174100 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351368 Page 1 of 1
ONE CIVIC SQUARE WALLACK SOMERS HAAS PC
CARMEL, INDIANA 46032 ONE INDIANA SQUARE CHECK AMOUNT: $35,557.78
SUITE 1500 CHECK NUMBER: 174100
INDIANAPOLIS IN 46204
CHECK DATE: 6124/2009
DEPAR ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRI
902 4460812 14713 7,933.78 O'MALIA'S
902 4340000 14714 3,906.91 LEGAL FEES
902 4460802 14715 415.63 PEDCOR
902 4460849 14716 15,812.61 TUESDAY MORNING
902 4460821 14717 2,198.79 CAC
902 4460805 14718 3,997.55 RETAIL SITE #5
902 4460862 14719 138.75 SW BLOCK OF MAIN /RANG
902 4460892 14721 1,153.76 APOSTOLIC CHURCH SITE
i
i
Wallack, Somers and Baas
June 2009 Billing
Invoice Number Parcel Number Amount
14714 4340000 3,906.91
14715 4460802 415.63
14718 4460805 3,997.55
14713 4460812 7,933.78
14717 4460821 2,198.79
14716 4460849 15,812.61
14719 4460862 138.75
14721 4460892 1,153.76
Total 35,557.78
Wallack Somers Haas, P.C.
One Indiana Square
Suite 1500
Indianapolis, IN 46204
Phone: 317 /231 -9000 Fax: 317/231 -9900
City of Cw. Redevelopment Commission Jun 1 l 2009
One Civic Square
Carmel IN 46032 Matter: carmise
Inv 14714
Attention: Mr. Les Olds
RE: General Matters
FEES 02LANATION ATTY HRS
1\4.ay -07 -09 Attend to press information requests and Pedcor progress KPH 1.00
story; Multiple conference calls.
May -08 -09 Attend to press information requests; Attend to KPH 0.75
administrative matters; Calls and ema.ils.
May -11 -09 Attend to administrative matters; Calls and emails. KPH 0.50
May -12 -09 Attend to administrative matters. KPH 0.25
May -13 -09 Review email from S. Mielke, re: sponsorship agreements RRW 0.75
for Rock the District; Draft same.
May -14 -09 Attend to administrative matters. KPH 0.25
May -15 -09 Attend to administrative matters. KPH 0.75
May -19 -09 Budgeting and administrative conference with L. Olds and J. KPH 0.75
Shoup; Attend to budgeting and fiscal plan.
Conference with L. Olds and K. Haas. JRS 0.50
Review email from M. McVicker, re: Barnes performance RRW 0.50
contract; Review same; Email M. McVicker, re: same.
May -20 -09 Prepare for and attend regular meeting; Attend to tax KPH 1.25
increment report, and financial matters; Advise, re:
administrative matters.
Review D. Barnes contract and rider; Leave voicemail RRW 0.50
message for M. McVicker, re: same; Telephone call with M.
McVicker, re: same.
May -26-09 Attend to administrative issues; Projects meeting with J. KPH 0.75
Brainard, L. Olds, and S. Mielke; Follow up on meeting
issues; Attend to improvement grants and meeting minutes.
May -27 -09 Review and reply to email from A. Stumpf, re: use of RRW 0.25
trademarks in promotional materials.
May -28 -09 Review and reply to email from A. Stumpf, re: performance RRW 1.25
contract; Draft same.
Jun -01 -09 Attend to personal property tax increment; Calls and einails KPH 0.50
with J. Brainard and B. Donaldson.
Jun -02 -09 lssues meeting with J. Brainard, R. Carter, L. Olds, and S. KPH 2.00
Mielke; Follow up on meeting issues; Follow up conference
with L. Olds and S. Mielke; Determine process to maintain
positive cash balance.
Jun -03 -09 New commissioner introduction and projects meeting. KPH 1.50
Total s 14.00
Total Fees $3,90691
Total Disbursements $0.00
Total Fees and Disbursements $3,906.91
Previous Balance $3,907.51
Previous Payments $3,907.51
Balance Due Now $3,90691
Wallack Somers Haas, P.C.
One Indiana Square
Suite 1500
Indianapolis, IN 46204
Phone: 317 /231 -9000 Fax: 317/231 -9900
City of Carmel Jun 11, 2009
One Civic Square
Suite 140 Matter: camparcel2
Carmel W 46032
Inv 14715
Attention: Mr. Les Olds
RE: Parcel
FEES EXPLANATION ATTY HRS
May -04 -09 Attend to reflecting pool defects claim and follow -up letter KPH 0.50
to Eden; Conference call with L. Olds; Conference with R.
Wilmering.
Draft letter to T. Johnston, re: Eden Enterprises; Discuss RRW 0.50
same with K. Haas.
May -05 -09 Draft letter to T. Johnston, re: Eden Enterprises; Email copy RRW 0.50
of same to L. Olds and M. Worthley.
May -29 -09 Attend to Eden claim; calls with L. Olds. KPH 0.25
Totals 1.75
Total Fees $415.63
Total Disbursements $0.00
Total Fees and Disbursements $415.63
Previous Balance $200.00
Previous Payments $200.00
Balance Due Now $415.63
Wallack Somers Haas, P.C.
One Indiana Square
Suite 1500
Indianapolis, INT 46204
Phone: 317/231-9000 Fax: 317/231 -9900
City of Cannel Jun 11, 2009
One Civic Square
Suite 140 Matter: carmparcel5
Cannel, IN 46032
Inv 14718
Attention: Mr. Les Olds
RE: Parcel
FEES EXPLANATION ATTY HRS
Apr -21 -09 Attend weekly projects meeting with Pedcor projects team; JRS 0.75
Attend meeting with L. Olds, S. Mielke, R. Carter, J.
Brainard and K. Haas.
May -07 -09 Attend to appraisal of road/right -of -way elements; KPH 0.75
Conference call with R. Brown, J. Buchanan, F. Terzo, and
R. Burrell.
May -12 -09 Prepare for meeting; Projects meeting with J. Brainard L. KPH 1.00
Olds, S. Mielke, W. Brans, and J. Shoup; Follow up Iunch
meeting with L. Olds, S. Mielke, and J. Shoup.
Attend meeting with J. Brainard, L. Olds, R. Carter, S. JRS 0.75
Mielke, W. Brans, and K. Haas; Attend lunch meeting.
May -14 -09 Meeting with B. Donaldson, re: bond and financing issues; KPH 0.75
Consider alternative bond structures and financing sources.
May-] 9 -09 Prepare for meeting; Weekly projects meeting with B. KPH 1.00
Cordingley and Pedcor projects team; Address Veterans Way
funding issues; Conference with L. Olds and J. Shoup.
Attend weekly projects meeting with Pedcor projects team. JRS 0.75
May -21 -09 Attend to bond financing issues; Conference call with B. KPH 1.50
Donaldson; Review notes and file; Prepare for meeting;
Attend finance committee meeting; Follow up conference
with J. Brainard, L. Olds, S. Mielke, L. Matthes and B.
Donaldson.
May -26 -09 Prepare for meeting; Weekly projects meeting with B. KPH 1.50
Cordingley and Pedcor projects team; Address Veterans Way
funding and project phasing; Follow up conference with L.
Olds and J. Shoup; Projects meeting with J. Brainard, L.
Olds, and S. Mielke; Follow up on hotel financing and other
meeting issues.
Attend weekly projects meeting with Pedcor projects team. JRS 0.50
May -27 -09 Attend to alternative developer financing arrangements; KPH 0.50
Consider alternatives for Veterans Way funding.
May -28 -09 Attend to revised bond structure or proposal; Conference call KPH 0.25
with B. Donaldson.
Jun -01 -09 Attend to Veterans Way financing; Calls with L. Olds. KPH 0.25
Jun -02 -09 Prepare for meeting; Weekly projects meeting with B. KPH 1.25
Cordingley and Pedcor projects team; Address phasing and
funding issues.
Attend weekly projects meeting with Pedcor projects team. JRS 0.75
Jun. -04 -09 Attend to Veterans Way obligations and fiscal plan KPH 0.75
preparation; Review project agreements and exhibits; Emails
with C. Coonrod.
Totals 13.00
Total Fees $3,997.55
Total Disbursements $0.00
Total Fees and Disbursements $3,997.55
Previous Balance $3.228.78
Previous Payments $3.228.78
Balance Due Now $3997.55
Wallack Somers Haas, P.C.
One Indiana Square
Suite 1500
Indianapolis IN 46204
Phone: 317/231 -9000 Fax: 317/231 -9900
City of Cannel .Tun 1], 2009
One Civic Square
Suite 140 Matter:,armparcel12
Carmel, IN 46032 Inv 14713
Attention: Mr. Les Olds
RE: Parcel 1.2
FEES EXPLANATION ATTY HRS
May -05 -09 Meeting preparation; Weekly projects meeting with B. KPH 0.50
Cordingley and Pedcor projects team; Address public use of
parking garage; Projects meeting with J. Brainard, L. Olds
and S. Mielke.
May -07 -09 Telephone call with M. Worthley, re: parking garage RRVAI 0.25
agreement.
May-1 1 -09 Review notes and emails, re: parking issues; Draft access and JRS 2.50
use declaration and amendment to stacking declaration.
May -12 -09 Prepare for meeting, Weekly projects meeting with B. KPH 1.75
Cordingley and Pedcor projects team.
Attend weekly projects meeting with Pedcor projects team. JRS 1.50
May- 14-09 Telephone call with M. Worthley, re: parking management RRW 0.25
agreement and access declaration; Discuss same with J.
Shoup; Email M. Worthley, re: same.
May -18 -09 Attend to ancillary parking agreements; Conferences with J. KPH 0.50
Shoup.
Review and revise parking management agreement; Draft JRS 5.00
amendments to stacking declaration and access and use
declaration.
May -19 -09 Prepare for meeting; Weekly projects meeting with B. KPH 0.50
Cordingley and Pedcor projects team; Address parking
management issues; Conference with L. Olds and J. Shoup,
May -20 -09 Attend to ancillary parking agreements; Conferences with J. KPH 1.75
Shoup; Prepare and attend regular meeting; Attend to public
parking agreement.
Review and revise parking management agreement; Draft JRS 3.50
amendment; Draft amendments to stacking declaration and
access and use declaration.
May -21 -09 Conference with J. Shoup. KPH 0.25
Review and revise parking management agreement; Draft JRS 2.50
amendment to stacking declaration and access and use
declaration; Conference with K. Haas.
May -26 -09 Prepare for meeting; Weekly projects meeting with B. KPH 1.75
Cordingley and Pedcor projects team; Address parking
management and garage conveyance; Follow up conference
with L. Olds and J. Shoup; Projects meeting with J. Brainard,
L. Olds, and S. Mielke.
Attend weekly projects meeting with Pedcor projects team; JRS 1.00
Follow -up conference with L. Olds adn K. Haas,
May -29 -09 Attend to garage management and conveyance issues. KPH 0.25
Jun -01 -09 Attend to parking management and conveyance issues; Call KPH 1.00
with L. Olds; Review and revise stacking declaration
amendment; Conference with J. Shoup.
Jun -02 -09 Prepare for meeting; Weekly projects meeting with B. KPH 0.50
Cordingley and Pedcor projects team; Address parking
management issues.
Attend weekly projects meeting with Pedcor projects team; JRS 0.75
Review and revise amendment to stacking declaration.
Totals 26.00
Total Fees $7,933.78
Total Disbursements $0.00
Total Fees and Disbursements $7.933.78
Previous Balance $230.63
Previous Payments $230.63
Balance Due Now' $7,933.78
Wallack Somers Haas, P.C.
One Indiana Square
Suite 1500
Indianapolis, IN 46204
Phone: 317 /231 -9000 Fax: 317/231 -9900
City of Carmel Jun 11, 2009
One Civic Square
Suite 140 Matter:,armpareel2l
Carmel, IN 46032
Inv 14717
Attention: Mr. Les Olds
RE: Parcel 21
FEES EXPLANATION ATTY HRS
Apr -21 -09 Review and revise amendment to project agreement and send JRS 2.50
out with explanatory email.
Apr -23 -09 Telephone call with L. Earnest. JRS 0.25
Apr -28 -09 Telephone call with L. Eaniest, re: amendment to project JRS 1.50
agreement; Review and revise amendment to project
agreement.
Apr -30 -09 Attend to emails, re: execution of amendment to project JRS 0.25
agreement.
May -07 -09 Attend to execution of project agreement extension; Calls KPH 0.25
and emails.
May -11 -09 Attend to emails, re: amendment to project agreement. JRS 0.25
May -14 -09 Review notes and file; Calls with L. Olds and C. Mills. KPH 0.25
May -26 -09 Projects meeting with J. Brainard, L. Olds, and S. Mielke; KPH 0.25
Follow up on meeting issues.
May -28 -09 Attend to loan extension issues. KPI-I 0.25
Jun -0l -09 Review and reply to emails from M. Urbanski, re: building RRW 0.25
and condo documents.
Jun -02 -09 Projects meeting with J. Brainard, R. Carter, L. Olds, and S. KPH 0.50
Mielke; Follow up on meeting issues.
Jun -04 -09 Meeting with C. Mills and D. Fisher; Follow -up on loan KPH 0.75
extension.
Totals 7.25
Total Fees $2,198.79
Total Disbursements $0.00
Total Fees and Disbursements $2,198.79
Previous Balance $3,997.53
Previous Payments $3,997.53
Balance Due Now $2,198.79
Wallack Somers Haas, P.C.
One Indiana Square
Suite 1500
Indianapolis, IN 46204
Phone: 317 /231 -9000 Fax: 317/231 -9900
City of Carmel Jun H, 2009
One Civic Square
Suite 140 Matter:,armparce149
Cannel. IN 46032 Inv 14716
Attention: Mr. Les Olds
RE: Parcel 49
FEES EXPLANATION ATTY HRS
Apr -16 -09 Attend to Regions loan closing requirements; Conference KPH 0.75
call with J. Ullom and J. Shoup.
Telephone call with J. Ullom and K. Haas; Review and JRS 1.25
revise arnendment to master loan program agreement; Attend
to emails from J. Ullom.
Apr -17 -09 Attend to emails, re: VFW project agreement. JRS 0.25
Review executed closing documents; Prepare closing binder. RRW 1.25
Apr -21 -09 Attend to project and funding issues; Meetings and KPH 0.75
conferences.
Apr -22 -09 Attend to schedule of values and Regions loan KPH 1.25
disbursements; Attend to Regions loan documents and
closing requirements; Conferences with J. Shoup and R.
Wilmering.
Prepare for Regions closing; Review loan docuements JRS 2.75
comments from J. Ullom; Attend to emails; Review and
revise collateral assignments; Review checklist, Conference
with K. Haas, re: foregoing.
Telephone call with M. Worthley, re: VFW agreement; RRW 0.50
Discuss same with K. Haas.
Apr -23 -09 Attend to Regions loan documents and closing requirements; KPH 1.25
Conferences with J Shoup and R. Wilmering; Calls and
emails.
Prepare for closing with Regions. JRS 1.00
Email to J. Pieters, re: KeystoneNFW project agreement; RRW 0.75
Revise same•, Telephone call with M. Worthley, re: same;
Email same to J. Pieters and D. Coots.
Apr -24 -09 Review memoranda of collateral assignments; Attend to JRS 0.25
emails.
Review and reply to emails from D. Coots and M. Worthley, RRW 0.50
re: Keystone and VFW project agreement; Review historical
deeds from N Welch; Email same to G. Silver,
Apr -27 -09 Review email from J. Pieters, re: Keystone and VFW project RR \V 0.50
agreement; Telephone call with M. Worthley, re: same;
Email J .Pieters and D. Coots, re: same.
Apr -28 -09 Prepare for Regions closing; Attend to matters remaining JRS 0.75
from acquisition closing; Conference with R. Wilmering.
Review and reply to emails from J. Pieters and D. Coots, re: RRW 0.75
project agreement; Review project agreement; Email M.
Worthley, re: same; Review emails from D. Williams and J.
Shoup, re: vacated alleys and utility releases; Discuss same
with J. Shoup; Telephone call with M. Worthley, re: same.
Apr -29 -09 Attend to Regions loan closing preparations and loan KPH 1.75
document revisions; Conference with R. Wilmering; Calls
and emails; Prepare for and attend executive session and
special meeting.
Draft utility easement agreement; Telephone call with M. RRW 1.50
Worthley, re: same; Discuss same with K. Haas.
Apr -30 -09 Attend to Regions loan closing preparations and loan KPH 1.25
document revisions; Conferences with J. Shoup and R.
Wilmering; Calls and emails; Conference with R.
Wilmering.
Prepare for Regions closing, including drafting opinion. JRS 3.75
Review and reply to emails from G. Silver, re: contamination RRW 1.75
notices to former property owners and insurer; Review
Indiana Supreme Court opinion, re: same; Conference with
K. Haas, re: same.
May -01 -09 Attend to Regions loan closing preparations and loan KPH 1.00
document revisions; Conferences with J. Shoup; Calls and
emails.
Prepare for Regions clooing, including reviewing and JRS 7.25
revising loan documents.
Research purchase prices for property acquisitions; Discuss RRW 0.50
same with K. Haas; Revise easement agreement; Email same
to M. Worthley.
May -04 -09 Attend to Regions loan closing preparations; Attend to KPH 1.00
contamination claims; Conference call with L. Olds;
Conference with R. Wilmering; Calls and emails.
Discuss environmental cleanup claims with K. Haas; Email RRW 0.25
J. Scimia, re: same.
May -05 -09 Projects meeting with J. Brainard, L. Olds, and S. Mielke; KPH 2.50
Address project design and performance issues; Address
contamination claims issues; Conference with L. Olds, re:
same; Review Regions loan documents; Draft, review, and
revise Regions loan disbursement instructions; Calls and
emails.
May -06 -09 Prepare Carmel garage loan disbursement instructions; KPH 2.00
Attend to final document preparation and exhibits; Prepare
for exchange of executed documents; Meeting with J. Ullom
to exchange executed documents; Calls and emails.
May -07 -09 Attend to execution of Regions loan documents; Calls and KPH. 1.00
emails.
Telephone calls with M. Worthley; Revise easement RRW 0.50
agreement; Email same to M. Worthley; Telephone call with
M. Worthley re: master project agreement.
May -08 -09 Attend to execution of Regions loan documents and KPH 1.25
satisfaction of funding requirements; Conference with M.
Worthley; Calls and emails.
May -11 -09 Follow up on satisfaction of Regions funding requirements. KPH 0.50
Prepare for Regions funding. JRS 0.75
May-12-09 Prepare for meeting; Projects meeting with J. Brainard, L. KPH 0.75
Olds, S. Mielke, W. Brans, and J. Shoup; Follow up lunch
meeting with L. Olds, S. Mielke and J. Shoup.
Attend weekly meeting with J. Brainard, L. Olds, R. Carter, JRS 0.50
S. Mielke, W. Brans, and K. Haas.
Review email from M. Worthley, re; Regions documents; RRW 0.25
Email same to M. Worthley.
May -13 -09 Follow up on open projects issues, loan disbursements, and KPH 0.75
delivery of executed loan documents.
May -14 -09 Telephone call with M. Worthley, re: project agreement; RRW 0.50
Discuss same with J. Shoup; Email M. Worthley, re: same.
May -15 -09 Follow up on open project issues, loan disbursements, and KPH 0.25
completion of exhibits.
Attend to emails from D. Williams, re: outstanding exhibits. JRS 0.25
May -18 -09 Follow up on funding requirements, loan disbursements and KPH 0.50
completion of exhibits.
Telephone call with M. Worthley, re: VFW payment and RRW 0.25
project agreement.
May -19 -09 Attend to post- closing matters including preparing and JRS 4.00
attaching exhibits to documents.
May -20 -09 Prepare and attend regular meeting; Attend to architectural KPH 0.75
approval.
Review email from M. Worthley, re: utility easement, RRW 0.75
Discuss same with K. Haas; Telephone call with M.
Worthley, re: same and VFW project agreement.
May -21 -09 Email M. Worthley, re: easement agreement; Telephone call RRW 0.50
with M. Worthley, re: VFW project agreement and tie -back
easements.
May -22 -09 Conference with R. Wilmering. KPH 0.25
Telephone calls with M. Worthley, re: tri -party agreement RRW 0.75
with Street Department and Keystone; Discuss same with K.
Haas.
May -26 -09 Projects meeting with J. Brainard, L. Olds, and S. Mieike; KPH 0.25
Follow up on meeting issues; Attend to facade costs.
Review and reply to email from M. Worthley, re: tri-party RRUT 0.25
agreement with Street Department and Keystone.
May -28 -09 Telephone call with M. Worthley, re: project agreement with RRW 1.00
Street Department and Keystone; Review and reply to email
from M. Worthley, re: same; Draft project agreement.
May -29 -09 Telephone call with M. Worthley, re: project agreement with RRW 0.25
Street Department and Keystone.
Jun -01 -09 Draft project agreement with Street Department and RRW 0.50
Keystone; Review message from M. Worthley, re: same;
Telephone call with M. Worthley, re: same.
Jun -02 -09 Projects meeting with J. Brainard, R. Carter, L. Olds, and S. KPH 0.50
Mielke; Follow up on meeting issues.
Jun -04 -09 Telephone call with M. Worthley, re: Peele house. RRW 0.25
Totals 57.00
Total Fees $15,812.61
Total Disbursements
Total Fees and Disbursements $15,812.61
Previous Balance 537,219.98
Previous Payments 537,202.00
Balance Due Now $15,830.59
Wallaek Somers Haas, P.C.
One Indiana Square
Suite 1500
Indianapolis, IN 46204
Phone: 317 /231 -9000 Fax: 317/231 -9900
City of Carmel Jun 11 2009
One Civic Square
Suite 140 Matter:marmparcel62
Carmel, IN 46032
Inv 14719
Attention: Mr. Les Olds
RE: Parcel 62
FEES EXPLANATION ATTY HRS
May -12 -09 Revise Ferrin project agreement; Email same to J. Meunier. RRW 0.75
Totals 0.75
Total Fees $138.75
Total Disbursements $0.00
Total Fees and Disbursements $138.75
Previous Balance $1,340.63
Previous Payments $1,340.63
Balance Due Noxv $138.75
Wallack Somers Haas, P.C.
One Indiana Square
Suite 1500
Indianapolis, IN 46204
Phone: 317 /231 -9000 Fax: 317/231 -9900
City of Carmel Jun 11, 2009
One Civic Square
Suite 140 Matter:;annparcel92
Cannel, I1NT 46032 Inv 4: 14721
Attention: Mr. Les Olds
RE: Parcel 92
FEES EXPLANATION ATTY HRS
May -12 -09 Review and reply to email f7 om M. Worthley, re: RRW 0.25
condemnation offer for coiner parcel.
May -18 -09 Attend to acquisition and condemnation issues; Conference KPH 0.50
with R. Wilmering.
Telephone call with M. Worthley, re: condemnation offer RRW 0.50
and rental agreement; Conference with K. Haas.
May -19 -09 Acquisition and offering conference with L. Olds. KPH 0.25
May -20 -09 Prepare for and attend executive session; Address issues, re: KPH 1.25
offering, rezoning, and acquisition or condemnation;
Conference with R. Wilmering.
Discuss condemnation offer with K. Haas; Telephone call RRW 0.50
with M. Worthley, re: same.
May -26 -09 Projects meeting with J. Brainard L. Olds, and S. Mielke; KPH 0.50
Follow up on meeting issues; Attend to acquisition and
condemnation.
Jun -02 -09 Projects meeting with J. Brainard, R. Carter, L. Olds and S. KPH 0.50
Mielke; Follow up on meeting issues.
Totals 4.25
Total Fees $1,153.76
Total Disbursements $0.00
Total Fees and Disbursements $1,153.76
Previous Balance $2,069.54
Previous Payments $2,063.76
Balance Due Now $1,159.54
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.
t�� I Payee
2 y (4ccc"_s Purchase Order No.
4e L Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
t
J
B
4
M 1
Total 7 �r
4
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in Ma nce
with IC 5- 11- 10 -1.6. C�,
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
W I I�ccK C, „r,a c-S aS IN SUM OF
One —,t)�OLLQi�la S. Is
IDoZo
ON ACCOUNT OF APPROPRIATION FOR
Cioz�
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
35.5��, L'- is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
.09
Signalure
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund