174388 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 172400 Page 1 of 1
0 ONE CIVIC SQUARE KATZ, SAPPER MILLER
CARMEL, INDIANA 46032 DEPT 6035 CHECK AMOUNT: $8,980.00
PO BOX 36670
CHECK NUMBER: 174388
INDIANAPOLIS IN 46236 -0670
CHECK DATE: 7/8/2009
DEPART ACCOUNT P NUM BER INVOIC NUMBE AMOUNT DESCRIPT
1180 4341999 282818 8,980.00 GOLF COURSE STUDY
KATZ, SAPPER &MILLER
DEPARTMENT 6035
P.O. BOX 36670
INDIANAPOLIS, INDIANA 46236 -0670
(317) 580 -2000
City of Carmel Brookshire Golf Club
Steve Engelking
One Civic Square
Carmel, IN 46032
Invoice No. 282818
Date 0611212009
Client No. 53706 Please detach and return with
payment to the above P.O. Box
Final billing on consulting engagement regarding Brookshire golf operation.
Current Total 8,980.00
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
i?P 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.
1i INDIANA RETAIL TAX EXEMPT PAGE
C i ty o Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL 35-60000972 EXEMPT
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 REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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CONFIRMATION BLANKET CONTRACT 1 r PAYMENT TERMS FREIGHT
QUANTITY UNIT OF ESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT hygr 1�
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p/ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
/',j� ,j•�. ,,,E„t',�( NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND f 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. s�7�(�✓
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE f V_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THE
1 fly CLERK TREASURER
DOCUMENT CONTROL NO A.. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO.- WARRANT NO
0 ALLOWED 20
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1 IN THE SUM OF
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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._.__--_.._.__._..----
4� 207-
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund