241643 02/03/15 o
CITY OF CARMEL, INDIANA VENDOR: 00350562
ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC CHECK AMOUNT: $""'"".*750.00'
CARMEL, INDIANA 46032 7260 SHADELAND STATION CHECK NUMBER: 241643
INDIANAPOLIS IN 46256-3957 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
212 R4462865 25290 75425 750.00 WETLAND INSPECTION
Remit to:
■ 7260 Shadeland Station
Indianapolis,IN 46256-3957
0 AMERICAN 292930,,7 TEL 317.547.5580 FAX 317.543.0270
� STRUCTUREPOINT ��V" �� www.structurepoint.com
❑ I N C. �� `' Federal Tax ID: 35-1127317
M RECEIVED
N vl January 27. 2015
h JAM 2015 J)
N N1 Invoice No: 75425
CARMEL
CITY ENGINEER
Mr.Jeremv Kashman
City of Carmel 2z' SL 91,10L£����`,
One Civic Square P.0, 2 SZ 9 0
Carmel, IN 46032 212— Qq N la 2 8(o,$
- - -- Total Due-This-ilrvoice-(see breakdown below'): $750.0 -
Project OIN2004.00791.0013 Bray Homestead Wetland Mitigation Monitoring
Additional Service Amendment#4, PO#25290
Services from December 01,2014 through December 31,2014
Fee
Percent Fee Prior Current
Phase Fee Complete Earned Billing Fee
2014 Bray Wetland 5.000.00 100.00 5.000.00 4.250.00 750.00
Mitigation Monitoring
2015 Bray Mitigation 4.200.00 0.00 0.00 0.00 0.00
Monitoring
2016 Bray Mitigation 4.200.00 0.00 0.00 0.00 0.00
Monitoring
2017 Bray Mitigation 5,700.00 0.00 0.00 0.00 0.00
Monitoring
Total Fee 19.100.00 5.000.00 4.250.00 750.00
Total Fee 750.00
TOTAL DUE THIS INVOICE $750.00
Very truly yours.
Paul Johnson
Full payment of this invoice is due within 30 days from invoice date.
Interest at the rate of 1.5%per month($25 00/month minimum)plus any/all collection
c o sts/attorney costs maybe charged if payment is not received within 60 days from the invoice date.
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.
7260 Shadeland Station Terms
Indianapolis, IN 46256-3957 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
1/2712015 75425 Bray Homestead Wetland Mitigation $ 750.00
Total $ 750.00
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.
120
Clerk-Treasurer
VOUCHER NO WARRANT NO.
American Structurepoint ALLOWED 20
7260 Shadeland Station IN SUM OF $
Indianapolis, IN 46256-3957
$ 750.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
25290 75425 $ 750.00 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
2/2/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund