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247866 07/28/15 Q CITY OF CARMEL, INDIANA VENDOR: 366795 ONE CIVIC SQUARE H W C ENGINEERING CHECK AMOUNT: $****25,776.68* CARMEL, INDIANA 46032 601 SOUTH 3RD ST CHECK NUMBER: 247866 TERRE HAUTE IN 47807 CHECK DATE: 07/28/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 250 4350900 32922 2015-1125-00 25,776.68 SMALL STRUCTURE REPLA WC ENGINEERING Confidence in the built environment. 601 South 3rd Street Terre Haute,Indiana 47807 www.hwcongincering.com 2 SCS - N-as 0c1 O U Carmel City of Attn: Katie Neville One Civic Square July 06, 2015 Carmel, IN 46032 Invoice No: 2015-112-S-0000001 Project 2015-112-S Carmel-Small Str 86,101,102 Replacement Appropriation#250-4350900; PO#32922 Professional Services from June 01 2015 to July 05.2015 Phase 10 Field Survey Fee Total Fee 10,360.00 Percent Complete 68.00 Total Earned 7,044.80 Previous Fee Billing 0.00 Current Fee Billing 7,044.80 Total Fee 7,044.80 Total this Phase $7,044.80 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Phase 20 Design&Specs Fee Total Fee 107,900.00 Percent Complete 16.20 Total Earned 17,479.80 Previous Fee Billing 0.00 Current Fee Billing 17,479.80 Total Fee 17,479.80 Total this Phase $17,479.80 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Phase 30 Geotechnical Invest Fee Total Fee 11,165.00 Percent Complete 0.00 Total Earned 0.00 Previous Fee Billing 0.00 Current Fee Billing 0.00 Total Fee 0.00 ��1p�1516171& 2 o RECEIVED JUL N Indianapolis ( Terre Haute I Lafayette � Scottsburg � 2015 t www.hwcengineering.com 1 CARMEL NP CITY ENGINEER ��L�LE 0£ r" Project 2015-112-S Carmel-Small Str 86,101,102 Replacement Invoice 0000001 Total this Phase 0.00 - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - Phase 40 Utility Coordination Fee Total Fee 16,920.00 Percent Complete 7.40 Total Earned 1,252.08 Previous Fee Billing 0.00 Current Fee Billing 1,252.08 Total Fee 1,252.08 Total this Phase $1,252.08 - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - Phase 50 Bidding/Contract Admin Fee Total Fee 8,000.00 Percent Complete 0.00 Total Earned 0.00 Previous Fee Billing 0.00 Current Fee Billing 0.00 Total Fee 0.00 Total this Phase 0.00 - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - Phase 60 Construction Inspection Billing Limits Current Prior To-Date Total Billings 0.00 0.00 0.00 Limit 75,000.00 Remaining 75,000.00 Total this Phase 0.00 Total this Invoice $25,776.68 Indianapolis ( Terre Haute I Lafayette I Scottsburg www.hwcongineering.com Page 2 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 HWC Engineering Purchase Order No. 601 South 3rd Street Terms Terre Haute, IN 47807 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 7/6/2015 015-112S-OOOOOC Small Structure Replacement-86,101,102 $ 25,776.68 Total $ 25,776.68 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 I VOUCHER NO WARRANT NO. HWC Engineering ALLOWED 20 601 South 3rd Street IN SUM OF $ Terre Haute, IN 47807 $ 25,776.68 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 32922 2015-112S-00 250-4350900 $ 25,776.68 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 7/27/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund