172902 05/27/2009 -"c CITY OF CARMEL, INDIANA VENDOR: 172400 Page 1 of 1
ONE CIVIC SQUARE KATZ, SAPPER MILLER
s o CARMEL, INDIANA 46032 DEPT 6035 CHECK AMOUNT: $14,720.00
PO BOX 36670
CHECK NUMBER: 172902
INDIANAPOLIS IN 46236 -0670
CHECK DATE: 5/27/2009
DEPARTM ACCO PO N UMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1180 4341999 272427 1,970.00 OTHER PROFESSIONAL FE
1180 4341999 279837 3,990.00 OTHER PROFESSIONAL FE
1180 4341999 19864 279837 8,760.00 PROFESSIONAL SERVICES
KATZ,SAPPER &MILLER
DEPARTMENT 6035
P.O. BOX 36670
INDIANAPOLIS, INDIANA 46236 -0670
(317) 580 -2000
05- 05- 09P12 :44 P,C',
City of Carmel Brookshire Golf Club
Steve Enge/king
One Civic Square
Carmel, IN 46032
Invoice No. 279837
Date 0413012009
Client No. 53706 Please detach and return with
payment to the above P.O. Box
Progress billing on consulting engagement regarding Brookshire golf operation.
12 750.00
INVOICE BALANCE DUE UPON RECEIPT OF INVOICES
Katz, Sapper &Miller LLP A SERVICE CHARGE IS COMPUTED BY A PERIODIC RATE OF 1'/z% PER
MONTHLY BILLING CYCLE WHICH IS AN ANNUAL PERCENTAGE RATE
KSM Business Services, Inc. OF 18% APPLIED TO THE PREVIOUS BALANCE AFTER DEDUCTING ALL
(317) 580 -2000 PAYMENTS AND CREDITS DURING THE BILLING CYCLE.
INDIANA RETAIL TAX EXEMPT PAGE
Ciql C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
v P FEDERAL EXCISE TAX EXEMPT
'�i 35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT f o eoo f 0 4)
J�r y' /n A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1 "I'.,^f'ii4�"�� NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
G' 11 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
I
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. l
9 8 6 4 CLERK- TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
rat. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
g UJ materials or services itemized thereon for
which charge is made were ordered and
received except.._
20
nature
Title
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
r 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
Katz, Sapper Miller
Purchase Order No.
P. O. Box 36670, Dept. 6035
Terms
Indianapolis, Indiana 46246 -0670
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5 -8 -09 279837 Professional services rendered to the City of Carmel, $12,750.00
Indiana, per the attached invoice
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
Katz, Sapper Miller IN SUM OF
P. O. Box 36670, Dept. 6035
Indianapolis, Indiana 46236 -0670
$12,750.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -41999 Other Professional Services
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
19864 279837 e'lA*1, bill(s) is (are) true and correct and that the
79837 materials or services itemized thereon for
which charge is made were ordered and
received except
20
1
gn ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
05; VVED 15:38 FAX [a 002
KATZ, SAPPER MILLER
DEPARTMENT 6035
P.O. BOX 36670
INDIANAPOLIS, INDIANA 46236 -067p
(317) 580 -2000
City of Carmel Brookshire Golf Club
Steve Fngelking
One Civic Square
Carmel, IN 46032
Invoice No. 272427
Date 0211712009
i 0 tach and reluen with
Client No. 53706 Paymgnt to the PbOVe P.O. Box
Progress, billing on consulting engagement regarding Brookshire golf operation.
1.970.00
INVOICE BALANCE DUE UPON RECEIPT OF INVOICES
Katz, Sapper Miller, LLP A SERVICE CHARGE IS COMPUTED BY A PERIODIC RATE OF 1 1 12% PER
MONTHLY BILLING CYCLE WHICH IS AN ANNUAL PERCENTAGE RATE
KSM Business Scrviceg, IT.1c. OF 18% APPLIED TO THE PREVIOUS BALANCE AFTER DEDUCTING ALL
(317) 5BO -2000 PAYMENTS AND OREDIT5 DURING THE BILLING CYCLE,
PAGE
C Car INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155'002 0
3 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 'a
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
a
r
SHIP
VENDOR TO
J
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
f°F
t
4 1 1 1
•.a�
0
4
�a
g
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
O
6 f t om C% PAYMENT 1 1
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. f f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. f
2 CLERK- TREASURER
DOCUMENT CONTROL NO A• COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO
of ALLOWED 20
IN THE SUM OF
70-00
ON A COUNT OF APPR IATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
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
q 20�
nature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund