208809 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00351506 Page 1 of 1
ONE CIVIC SQUARE JOHN R. MOLITOR
CARMEL, INDIANA 46032 DO NOT MAIL CHECK AMOUNT: $3,000.00
9465 COUNSELORS ROW, SUITE 200 CHECK NUMBER: 208809
INDIANAPOLIS IN 46240
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4340000 27835 C12 -28 3,000.00 LEGAL FEES
J ohn R. Moli
Attorney at Gaiv (317) 843-5511
9465 Counselors Row, Suite 200 Fax (3 17) 805 -4723
Indianapolis, IN 46240 -6150 e -mail jiTiolitor@yprodigy.net
PROFESSIONAL SERVICES INVOICE
Date: April 27, 2012 Invoice No. C 12 -28
Re: Planning and Zoning Retainer
April, 2012
To: City of Carmel
One Civic Square
Carmel, Indiana 46032
Attie: Michael Hollibaugh, Department of Community Services
cc: Douglas C. Haney, City Attorney
DAT DESCRIPTION OF SERVICES MONTHLY RATE
04;10/12 Plan Commission COUnSel for monthly meeting of Included
subdivision committee.
04/17/12 Plan Commission Counsel for regular monthly 3,000.00
meeting of Commission.
04/19/12 Board of Zoning Appeals—Prepare ballot sheets for Included
Board use in Traditions on the Moron dockets.
04/20/12 Plan Commission— participate in field trip to study Included
comnnuilty planning in St. Louis region.
04/21/12 Plan Commission— participate in field trip to study Included
community planning in St. Louis region.
04/23/12 Board of Zoning Appeals— Counsel for regular Included
monthly meetings of Board and hearing officer.
GRAND TOTAL S3
For Services Rendered 4. to 41271112
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/27/12 C 12 -28 Monthly retainer $3,000.00
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
John Molitor
IN SUM OF
9465 Counselors Row, Suite 200
Indianapolis, IN 46240 -6150
$3,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
27835 I C 12 -28 I 43- 400.00 I $3,000.00
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
Thursday, May 03, 2012
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund