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HomeMy WebLinkAbout211747 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 356299 Page 1 of 1 ONE CIVIC SQUARE GIBBS PLANNING GROUP INC CARMEL, INDIANA 46032 330 E MAPLE ST#310 CHECK AMOUNT: $25,334.44 BIRMINGHAM MI 48009 CHECK NUMBER: 211747 CHECK DATE: 8/1412012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4340400 26466 12-141 25, 000 . 00 RETAIL MARKET-MERCHAN 1192 4343002 26466 12-141 334 . 44 RETAIL MARKET-MERCHAN Gibbs Planning Group Invoice Date: 25 June 2012 GPG Invoice No: 12-141 Attn: Project: Merchant's Square Honorable James Brainard City of Carmel Carmel City Hall One Civic Square Carmel, Indiana 46032 Scope of Services: 100% Completion of retail market analysis for Merchant's Square, Carmel, Indiana per March 6, 2012 agreement. Services: Base Services...................................................$25, 000.00 Subtotal Services.....................................................................$25, 500.00 Expenses Lodging...................................................................$130.04 AutoRental..........................................................$95.36 Food..................................................................$25.49 Car rental............................................................$95.36 Gas...................................................................$83.55 Subtotal Expenses...............................................................................$334.44 TotalAmount Due................................................................................$25,334.44 201 West Mitchell Street No. 150 Petoskey, Michigan 49770 URBAN RETAIL CONSULTING + TOWN PLANNING + MARKET RESEARCH Tel.248.642.4800 Fax.248.642.5758 www.gibbsplanning.com Travel Expenses Gibb's - Carmel IN & Grand Rapids, IVII Monday Tuesday Wednesday Thursday Friday Saturday Sunday Total Carmel :.G Rapids Item 8-May 9-May 10-May 11-May Travel From Dtw Carmel G Rapids Travel To Carmel G Rapids Dtw Personal Mileage ._ $0.55 per Mile $0.00 Air Fare $0.00 Airport Parking $0.00 Lodging $130.04 $285.24 $415.28 $130.04 $28'5:2.4 Meals: $0.00 1. Breakfast $0.00 Lunch $8.83 $6.98 $14.93 $16.00 $46.74 $-15.81 $30'.93 Dinner $9.68 $16.00 $13.90 $39.58 8;;$9.6, . $29.910 Phone/Fax $0.00 I - Car Rental $286.08 :. $286.08 � :95.86'.' $1!9Q:72' Gas $83.55 $45.40 $21.85 $150.80 $83.55} $.67.25 Maps/Data $0.00 Parking/Tolls $8.00 $8.00 8.00� Copies $0.00 Cab Fare $0.00 ' ! Totals: $0.00 $232.10 $68.38 $36.83 $609.17 $0.00 $0.00 $946.48 334:44 r 61204 f F-.,, X99°9 Request for Taxpayer Give foam to the (Rev.Wobef 2007) Identification Number and Certification fequester.Do not ceps wwd or the Tneamay send to the IRS. Irtunat Ravanua t;mrieo Nam(as shown on your income tax return) m Robert J. Gibbs Business name,if different from above 6 Gibbs Planning Group, Inc. C Check appropriate box: ❑ tndlviduaYSole proprietor Corporation ❑ Partnership Exempt C] Limited liability company.Ester the tax classification(D--disregarded entity,C=corporatlon,f--pannership)►....... ❑ payed p ❑ Other Nee tnstniciians)► c Address(number,street and apt or suite no.) Requester's name and address(optional) CL 201 W. Mitchell Street No. 150 City.state,and ZIP code rn Petoskey, Michigan 49770 List account number(s)here(optional) fn MIN Taxpayer Identiflcabon Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid social security"umber backup withholding.For Individuals,this Is your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other entities,it is your employer identification number(EIN).If you do not have a number,see Now to got a TIN on page 3. or Plots.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer Idomtficatlon number number to enter. 38 2838 903 FMM Certification Under penalties of perjury,1 certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am a U.S.citizen or other U.S.person(defined below). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions.item 2 does not appiy. For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement ORA),and generally,payments other than interest and dividends,you are not required to sign the Certification,but you must provide your correct TIN.See th instructions on page 4. Sign Signature of 'f Here U.S.person ► Date ► v 12-1 2-6) Robert J. G' bs, President Gibbs Planning Group,Inc. r i Page 1 of 1 MICHIGAN, 3315 ROCHESTER RD, ROYAL OAK, MI 480732850 (248) 589-2918 RENTAL AGREEMENT REF# SUMMARY OF CHARGES 398800 2SD16X Charge Description Date Quantity Per Rate Total RENTER TIME & DISTANCE 05/07 - 05111 4 DAY $47.10 $188.40 HERSHEY, RONALD DW 05/07 - 05111 4 DAY $17.99 $71.96 PAI 05/07 - 05111 4 DAY $3.00 $12.00 DATE &TIME OUT REFUELING CHARGE 05/07 - 05/11 $0.00 05/07/2012 04:29 PM DATE &TIME IN Subtotal: $272.36 05/11/2012 02:36 PM Taxes &Surcharges MICHIGAN STATE SALES 05/07 - 05/11 6% $11.44 BILLING CYCLE TAX 24-HOUR VEHICLE LICENSE 05/07 - 05/11 4 DAY $0.57 $2.28 RECOVERY FEE VEH #1 2012 DODG AVEN SE Total Charges: $286.08 VIN# 1C3CDZAB7CN110805 LIC# CHW1585 Total Amount Due $0.00 MILES 244 DRIVEN PAYMENT INFORMATION AMOUNT PAID TYPE CREDIT CARD NUMBER $286.08 American Express xxxxxxxxxxxx6002 PENDING r L= — o� 77 CO LLJ C O G � � w r tY N Cn LL � crv •� � 'D c -� wof v n U- n C" Er rn +t wo . ,� W CD G 4i R =1 '-j O v V ---- V7 ;— t - U V� E! Iis Parking CarTpany j Per I & Ottawa Lot P!-t4 616 - 458 - 1179 S \\ StaterrrNrtit avern On The Square P/S 903 A Payrnent No.00000370 279659 Costco 784 100 Ionia Ave SW T/D #0l Ticket No.015041 510® 28th Street SE Grand Rapid Grand Rapids, MI 49503 Entry Time 05/10/2012 (Thu) 11:11 s, F9 I 616.456.7673 Exit -nine 06/10/2012 (Thu) 12:54 Parking Time 1:43 Member# 111766681799 Pa is i Fee Rate A $8.00 Invoice # Server: Shelby 05/10/2012 Date ®58 7 215 9 215 Table 42/1 12:18 PM Time Guests: 1 Accau,t 4 ***�***0127 Au t h # 18:83 10008 517818 SI iii to 17766 Aye Acct # Pedestrian 8,75 Crali�c..st Amant $8.00 xxxxxxxxxxx6e82 Iced Tea 2.50 Cash ,Wu-nt $0.00 Pump Gal I o n s Pr ice ------- ------------------------- 11 12 -476 3. 639 i Subtotal 11 .25 Tot.- o ---------------$s o 0 Tax TharY You far Yar Visit Product Amount 0.68 PIPA Cone Again ! ! Unleaded $ 45.48 ----------------------------------- Total Sa 1 e Total 11.913 $ 45 .48 Balance Due 11 . 93 4 3.no THANKS FOR STOPPING BY! w--° www.tavernonthesq.com glgq Like us on Facebook for Tavern updates! WANT TO BE A TAVERN VIP??? ASK A STAFF MEMBER HOW TO JOIN SPEEDWAY AND START SAVING 20% ON EVERY VISIT! 00 02213 Lansing MI 48917-2499 TRAM: 21 04828 Pump 03 ~ Unleaded, Self Sere r Q 5.924 @ $3.689/GAL r4 GAS TOTAL $21.85 a °i M a CD o m i ,.y. fL C 0 ° E °7 CD = N' •• O TOTAL $21.85 Cl) Cn _= CAD C Q) �C -- , o- a 1 American Express x n cfl O b v N cr i r�.•a u.. C p CD a J _ ---I oCDi n Cn o _ \_ r- Z T U O v V V�_ 1 I v I 69 L� i 1 N N N I CA N LO pp , lD y WELCOME SALES RECEIPT RICH 57 442 114887 0802219 X SHELL Royal Oak 9611 ALLISONVILLE RO HI 48073-2602 Uj cc FISHERS :TkAN# Uj IN 46036 807369 DATE85/08/12 12 :37PM 03 :3 INVOICE# 696724 Unleaded, Self Serve Uj T AUTH# 588045 $3 . 659/GAL Z) ... . Q) AMEX GAS TOTAL $27. 75 CC ACCOUNT NUMBER TOTAL 1"o. XXXX XXXXXX X6802 $27 . 75 ul Ameir PUMP PRODUCT */G Card iNcan um Ex Press 04 UNLD $3. 859 C XXXXXXXXXXX6002 FLIRD, GALLONS FUEL TOTAL TERM : 8850H82219081 7�L..��. 14 .459 $ 55 . 80 APPRO : 511689 SEQ# : 128052127 TOTAL SALE $ 55 .80 85/07/2012 16 :45 : 13 Save 18c/gal OShell Cardholder agrees to when earning 188Pts Pay to issuer total @KROGER-JAY C See charges Per the brochure for info agreement between $18off Pennzoil cardholder & Issuer . Platinum 5+qts VISIT US AT @AutoZone Code688915 WWW SPEEDWAY . CoM Void Where CUSTOMER SERVICE Prohibited Ex6/25 1-800-643-1948 Try our Premium Chicken Sandwich Meals! THANK YOU M-F 8 : 38A-5: 38P EST 575 SAINT JOSEPH RD COME BACK SOON BERRIEN SPRINGS MI 49103 THANK YOU TEL# (269) 473-2115 Store# 12189 KE# 2 May.09'12 (Wed) 12:17 EV o Cn X C7- CD 0- C 11 (D CD ca_ -I- CD < MFY SIDE 1 KVS'Order 86 CD -I- CD (D CD Cn 0) _T1 CD NO CU _n 11 ni Q1Y ITEM TOTAL o __3 Z I �� CD X_ M CD Cn CD ET I MED COKE 1 .00 CDcn C) (D _0 I CKN CLUB-GRL MEAL 5.59 C: C) Na CD 0 0 ­3 E3 co Subtotal 6.59 M -j- C= ::,z 0j (D 1 < Tax 0.39 o CD Cn Eat-In Total 6.98 -< Cash Tendered 7.00 rD ca_ Prange 0.02 CD CJ p L:&n 6 LO MCDONALOFQOS 12189 Nom! N AV Ln j�. Cj room: y ' r ; ; 12197 North Meridian •Carmel,IN 46032 USA Phone(317)843-1100 • Fax(317)705-9875 - omnai somwr If the debit/credit card you are using for check-in HERSHEY,JEFF name 418/KXTD is attached to a bank or checking account,a hold room number: will be placed on the account for the full anticipated 708 W 13 MILE RD address arrival date: 5/8/2012 3:25:OOPM dollar amount to be owed to the hotel,including ROYAL.OAK,MI 48073 departure date: 5/9/2012 g your estimated incidentals,through date of checkout US adult/child: 1/0 and such funds will not be released for 72 business room rate: $116.10 hours from the date of check-out or longer at the discretion of your financial institution. RATE.PLAN S-ARP HH# 383976214 GOLD AL DL #2350970790 BONUS AL CAR Rates subject to applicable sales,occupancy,or other taxes:Please do not leave any money or items of value unattended in Confirmation: 81328202 your room.A safety deposit box is available for you in the lobby.I agree that my liability for this bill is not waived and agree to be held personally liable.in the event that the indicated person;.company or:association fails to pay.for any part or the full amount of these charges.I have requested weekday delivery of USA TODAY:If refused,a credit of$0.75 will be applied to 5/9/2012 PAGE 1 my account In.the event of an emergency.I,or someone in my parry,require special evacuation due to a physical disability. Please indicate yes by checking here: ❑ sigriature: date _ reference I ; description amount 4W, 5/8/2012 740151 GUEST ROOM $116.10 5/8/2012 740151 SALES TAX $8.13 5/8/2012 740151 HOTEL TAX $5.81 WILL BE SETTLED TO AX"6002 $130.04 EFFECTIVE BALANCE OF $0.00 You have ea ned a proximately 1701 Hilton HHon�s points and app � D11�� �L Air Lines for his'approximately . Visit HHonors.com to check our point balancRrom s a s a an o e ho I Hampton hoi els are all over the world.Find us in Canada, Costa Rica,Ecuado, Germany, India, Mexico,Pok nor, Turkey, United Kingdom,and United States of America. Comij 7g soon in Italy and Romania. far.reservations call.T soo harriri or lVisit,us online,at Iharripton tom thanks. account no, date of charge folio/check no. card member name authorization initial establishment no.and location establishment agrees:o transmit to card holder for payment purchases&services taxes tips&mist. signature of card member total amount X 0.00 �- HHONORS CONRAD w.ro�ar ®��ur�en Inn tv--.-mot [ o HOME© ra ttii�i'Bn Hilton r1XBUTUE °...•• \/` G rid Va.El- �' °'"`"°" "-""" •°"`• HILTON WORLDWIDE r - 6200;28TH ST•'SE GRAND RAPID_S;MI A9512, (UOA w� TELEPHONE.61665754144 FAX-•616-575-9148 official Sp.m. HERSHEY,JEFF' name room number: 316/KXTY 708Wr13MILERD' address arrival date: -5/9/2012 456200PM 'departure.date: 5/11/201.2 ROYAL,OAK'.MI 48073 `US adult/child; 1/0 room rate: $134.10 If the debittoedit taro you are using for check-in is attached,to a-bank or checking account,a hold will, - RATE PLAN �S-ARP . be placed on the account for the full anticipated'dollaramountSO be owed to the hotel,inducing -HH# 383976214 GOLD. - -estimated incidentals,through your tfaie of check-out such funds will not be released for 72 business - .AL DL #2350970790 - hours frcm'tne date of check-out cr longer at the.discretion of your financial institution. BONUS AL CAR ' Rates subject to applicable sales,occupancy,or other taxes;Please do-not,leave any.money or items`of value unattended in - COnflrmatlon:.82910410: your room.A safety deposit box is available for you in the lobby.I agree tat' liability for this bill is not waived and agree to be held,personalfy liable in the event that the Indicated;person;companyorassociatiomfails to pay for any part or the full amount of these charges.I have requested weekday delivery of USA TODAY.If'refused,a credit of$0.75,-will be applied 5/,11/2012:^ PAGE 1- to rry account.In the event of an emergency,I,or someone in my party,require special evacuat on due to a physical disability. - Please indicate yes by checking here:. - ..r signature: 0' 0 0 5/9/2012 305508 GUEST ROOM $134.10 5/9/2012 305508 STATE TAX $8.05 5/9/2012 305508 CITY TAX $6.71 5/9/2012 305508 HOTEL TAX $4.02 5/10/2012 305692 j GUEST ROOM $116.10 5/10/2012 305692 STATE TAX $6.97 5/10/2012 305692 ! CITY TAX $5.81 5/10/2012 305692 ' HOTEL TAX $3.48 WILL BE SETTLED TO AX"6002 $285.24 EFFECTIVE BALANCE OF 50.00 I TAX SUMMARY CHAR:;E TOTAL CITY TAX HOTEL TAX STATE TAX ROOM&T $250.20 $12.52 S'7.50 $15.02 TOTAL F AID $250.20 $12.52 $7.50 $15.02 Hilton HHo;ors(R)stays are posted within 72 hours of checkout. To �4 any other say at more than 3,000 Hilton Family hotels worldwide,p ease v don onors.com. 0 0 1 1 Lu D 0 s +L, 7 E account no. date of charge folio/check no. card member name authorization Initial establishment no,and location estaclisnmernagreest a transmit to card holder for oayment purchases&services taxes tips&mist. signature of card member total amount X 0.00 cH. Y. C O N It A D Hl lton n.°°^ 7�nw:„� HOMEWOOU ® H;,tn„ H I LTO N WALDORF ®rYa"i'd nlntt R ES HOME �.�ORW �. ... �,,,,,..�><.^ UUVRtei Tltr:ii T. i7.. Grand Vacations �.. H H O N O RS 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)) 06/25/12 12-141 Travel Expenses $334.44 06/25/12 12-141 Market Analysis $500.00 06/25/12 I 12-141 I Market Analysis I $25,000.00 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 Gibbs Planning Group I IN SUM OF $ 201 W. Mitchell Street, Suite 150 Petoskey, MI 49770 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 12-141 43-430.01 $334.44 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1y9 - materials or services itemized thereon for 26466 12-141 43-404.00 $25,000.00 which charge is made were ordered and received except Fr' .y, August 10, 012 Direct4r Title Cost distribution ledger classification if claim paid motor vehicle highway fund