HomeMy WebLinkAbout245739 06/03/15 ('4�p*`• CITY OF CARMEL, INDIANA VENDOR: 00350562
ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC CHECK AMOUNT: S......*180.00*
b, ,_� CARMEL, INDIANA 46032 7260 SHADELAND STATION CHECK NUMBER: 245739
�',�r`on i9 INDIANAPOLIS IN 46256-3957 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 R4340101 31826 77554 180.00 KEYSTONE REPAIR
Remit to:
®■ 7260 Shadeland Station
Indianapolis,IN 46256-3957
0■
AMERICAN TEL 317.547.5580 FAX 317.543.0270 STRUCTUREPOINT
Y www.structurepoint.com
1 N C. Federal Tax ID:35-1127317
May 18,2015
Invoice No: 77554
P,p 31 626
City of Carmel q2 p — (Z43 L4 O 1 0 1
One Civic Square
Carmel,IN 46032
Total Due This Invoice see breakdown below): $180.00
Project 0002013.02173.0001 Keystone Emergency Bridge Collision Damage Inspection
Additional Service Amendment#6
PO 31826
Services from April 01,2015 through April 30,2015
Phase 00200 Bridge Repair Plans&Construction Questions
Professional Services
Hours Rate Amount
Project Manager 1.00 180.00 180.00
Totals 1.00 180.00
Professional Services Total 180.00
Billing Limits Current Previous Total
Total Billings 180.00 13,890.00 14,070.00
Maximum 14,200.00
Under Maximum 130.00
TOTAL THIS PHASE $180.00
TOTAL DUE THIS INVOICE $180.00
Very truly yours, �r�'a�1,$1()202-
David
0,EqDavid Day
CEIVED Q��
ra MAY 2015
`�• CITy AR��C
6� ENGIN�.ER ,,`®ls
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Full payment of this invoice is due within 30 days from invoice date.
Interest at the rate of 1.5%per month($25.00fmonth minimum)plus anyfallcollection
cosWattorney 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
5/18/2015 77554 Keystone Emergency Bridge Collision Damage Ins. $ 180.00
Total $ 180.00
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.
American Structurepoint ALLOWED 20
7260 Shadeland Station IN SUM OF$
i
Indianapolis, IN 46256-3957
$ 180.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
31826 77554 920-R4340101 $ 180.00 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
65/1/20151
Si nature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund