215289 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 071300 Page 1 of 1
ONE CIVIC SQUARE C L COONROD&COMPANY CHECK AMOUNT: $16,988.00
CARMEL, INDIANA 46032 3850 PRIORITY WAY SOUTH DRIVE#225
INDIANAPOLIS IN 46240 CHECK NUMBER: 215289
CHECK DATE: 12/1112012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4341999 26659 1112B 12, 000 . 00 ACCT FEES
1205 4341999 26659 1112B 4, 988 . 00 ACCT FEES
INVOICE
1112b Hon. James C. Brainard
P.O.26001 Mayor, City of Carmel
Attn: Sharon Kibbe
One Civic Square
Carmel, IN 46032
Make check payable to:
Tax ID#35-1985559
C.L. Coonrod &Company
3850 Priority Way South Drive, Suite 225
Indianapolis, Indiana 46240
December 3, 2012
Professional services from November 16 through November 30, 2012, in connection with:
April 15, 1998, contract no. 0415.98.05:
Current charges, see detail attached as required by contract. $ 16,988
Total of this invoice. 16,988
Prior balance. 40,584
Payment received. (17,291)
Total due under April 15, 1998, contract. $ 40,281
Payable upon receipt. Call (317) 844-4605 with any questions.
CITY OF CARMEL
December 3,2012
Professional services from November 16 through November 30,2012, in connection with:
Rates in accordance with Section 5.1 of the contract and our March 28,2012,letter to the Mayor.
Performing Service Service Date Services Provided Hourly Rate Hours Worked Total
Miller 11/19/2012 Bond/Lease 105 0.65 69
Coonrod 11/19/2012 Bond/Lease 230 1.75 403
Roeger 11/19/2012 Bond/Lease 210 1.65 347
Miller 11/20/2012 Bond/Lease 105 2.35 247
Coonrod 11/20/2012 Bond/Lease 230 4.85 1,116
Lilly 11/21/2012 Bond/Lease 145 2.20 319
Miller 11/21/2012 Bond/Lease 105 3.00 315
Miller 11/21/2012 Bond/Lease 105 0.35 37
Roeger 11/21/2012 Bond/Lease 210 3.65 767
Roeger 11/21/2012 Bond/Lease 210 0.75 158
Coonrod 11/2112012 Bond/Lease 230 5.15 1,185
Roeger 11/21/2012 Bond/Lease 210 2.00 420
Roeger 11/21/2012 Bond/Lease 210 0.65 137
Roeger 11/26/2012 Bond/Lease 210 4.40 924
Miller 11/26/2012 Bond/Lease 105 0.45 48
Lilly 11/26/2012 Bond/Lease 145 1.85 269
Coonrod 11/26/2012 Bond/Lease 230 4.55 1,047
Roeger 11/27/2012 Bond/Lease 210 0.65 137
Coonrod 11/27/2012 Bond/Lease 230 1.90 437
Roeger 11/28/2012 Bond/Lease 210 4.55 956
Miller 11/28/2012 Bond/Lease 105 0.95 100
Roeger 11/29/2012 Bond/Lease 210 6.75 1,418
Miller 11/29/2012 Bond/Lease 105 3.40 357
Coonrod 11/29/2012 Bond/Lease 230 2.15 495
Miller 11/30/2012 Bond/Lease 105 4.10 431
Coonrod 11/30/2012 Bond/Lease 230 5.15 1,185
Bond/Lease Total 13,324
Roeger 11/16/2012 Budget Consultation 210 1.60 336
Roeger 11/16/2012 Budget Consultation 210 1.00 210
Roeger 11/20/2012 Budget Consultation 210 1.35 284
Roeger 11/21/2012 Budget Consultation 210 1.20 252
Budget Consultation Total 1,082
Lilly 11/16/2012 Clerical 145 1.75 254
Lilly 11/21/2012 Clerical 145 1.75 254
Clerical Total 508
Coonrod 11127/2012 Pensions, PERF 230 0.35 81
Pensions, PERF Total 81
Roeger 11/19/2012 Plan 210 0.65 137
Miller 11/2612012 Plan 105 0.25 27
Miller 11/28/2012 Plan 105 1.40 147
Coonrod 11/30/2012 Plan 230 0.05 12
Plan Total 323
Roeger 11/26/2012 Project 210 1.00 210
Roeger 11/27/2012 Project 210 3.25 683
Roeger 11/28/2012 Project 210 3.70 777
Project Total 1,670
TOTAL invoice amount 16,988
;�. n INDIANA RETAIL TAX EXEMPT PAGE
City, of �sane II
CERTIFICATE NO 003120155 002 0 PURCHASE ORDER NUMBER
FE6 Al_EXCIa TAX EXEMPT
b 35-6000972 ((1
ONEl QUAKE _ THIS NUMBER MUST APPEAR ON INVOICES,A/P
CA EC, DIA 46032-2584 i �• VOUCHER, DELIVERY MEMO, PACKING SLIPS,
6 / SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROd D B BTAT BOA F ACCOUNTS FOR CITY OF CARMEL 17
DURCHASE ORD AT" ,6&E REQUIRED REQUISITION NO. VE DOR NO. DESCRIPTION
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CONFIRMATION BLANKET C RACT f, PAYMENT TERMS Q FREIGHT
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QUANTITY UNI;JF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To: � �'i" •i —�,
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
# PAYMENT
? A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
r__^•-THIS APPROPRIAT10 I 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. l
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 26659 A.P.V.'COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
20
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Cost distribution ledger classification if
claim paid motor vehicle highway fund