210465 07/05/2012 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
o CHECK NUMBER: 210465
INDIANAPOLIS IN 46240
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4340000 27835 C12 -29 3,000.00 LEGAL FEES
John R. Molitor
Allornep al Law (3 17) 843 -551 1
9465 Counselors Row. Suite 200 Fax (317) 805 -4723
Indianapolis IN 46240 -6150 e -mail imolitoi prodigy.net
PROFESSIONAL SERVICES INVOICE
Date: June 22, 2012 Invoice No. C I2 -29
Re: Plannin- and Zoning Retainer
May, 2012
'I'o: City of Carmel
One Civic Square
Carmel_ Indiana 46032
Attn: Michael Hollibaugh, Department of Community Services
cc: Douglas C. Haney, City Attorney
D ATE DESCRIPTION OF SERVICE M ONTHLY RAT
05/01/12 Board of Zoning Appeals Counsel for special meeting Included
of Board hearing officer.
05/01/12 Plan Commission Counsel for monthly meetings of Included
special study and subdivision committees.
05//15/12 Plan Commission— Counsel for regular monthly 3,000.00
meeting of Commission.
05;29/12 Board of Zoning Appeals =Counsel for regular Included
monthly meetings ofBoard and hearing officer.
GIZAND TOTAL S3 ,000.00
For Services Rendered 511112 to 5131112
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))
06/22/12 C 12 -29 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 D.:OCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 I C 12 -29 I 43- 400.00 I $3,000.00 1 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
Friday, Jun 29, 12
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund