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231986 04/30/14 >^' CITY OF CARMEL, INDIANA VENDOR: 00350562 ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC CHECK AMOUNT: $......'210.75' ?a CARMEL, INDIANA 46032 7260 SHADELAND STATION CHECK NUMBER: 231986 �.Ij�/�pH L�` INDIANAPOLIS IN 46256-3957 CHECK DATE: 04/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 4350900 68958 210.75 OTHER CONT SERVICES Remit to: ® 7260 Shadeland Station Indianapolis, IN 46256-3957 O AMERICAN TEL 317.547.5580 FAX 317.543.0270 0STRUCTURMEPOINT www.structurepoint.com �__❑ I NC. Federal Tax ID: 35-1127317 April 21,2014 Invoice No: 68958 Mr.Jeremy Kashman City of Carmel One Civic SquareJNCl Carmel, IN 46032 .- Total Due This invoice (Seg breakdown below): $210.75 Project 0002012.01734.0001 On-Call Construction Inspection-City of Carmel -Additional Services Amendment #12, P 55 Services from March 01,2014 through March 31,2014 Phase 00100 City of Carmel.On-Call CI Professional Services Hours Rate Amount Resident Project Representative Machala, David 2.00 95.00 190.00 Totals 2.00 190.00 Professional Services Total 190.00 Reimbursable Expenses Expense-Misc 1(15/2014 Machala, David Concrete Beam Break 20.75 Reimbursables Total 20.75 20.75 TOTAL THIS PHASE $210.75 Billing Limits Current Previous Total Total Billings 210.75 13,1 10.39 13,321.14 Maximum 15.000.00 Under Maximum 1.678.86 TOTAL DUE THIS INVOICE $210.75 24 45,26 Very truly yours, Todd Rutledge n r�Q1 t a Pe � � w Full payment of this invoice is due within 30 days from invoice date. Interest at the rate of 1.5%per month($2 5.00i month minimum)plus any)all col lection`II'MG( costs attorney costs may be charged if payment is not received within 60 days from the invoice date. i is It ATC �hapng�#he.Futute Deceinper.23,:2(Y13 Prolgct No:. 088.00481 0091 invoice.Nb: 1798927 American Stru.cturepoint)nc. Attu: " gAJId. MM4 4A:,�A ATC REF; ATC`SE:086:MT 7260 Shadeiand Station page: 1 Indianapolis, IN 462564917 is Protest: Am,etfcan C9nsvlting.l"Lab Services _. Aineri n£6nsuiting Contact T©dd RutlOdge.Materials:t oratory,Testing t --— - - "Rrvjecf Managers Cordon:Pick�tt. - rot sl4nat SerVices:.Deaerri#yer06j 20"1ur1}klZ ��ltll7er=20:2013; - —— — - Task — _ 00020. 3rd Avenue...SW-.0)qrm,el, Indiana. Unit•SHting Canomte,Beains.Flez.Strength i.0-each.@:20.75 220:75 Total-Units 20.X5 2Q.75 Tdfal.this Task $20:75 ME E. 'IMS x sOF - .y.W., s:RR W+w� Allor 7.1 7'rhs•.tt Please remit payment to:Cardio ATC, Dept.CH-17566, Palatine;ll.60055-7565: TirneSheet f®r the Period Ending 3/15/2014 Wednesday,March 19,2014 2:37:29 PM American Structurepoint, Inc. Employee DMACHALA Machala, David i Signed Machala, David Approved ®Steil Reeves,Jeffery Project Phase Task Labor otal Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Code Hr 3/1 3/2 3/3 3/4 3/5 3/6 3/7 3/8 3/9 3/10 3/11 3/12 3/13 3/14 3/15 0002009.01768.0003 00100 IN090 00 Reg 16.0 8.00 8.0 Labor Category:Resident Project Representative OVT 0.0 0002012.01734:0001' 00100 IN090 AO,,' Reg 2 Or 2 0 LaborCategory Resident:PFoiect Representative . OVT 0 0 0002013.00802.0001 00100 IN090 00 Reg 0.0 Labor Category: Resident Proj.Rep.(Overtime) OVT 8.0 1 2.Oq 2.0 2-Oq I2.0 0002013.00802.0001 00100 IN090 00 Reg 62.0 8.0 6.0 8.0 1 8.0 8.0 8.0 8.0 8.0 Labor Category: Resident Project Representative OVT 0.0 Daily Totals FffT9-F-1-0-0q. 8.0 8.0 8.0 8.0 8.0 1 8.0 8.0 8.0 8.0 8.0 OVT 8.0 2.0 2.0 2.0 2.0 { 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 American Structurepoint Purchase Order No. 4260 Shadeland Station Terms Indianapolis, IN 46256-3957 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 4/21/2014 68958 On Call Construction Inspection $ 210.75 I Total $ 210.75 1 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 NC WARRANT NO. American Structurepoint ALLOWED 20 72.- 0.,269-S had eland Station IN SUM OF $ Indianapolis, IN 46256-3957 $ 210.75 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 68958 211-509 $ 210.75 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 4/28/2014 Si nature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund