248367 08/1 2/1 5 ,�"'G4"� CITY OF CARMEL, INDIANA VENDOR: 369733
`" k . CHECK AMOUNT: $*****1,500.00*
.�; ® ONE CIVIC SQUARE HAZELTINE&ASSOCIATES INC
CARMEL, INDIANA 46032 12 BELAIRE DRIVE CHECK NUMBER: 248367
.y,�TON�°'` WHITELAND IN 461 B4 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
202 R4460500 31905 636 1,500.00 R W PURCHASES
Hazeltine & Associates, Inc. Invoice
12 Belaire Drive
Whiteland, IN 46184 Date Invoice#
Phone#317-535-4165 6/25/2015 636
Fax# 317-535-9835
Appraisal services rendered for:
CODE:/DES. NO.: NA/NA of r07 8,q 707
Hamilton City of Carmel 1b 7
COUNTY: �� �j
One Civic Square pt -
Carmel, IN 46032 PROJECT: Conner Prairi
Attn: Jeremy Kashman, P.E. Cl) ��� 2�1`'
ROAD: River Road Cis � ®+
1zM
Type of Work Parcel Number Submitted Fee
Appraisal Conner Prairie 6/25/2015 1,500.00
202 -124y6OSbp
Total $1,500.00
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
Hazeltine&Associates, Inc. Purchase Order No.
12 Belaire Drive Terms
Whiteland, IN 46184 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
6/25/2015 636 River Road R/W Appraisal-Conner Prairie $ 1,500.00
Total $ 1,500.00
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.
Hazeltine&Associates, Inc. ALLOWED 20
12 Belaire Drive IN SUM OF$
Whiteland, IN 46184
$ 1,500.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#(TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
31905 636 202-R4460500 s 1,500.00 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
8/7/2015
Signature
f
City Engineer „
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund