $332.50 P /D� Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995) 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 /y Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 332,56 Total 3 3Z,S 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 Ag,/ 3 3 32 -so ON ACCOUNT OF APPROPRIATION FOR i /i�� gD�'7 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or c1i2 %o U/ ©q �y�,Y9 332.E 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 is 2069 Si nature. Director of Operations Cost distribution ledger classification if Title claim paid motor vehicle highway fund