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177278 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 172400 Page 1 of 1 t ONE CIVIC SQUARE KATZ, SAPPER MILLER CARMEL, INDIANA 46032 PO BOX 7096 CHECK AMOUNT: $2,200.00 DEPT 235 CHECK NUMBER: 177278 INDIANAPOLIS IN 46206 -7096 CHECK DATE: 9/15/2009 DEPA RTMENT ACCOUNT PO NUMBER IN VOICE NU MBER AMO UNT D 1180 4341999 285080 2,200.00 OTHER PROFESSIONAL FE ,i1r> 4. KA TZ,SAPP ER MILL Our Remittance Address has Changed to: P.O. Box 7096 Dept. 235 Indianapolis, IN 46206 -7096 'Thank you for updating your records! City of Carmel Brookshire Golf Club Steve Engelking One Civic Square Carmel, IN 46032 Invoice No. 285080 Date 0812012009 Please detach and return with Client No. 53706 payment to the above P.O. Box Revisions to report on consulting engagement regarding Brookshire golf operation. For the time involved from 6/15/09 to 8/15/09. Current Total 2.200.00 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 Services, Inc. OF 18% APPLIED TO THE PREVIOUS BALANCE AFTER DEDUCTING ALL (317) 580 -2000 PAYMENTS AND CREDITS DURING THE BILLING CYCLE. f INDIANA RETAIL TAX EXEMPT PAGE C ®CarCERTIFICATE NO. 003120155 002 0 e l PURCHASE ORDER NUMBER p i FEDERAL EXCISE TAX EXEMPT 35- 60000972 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 SHIP TO I 1 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ,t a L Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCO PROJECT PROJECTACCOUNT AMOUNT So .1x I q PAYMENT 7 LJ0 4 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. i' 4iL� �t r�) NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND U 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. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 j� CLERK TREASURER DOCUMENT CONTROL NO A. COPY SIGN AND RETURN TO CLERK'S OFFICE i VGJCHER NO. _?NARR%NT NO._,- ALLOWED 20 IN THE SUM OF l •D 1 76 9 a.�S ON AQ"COUNT OF APPROPATION FOR .J Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or SD 80 a o�0.� bill(s) is (are) true and correct and that the I materials or services itemized thereon for which charge is made were ordered and received except I d� A 4L I I 20, re Title Cost distribution ledger classification if claim paid motor vehicle highway fund I