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248745 08/26/15 "q CITY OF CARMEL, INDIANA VENDOR: 368938 ® j ONE CIVIC SQUARE C H A CONSULTING CHECK AMOUNT: $*****9,837.51* CARMEL, INDIANA 46032 300 SOUTH MERIDIAN CHECK NUMBER: 248745 9 ?O UNION STATION CHECK DATE: 08/26/15 INDIANAPOLIS iN 46225 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 R4462000 31917 29139-09 2,969.61 MAIN ST PATH 900 R4462867 31917 29139-09 2,214.19 MAIN ST PATH 203 R4462200 31918 29140-09 4,653.71 136TH PATH PO. 3igl� �2,21�1. 1 �1 Cl OD-914UU2a(a_- � 4L ciUR. int -ZZ 00 - R14.4b 2001 171819 © 2� "N RECFI�ED �� o AUG 2015 n CARMEL L* August 10,2015 Mr.Jeremy Kashman 7,9 C/TyENGINEER �A Project No: 29139 City of Carmel .S' Department of Engineering ��'Z _�£or. Invoice No: 29139-09 One Civic Square Carmel, IN 46032 CONTACT: Michael Feltz (812)962-0683 Project 29139 Inspection for Path Construction along Main Street from Keystone to Gray Road DES#1383166 Professional Services from July 4,2015 through July 31,2015 Construction Inspection Professional Personnel Hours Rate Amount Senior Engineer 1.00 147.04 147.04 Sr. Inspector 49.00 92.59 4,536.91 Inspector 5.00 79.81 399.05 Totals 55.00 5,083.00 Total Labor $5,083.00 Reimbursable Expenses Miles Rate Amount Mileage 252 0.40 100.80 Total Expenses $100.80 Billing Limits Current Prior To-Date Total Billings 5,183.80 87,305.81 92,489.61 Limit 111,900.00 Remaining 19,410.39 Total This Invoice $5,183.80 DBE Goal=5% DBE Amount this Invoice=0.00 DBE Amount Complete=$705.00 DBE%of Amount Complete=1.11% Union Station, 300 S. Meridian Street, Indianapolis, IN 46225 T 317.786.0461 a F 317.788.0957 o www.chacompanies.com Project : 29139 -- Insp Path-Main -Keystone to Gray Invoice#: 2913909 Phase : 1001 -- Construction Inspection Rate Schedule Labor Class/Employee Name Date Hours Rate Amount Chief Inspector Thomas A. Gentry 07/06/2015 4.00 92.59 370.36 07/07/2015 4.00 92.59 370.36 07/08/2015 4.00 92.59 370.36 07/09/2015 4.00 92.59 370.36 07/10/2015 4.00 92.59 370.36 07/13/2015 3.00 92.59 277.77 07/14/2015 4.00 92.59 370.36 07/15/2015 5.00 92.59 462.95 07/16/2015 4.00 92.59 - 370.36 07/17/2015 4.00 92.59 370.36 07/20/2015 4.00 92.59 370.36 07/21/2015 4.00 92.59 370.36 07/27/2015 1.00 92.59 92.59 49.00 4,536.91 Inspector Cory A. Mahan 07/14/2015 5.00 79.81 399.05 Senior Engineer V Michael J. Feltz 07/08/2015 0.50 147.04 73.52 07/09/2015 0.50 147.04 73.52 -------------- ----------------------------- 1.00 147.04 Rate Schedule Labor 5,083.00 Unit PricingExpenses Vendor /Emloyee Name Doc Nbr Date Units Rate Amount Direct Miscellaneous -Mileage Thomas A. Gentry ER00209451 07/01/2015 35.00 0.40 14.00 ER00209451 07/03/2015 38.00 0.40 15.20 ER00209451 07/06/2015 35.00 0.40 14.00 ER00209451 07/08/2015 36.00 0.40 14.40 ER00209451 07/10/2015 34.00 0.40 13.60 ER00209899 07/14/2015 32.00_ 0.40 12.80 ER00209899 07/16/2015 34.00 0.40 13.60 -------------- ----------------------------- 244.00 97.60 Cory A. Mahan ER00209785 07/15/2015 8.00 0.40 3.20 Total: Direct Miscellaneous -Mileage 100.80 Unit Pricing 100.80 Total Phase : 1001 -- Construction Inspection Labor : 5,083.00 Expense 100.80 Total Project: 29139 -- Insp Path-Main -Keystone to Gray 5,183.80 Page : 1 E Ipense Report Detail Page 1 of 1 �O CHA Consulting, Inc. Ed ployee: 5357 Thomas A.aentry Expense Report Detail Date Range:6/29/2015-7/10/2015 E ense Report: ER00209451,7-10-15 Posting Period End Date:7/10/2015 - S tus:Signed Printed:7/10/2015 12:15 PM Ad Inistrative Group:3300062-CS-Indianapolis SL ervisor Group: MGREG-03-CHA-33000-Michael Gregg Units Co Unit Tot 31 US Pd Category Name Project Name Phase Task Org Curt Rcpt Date Quantity Rate Amo ant Amount M157P Mileage Rate.575 29140 Insp Path-136th- 1001 "" 41300 US PrjCharg Keystone to Gray - - 6/29/2015 38.00 0.5750 21.85 21.85 6/30/2015 37.00 0.5751 1.28 21.28 7/2/2015 40.00 0.5750 23.00 23.00 7/7/2015 34.00 0.5750 19.55 19.55 7/9/2015 38.00 0.5750 21.85 21.85 Line Total 187.00 1 C 7.53 107.53 M157P Mileage Rate.575 29139 Insp Path-Main- 1001 '""" 41300 US Pr Charg Keystone to Gray 7/1/2015 35.00 0.5751 0.13 20.13 7/3/2015 38.00 0.5750 1.85 21.85 7/6/2015 35.00 0.5751 20.13 20.13 71812015 36.00 0.5750 2 0.70 20.70 7/10/2015 34.00 0.5750 19.55 19.55 Line Total 178.00 1 C 2.36 102.36 CP80 CellPhone 80% 33100 US Reinbursable 6/29/2015 57.43 0.7999 .94 45.94 --- Line Total 57.43 45.94 45.94 To al Units 422.43 2 .83 255.83 Total 255.83 Less Company Paid (0.00) Total Reimbursement(US Dollar) 255.83 Au it Trail Da !Time Employee Status/Notes 7/1 /2015 8:18:48 AM 5357 Thomas A.Gentry Signe Da /Time: Signature: fi e:///C:AJsers/4582/AppData/Local/BSTEnterprise/ExpenseReports/Proddbhttpsbstapp.cha-1] .com/ExpenseReportDetail.htm 7/10/2015 Mileage Log and Reimbursement Form design/construction solutions Employee Name Thomas Gentry Rate Per Mile $0.575 Employee ID 5357 For Period From 6129115 to 713115 Vehicle Description Honda Element Total Mileage _ 188 .. Authorized ByTotal Reimbursement $108.10 Date Starting Location Destination Business Purpose Odometer Start Odometer End Mileage Reimbursement Project No. Phase Org �.r:• ,,ar; :,:fiF:; 96B z` 'a #;'1 e 2 _. !'Ss�'.,a•,,.,,ra, .. `rt" i1' �'-4r" '16392 '"sir's= '�J!L`:, ,,, ,•.r,'t-.,r.,,S��'c ,•.✓'.J•.ve''.'x•°"p....... ,i• 0 ..Jobslle. ;.r,- .Jobsite It; 'r:�nsPedfon§ t� 'f'$t^:_. ':a'_......_.. ,,._....,.:.. - Is^f f, � , . ...., „_.. ... .-�..,..__. .. . ..... .,:..,. ..,... .:,.,.3. ..,,, ... $0.00 a: IT .::, r '-:,. : 29140rs"� 1001 '41300 ,.Jobsite. 1 .qti .. :...`;b.-63966 i. - ._ ,c"84 _.... - _-" '•$21.2 „•..=...'b/30I2015-'o-.: Jobsite $0.00 r � • m. ..1111 !i•�: , r,o�1dP�, _. Pf r..r:,;:,,.. ..i I:'r,l .,._:,!•.: 2.::rr.:.:...:.:.::r4:,.,...:..r...;�::,:,::L,.l,, 03,i:; 139. iir',�1001' :'d13001. D3. , 4038•, "'35. 3$ iir.-:r ,..:,"... ...�.,.,,,.,M.,,r.,•,... .,; .. ..... ..... ._, s:'m'�a., .,.,.............„ _..,.,....... - - ..._ ... �r $000 00 .. - ry, ,'--,,.,.:'eft„;.,.:: ,:.,a:':. .- .'I�'_• ..-.”. _. ..�.... $0.00 - 0 O:c '$23AOi �=29140 ,;,10010 - 4.13pD 840 .r....,. ectl n: ase ,_.:'t,,.. �;,: ,Ins o .�,.,- _.,;;:a" =,r •i•Jo site,' .;y'., - .__.... _ ..r J I es� ..d't,,..:,.......,... n.i, ,.,.._. �..,.,•...,.:. � -_.. ..<._.,.: ....,. �.:_.•��. ._ .., 0.00 . . ��r .,,,.:.. I, ,..iU ,, t., a�:.._. 's Oil .r�: n. .;,"d'...:.q.`,". fir.- }., _„Y., •: -:m,:;-„ _.. rr.L :� .::d :`•... �,:. �r,:�.•._�.,..�,,,,,_;^..,:.:L� .. :_.n.....,+„,.,...-. .,..-..• .,.,tri y$0.00... ,,- r..,,...,•:,.�,,,...,.r.,,,.,.,..;��.. -,.; -3 !,L <.r ':. .:_s.,,,.":.:;arv,,o,^c,*n.a�,,,.... - nre•ry ,. ,ii:e1 9139.a1;ri%.P1001 1 ':41.3 2185 :2, -.L. %3 t: �$ Job !"";;:=t... _., .... .. sde.,..;,;.,.,:., ::-.,;:,',':•� ::-r:c ,r. - .d.`rr•. .......i,r:, ,11(312015"-„'.t-L:!:Jobsi�e'' •' r• $0.00_ 1 , 0-CO �r';� �,�I:c: r..�t..ir,.,,..,. ,rr,,.t.:.....•'S,p., , .l,,.k,.,,.r�. r ._„�,.,.�•,,, .�....:*iii;l.,r„ _- '�'•t ....... .... .. __,:r $0.00 -66 ao.00 I ;rJ- u.._. ;l^r, JI. ,. 00 f.: .0 fr• .r , r,. .•,.. ...,:..:::,-",:,.,. :. . . -.... .::, � ..'"Totals,.:.., .. tae E108.19 i 1 i 1 Mileage Log and Reimbursement Form . C—f design/construction solutions Employee Name Thomas GentryRate Per Mile $0.575 Employee 10 5357 For Period From 7/6/16 to 7/10/15 Vehicle Description Honda Element Total Mileage 177 Authorized By Total Reimbursement $101.78 o. Phase Org . „» _ Odometer Start �Odometer End M.,,.,, v,• Project No. •;.r -__ Date Starting Location Destination Business^ Purpose ,,,.,• ,•,; ° •,, ilea Reimbursement Pr g usiness :.7,��,�'�7/82015`,`..,,:wJobslt ?,L,y,•," ,': s'•1Jbtisrte r.l-...J ,.r4ai,uy,IW''iF"�;',;:,Irispectibn-'A„S�.ssu,,�r,�i k; ,i++t,r,l,:' : ,;,643244rv:,�),1,�,:.�.,,�.64359 -: . - $0.00 .. r �, � .. ,.. ,.,. .. . .. :. .l,.._.,. .., ...........:.... .. .. ,.<.,,,�. 0.00:. v, .. »............. $0.00 ”- ._ . 9140b ?.; o8435 ;,:'-s 4_.;]CO -`•41" 0' $0.000 an ,-'$0.00:.? r. ,.,... ,. $0.00 1srt., ..,, .i0:h' ,- . .3.9 78201 3b6 $0.00 ) , $0.00 . .. $0.00 '. dob _ _ - - - _ - — - - - •., ;�..,.,.,,;,-.y Jay,.,:.:':,:.<. ,.."....�, - ., :29140.;i"`,''��;1001 slte, ,Inspection -:•64d67", -36. ,_$0.00 '.rin- - ;ar.. - - P ' ' 0 ,I .. _ .::..,.;.,,:,, ::�•,,.. ,...n.•:Ir .'-.,,, ,,.. h,.,.trs„` , 3='r'�:!;......L,, _,,..,,,... ., a::, r X,•„„,r. r., ,,, J I.,,.,..... .{v, k4l s ,':"•@It7;p�;`+±Yi;, $0.00 Jr •.41300' ;;;�; F•{�a:1001'.,�. ., ...,a,;, .-.,r,:cr„; ,,,r,,, ,. ..,�,-.r„-,'.,,n.,.:..,I -u, .Jobsito u,5,. :Ins ed,on.” - :_.v, .I, .64467;.1 'wit,;c y;645Q1 34 .`•i^: $1 „-...°. , .,.::,'gr.l:.';.«. ....... :.....P ,.,,.,:.. ..- .. ., ,.., r., :., _ ,..,...,.,., _•5x�°- ..:r.,. ,:_...,,. .. .. :.... ..:'r:--. .-. . ... .. $0.00 'r $0.00 0.00 „ �r . .. „ I., ;:�'�1 rv':,::, .,:':,;;. ,.,.-•.,,'�,.`.:i:n r,:.x.11!,Gig:' ...,._..,.,1, ”:"'I.i�:.,.,_,,,,,,, ,,,, ,,,,,, „ :.,-....,...,:,,,n.,..r.. __ ,. .,,... _.„ I..,___._ ,.... ... ___• $0.001• i6 6$0.00 I , ...,rY,..:,?•.;i F. :; ,f .. ., .. ,'..,.:..`.Jrv.f.ni.r,e,, ..,..,._-,ar........,r:......<-.Tl_. ..- .,_., .,.,, _..,...,.., I — r. '-,:�.;,,.I,,.�.,..,.-..fir..il,, ., (.ii,:::,il. .,,.....:'..•,,,�I:,iiil:,„,.,,;: r...»,ri:.i:I' ,,;,'.,l;;t ,,..,,.:;:.;,. ,i;,'ir_ •AI - r$0.00,� r,. Totals 1.,,.,,.:, 77 $101.78 Expense Report Detail Page 1 of 1 CHA Consulting, Inc. ployee: 5357 Thomas A. Gentry Expense Report Detail Date Range: 7/13/2015-7117/2015 qXpense /1 /2015 pense Report: ER00209899,7-17-15 Posting Period End Date: 7/1712015 ru tus:Approved by Supervisor Printed: 7/21/2015 08 57 AM ministrative Group: 3300062-CS-Indianapolis pervisor Group: MGREG -03-CHA-33000-Michael Gregg i its Unit Total US Fil Category Name Project Name Phase Task Org Curr Rcpt Date Quantity Ra a Amount Amount M157P Mileage Rate.575 29140 Insp Path-136th- 1001 '"" 41300 US PoCharg Keystone to Gray 7113/2015 33.00 0. 752 18.98 18.98 7/15/2015 35.00 0-1751 20.13 20.13 7/17/2015 37.00 0. 751 21.28 21.28 Line Total 105.00 60.39 60.39 M157P Mileage Rate.575 29139 Insp Path-Main- 1001 "** 41300 US PrjCharg Keystone to Gray 7/14/2015 32.00 0-1750 18.40 18.40 7/16/2015 34.00 0. 750 19.55 19.55 Line Total 66.00 37.95 37.95 Total Units 171.00 98.34 98.34 Total 98.34 Less Company Paid (0.00) Total Reimbursement(US Dollar) 98.34 Audit Trail te/Time Employee Status/Notes 0/2015 7:03:27 PM 4582 Michael C.Gregg Approved by Supervisor A20/2015 6:33:04 AM 5357 Thomas A.Gentry Signed atelTime: Signature: le:///C:/Users/4561/AppData/Loca1BSTEnterprise i-xpenseReports/Proddbhttpbstapp.cha-1 .com/ExpenseReportDetail.htm 7/21/2015 C4Mileage Log and Reimbursement Form design/construction solutions Employee Name Thomas Gentry Rate Per Mile $0.575 Employee ID 5357 For Period From 7113115 to 7117/15 ' Vehicle Description Honda Element Total Mileage 171 Authorized By Total Reimbursement $98.33 I. r Date Starting Location Destination Business Purpose Odometer Start Odometer End Mileage Reimbursement Project No. Phase Org 7/13/2015 : Jobsite Jobslte Inspectlon ,' '=_ :64658 64691 33,;.: =$18:98' 29140 •1001 41300 $o.00 ,..$0.00 , $0.00 7/142015 Jobsite Jobsite' Inspection 64691 64723 32 $1840 •29,139 1001 41300 $0.00 $0:00 .. ,. ... ,,, $0.00 7/15/2015 Jobsite Jobsite Inspection' 64723 64758 35 $20.13 29140 1001 ., .. $0.00 ... .. $0.00 7/162015 Jobsite Jobslte Inspection ", 64758; 64792 34 „ $19.55 29139 100.1_ 41300 $0.00 . .r ::,' ., :;,• . ., ., .,. i '� $000 '4r $0.00 ,7/17/2015 •Jobsite - Jobsite 'inspection 54792 64829 37 $21.28• ' 29140' 1001 41300 $0.00 $0.00 . . .. .. �...., .,,. ,., .. .., '$0;00 , $0.00 .. ,. .. , $000 .. , $0.00 .. .. _ ... $0.00 $0.00 . $0.00 $0.00 $0.00 $0.00 $0.00 Totals 171 $98,33 Expense Report Detail Page 1 of 2 j CHA Consulting, Inc. mployee: 5384 Cory A. Mahan Expense Report Detail Date Range: 7/11/2015-7/17/2015 Expense Report: E R00209785,Cory Mileage Posting Period End Date:71`1712015 tatus: Signed Printed:7/17/2015 07:50 AM dministrative Group:3300062-CS-Indianapolis Supervisor Group: MGREG-03-CHA-33000-Michael Gregg Units Co Unit Total US Pd Category Name Project Name' Phase Task Ong Curr Rcpt Date Quantity Rate Amount Amount M157P Mileage Rete.575 28930 NORTH 1001 '""* 41300 US PrjCh rg WALNUT ST.AND RIGGIN ROAD 7113/2015 54.00 0. 750 31.05 31.05 Line Total 54.00 31.05 31.05 M157P Milea a Rate.575 28442 Con Insp- 1001 "" 41300 US PrjCh irg Georgetown Rd 56th to 62nd 7/14/2015 19.00 0.5753 10.93 10.93 7/15/2015 10.00 0. 750 5.75 5.75 7/16/2015 23.00 0. 752 13.23 13.23 7/17/2015 20.00 0. 750 11.50 11.50 Line Total 72.00 41.41 41.41 M157P Mileage Rate.575 29334 Morgan 1000 ""' 41300 US PrjCh irg County- Bridge•44 Inspeot 7/15/2015 47.00 0.5751 27.03 27.03 Line Total 47.00 27.03 27.03 M157P Milea le Rate.575 29139 Insp Path- 1001 **" 41300 US PrjCh rg Main- Keystone to Gray . 7/15/2015 8.00 0. 750 4.60 4.60 Line Total 8.00 4.60 4.60 otal Units 104.09 104.09 File:///C:/Users/ 582/AppData/Local/BSTEnterprise/ExpenseReports/Proddbhttpsbstapp.cha-llp.com/ExpenseReportDetail.htin 7/17/2015 I Personal Vehicle Mileage Log and Reimbursement Form design/construction solutions Employee Name C Mahan INDOT Rate Per Mile 50.675 Employee to 184 Week Ending 7/10/2015 i Vehicle Description 2 14 OMC Sierra Total Mileage 181 Total Reimbursement $104.08 CALCULATED FIELDS Date Starting Location Destination Business Purpose Odometer Start Odometer End Mileage Reimbursement Project No. 3hase Or 7/132015- me - ._ Jobstte MunGe �:.:.!.. GonstruGlon Travel1,1914 - 11937 '" - -23 x'$19.23 - — 7/13/2015 J bstte Muncie Jobsite Muncie Construotion Project 11937 11945 1 8 $4.60 _ 7/1 015' belle Munde -'-'.Home ;i.;t:° 'instruction Tiavel - 1! 32 .. _b ` i s :•1' 946 :.11988 1 ..',3..,3 I 7/14/2015 J bsite Georgetown Jobsite Georgetown Construction Project 12020 12026' 6 S3.45 . '7/142015''- - bsfte Geo eta+m:' Jobslta Castletorn'``i:"':",;'Construction Travel 12026 : '12039! 13 r�'.>�:!-:."" .,t- $748 . I � 7/142015 J belte Castleton Jobsite Carmel Construction Travel 12039 12047 8 $4.60 : 7/15/2016" J bslie G00r-etown - Jobsite G etown ! Constrvctiori Travel - 12065 - ". 12095 10 ` $5:75 i I 7/152015 J bslte Georgetown Jobsite Morgantown Construction Travel 12095 12119 24 $13.80 .7!152015 J belie Mo antown, Ortice` .:..::.. �:.i,r _.,,ConstrucH8 oti Tisvel .`1211 12129 .10-•';'`; ,'.35:75 7/15/2015 O Ice Jobsite Georpetown Construction Travel 12129 12142 13 $7.48 7/162015'•1 Jbbeite GeoEU66kn. Jobsite Georgetown.i Construction Project-- :.12192 12215 - 23 ^513,23 7/172015 bsite Georgetown Jobsite Georgetown i Construction Project 12265 12285 20 $11.50 `0 $000 ,- 0 $0.00 0 ,30.00 0 $0.00 Totals 161 $104.08 ** Please Attach to Expense Rept rt i C41k 0 C) <of 0� i.C11 O - 20 3 - ►2�4-4 to 22 o p 00 BGG' /L� N C, 15 August 10,2015 Mr.Jeremy Kashman \ �'L� Project No: 29140 City of Carmel Department of Engineering Invoice No: 29140-09 One Civic Square Carmel,IN 46032 CONTACT: Michael Feltz(812)962-0683 Project 29140 Inspection for Path Construction along 136th Street from Keystone to Gray Road DES#1383165 Professional Services from July 4.2015 through July 31,2015 Construction Inspection Professional Personnel Hours Rate Amount Sr.Inspector 49.00 92.59 4,536.91 Totals 49.00 4,536.91 Total Labor $4,536.91 Reimbursable Expenses Miles Rate Amount Mileage 292 0.40 116.80 Total Expenses $116.80 Billing Limits Current Prior To-Date Total Billings 4,653.71 70,480.11 75,133.82 Limit 86,300.00 Remaining 11,166.18 Total This Invoice $4,653.71 DBE Goal=5% DBE Amount this Invoice=$0.00 DBE Amount Complete=$705.00 DBE%of Amount Complete=1.42% { Union Station;300 S.Meridian Street,Indianapolis,IN 46225 T 317.786.0461 o F 317.788.0957 o www.chacompanies.com Project: 29140 -- Insp Path-136th -Keystone to Gray Invoice#: 2914009 Phase : 1001 -- Construction Inspection Rate Schedule Labor Class/Employee Name Date Hours Rate Amount Chief Inspector Thomas A. Gentry 07/06/2015 4.00 92.59 370.36 07/07/2015 4.00 92.59 370.36 07/08/2015 4.00 92.59 370.36 07/09/2015 4.00 92.59 370.36 07/10/2015 4.00 92.59 370.36 07/13/2015 3.00 92.59 277.77 07/14/2015 5.00 92.59 462.95 07/15/2015 4.00 92.59 370.36 07/16/2015 4.00 92.59 370.36 07/17/2015 4.00 92.59 370.36 07/20/2015 4.00 92.59 370.36 07/21/2015 4.00 92.59 370.36 07/28/2015 1.00 92.59 92.59 -------------- ------------------------ ----- 49.00 4,536.91 Rate Schedule Labor 4,536.91 Unit PricingExpenses Vendor /Eployee Name Doc Nbr Date Units Rate Amount Direct Miscellaneous-Mileage Thomas A. Gentry ER00209451 06/29/2015 38.00 0.40 15.20 ER00209451 06/30/2015 37.00 0.40 14.80 ER00209451 07/02/2015 40.00 0.40 16.00 ER00209451 07/07/2015 34.00 0.40 13.60 ER00209451 07/09/2015 38.00 0.40 15.20 ER00209899 07/13/2015 33.00 0.40 13.20 ER00209899 07/15/2015 35.00 0.40 14.00 ER00209899 07/17/2015 37.00 0.40 14.80 -------------- ----------------------------- 292.00 116.80 Unit Pricing 116.80 Total Phase : 1001 -- Construction Inspection Labor : 4,536.91 Expense 116.80 Total Project: 29140 -- Insp Path-136th -Keystone to Gray 4,653.71 Page : 1 LPA INVOICE -VOUCHER _., . State Form 52663(5-06) INDIANA DEPARTMENT OF TRANSPORTATION Approved by State Board of Accounts,2006 AUDITOR: DOC NBR Approved by Auditor of State,2006 Date of P.O. (Month,Day,Year) LPA'S NAME&ADDRESS PURCHASE ORDER NUMBER City of Carmel PO # Department of Engineering FUND OBJECT CENTER One Civic Square Carmel, IN 46032 STATE AGENCY: Department of Transportation 800 Appro Name l STATE SHARE . . . . . . . . $ 930.74 SERVICE DATE: 7/4/15 - 1099 IND: FEDERAL SHARE . . . . . . . . . . $ 3,722.97 7131115 TOTAL DISBURSEMENT. . . . . . . . $ 4,653.71 TO: INDIANA DEPARTMENT OF TRANSPORTATION CARE OF: _ Brandye Hendrickson EXEMPT PER I.C. 5-17-5-2 32 South Broadway ADDRESS: Greenfield, IN 46140 VENDOR ODE 0 DOC I.D. PV 800 C DATE (Month, Day, Year) ACCOUNTING LINE DISTRIBUTION INVOICE APPR JOB/PROJ LN PO NUMBER LN NUMBER FUND AGCY ORG UNIT ACTV OBJECT PRTY AMOUNT P!F NUMBER 01 00000000 2914009 800 $ 4,653.71 02 800 03 800 041 800 LINE NO. 1 Claim No. 9 Des No. 1383165 2 This claim voucher is for: (Preliminary) (RW) (Const.) Engineering Force Account or R/W costs 3 Project Description: Con Insp 136th St from Keystone to Gray CHA 29140 4 Period covered by this claim. From: 07/04/15 . To: 07/31/15 5 Gross amount of previous claims $ 70,480.11 6 Net amount of previous claims $ 56,384.07 7 This (is) (is not) a final claim. is not 8 Gross amount of this Local Agency Claim $ 4,653.71 9 Federal Share Reimbursable(Line 8 x fed %) 80 % $ 3,722.97 10 Net amount of Claim. $ 3,722.97 RECOMMENDED FOR APPROVAL INDOT OFFICIAL INITIATING THE CHARGE DATE(Month,Day, Year) I certify that this claim is correct and valid and is a proper charge against the State Agency, Fund and Center indicated. Authorized Signature of State Agency Date (Month, Day, Year) Pursuant to the provisions of Indiana Code 5-1-10-1, 1 hereby certify that the foregoing Fund and Center is just and correct, that the amount claimed is legally due after allowing all just credits, and that no part of the same has been paid. Signature of Vendor Official Title Date (Month, Day, Year) EJ Ipense Report Detail Page 1 of 1 �O CHA Consulting, Inc. Er Iplc yee:5357 Thomas A, entry Expense Report Detail Date Range:6129/2015-7/10/2015 E ense Report: ER00209451,7-10-15 Posting Period End Date:7/1012015 - S tus: Signed Printed:711012015 12:15 PM Ac ministrative Group:3300062-CS-Indianapolis St Dervisor Group:MGREG-03-CHA-33000-Michael Gregg i Un Co Unit Total us Pd Category Name Project Name Phase Task Org Curr Rcpt Date Quantity Rate Amo unt Amount M157P Mileage Rate.575 29140 Insp Path-136th- 1001 '"" 41300 US PrjCharg Keystone to Gray - 6/29/2015 38.00 0.5750 21.85 21.85 6/30/2015 37.00 0.5751 21.28 21.28 7/2/2015 40.00 0.5750 23.00 23.00 7(1/2015 34.00 0.5750 1 .55 19.55 7/9/2015 38.00 0.5750 21.85 21.85 Line Total 187.00 1 .53 107.53 M157P Mileage Rate.575 29139 Insp Path-Main- 1001 '" 41300 US PrjCharg Keystone to Gray 7/1/2015 35.00 0.5751 0.13 20.13 702015 38.00 0.5750 1.85 21.85 7/6/2015 35.00 0.5751 0.13 20.13 7/812015 36.00 0.5750 0.70 20.70 7/10/2015 34.00 0.5750 19.55 19.55 Line Total 178.00 1 2.36 102.36 CP80 CellPhone 80% 33100 US Reimbursable 6/29/2015 57.43 0.7999 45.94 45.94 -- Line Total 57.43 5.94 45.94 To I Units 422.43 295.83 255.83 Total 255.83 Less Company Paid (0.00) Total Reimbursement(US Dollar) 255.83 Alt Trail Da /Time Employee Status/Notes 7/1 /2015 8:18:48 AM 5357 Thomas A.Gentry Signe Da /Time: 7-f o I S Signature: /d" fie:///C:/Users/4582/AppData/Local/BSTEnter-prise/ExpenseReports/Proddbhttpsbstapp.cha-11 .com/ExpenseReportDetail.htm 7/10/2015 Mileage Log and Reimbursement Form design/construction solutions Employee Name Thomas Gentry Rate Per Mile $0.575 Employee ID 5357 For Period From 8129115 to 713115 Vehicle Description Honda Element Total Mileage 188 Authorized By Total Reimbursement $108.10 DateStartin Location Destination p M Reimbursement Project No. Phase Org Business Purpose Odometer Start Odometer End llea e -up•a., r.l: _ - :n�-,a'h•�. .-L .83980,K" �i,.: _.38; '%' 21.-86:' r„y,.°'r;': !%'•t,' .83928' ,: ��,' : $ ..d.'..-.,..,,.:.,,a. .,.- r so.�00 �r $0.00 00, �,,.,•.:.z.:�, 009?'��.��:rt�,<�,.:igT'x'',-_5 �:$21:28;;.;�.:. absite - -- -':In action 613 20 ... , .... . ... ........: ...r�� ..>� 1 .,.,.:..�..„.0..i��N•: :.tun::�.:�'.., e.. _ r: ... .. �. �.... .: ,Y. :1.'1 ., .. .. .� �,r.. .:.r e!.i. :,s.r.:.,•+....,.".:i.:,,••�. :t.l''':%"�-)��=.�•'I...:.':., „yrii':, _ , ii! h,l,: ! .>+J. 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R'-' .r.,.,..r•,.,,.;:,.:,:, 1._:,,=�• Totals 177 $101.78 xpense Report Detail Page 1 of 1 CHA Consulting, Inc. ployee: 5357 Thomas A.Gentry Expense Report Detail Date Range: 7113/2015-711 /2015 pcpense Report: ER00209899,7-17-15 Posting Period End Date: 7/11/2015 tatus:Approved by Supervisor Printed: 7/21/2015 08:57 AM administrative Group: 3300062-CS-Indianapolis upervisor Group: MGREG-03-CHA-33000-Michael Gregg Its Q Un t Total US Category Name Project Name Phase Task Org Curr Rcpt Date Quantity Ra a Amount Amount M157P Mileage Rate.575 29140 Insp Path-136th- 1001 "" 41300 US PdCharg Keystone to Gray 7/13/2015 33.00 0. 752 18.98 18.98 7/15/2015 35.00 0. 751 20.13 20.13 7/17/2015 37.00 0. 751 21.28 21.28 Line Total 105.00 60.39 60.39 M157P Mileage Rate.575 29139 Insp Path-Main- 1001 "" 41300 US PdCharg Keystone to Gray 7/14/2015 32.00 0-1750 18.40 18.40 7116/2015 34.00 0.5750 19.55 19.55 Line Total 66.00 37.95 37.95 otal Units 171.00 98.34 98.34 Total 98.34 Less Company Paid (0.00) Total Reimbursement(US Dollar) 98.34 dit Trail 11 terrime Employee StatuslNotes 0/2015 7:03:27 PM 4582 Michael C.Gregg Approved by Supervisor t0/2015 6:33:04 AM 5357 Thomas A.Gentry Signed pterrime: Signature: tle:///C:/Users/4561/AppData/LocaUBSTFnterprise -xpenseReports/Proddbhttpbstapp.cha-11 .com/ExpenseReportDetail.htm 7/21/2015 t Mileage Log and Reimbursement Form design/construction solutions Employee Name Thomas Gentry Rate Per Mlle $0.676 Employee ID 5357 For Period From 7/13115 to 7/17115 Vehicle Description Honda Element Total Mileage 171 Authorized By Total Reimbursement $98.33 Date Starting Location Destination Business Purpose Odometer Start Odometer End Mileage Reimbursement Project No. Phase Org 7/13/2015 ;" ;;Jobsite• "Jobsite :.. 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',Inspection 'a < ,. - 64792 64829" 37 �.:.$21 28 29140 -1001: 41300• $0.00 $0.00 _. , $0.00 $0.00 y $0.00 , $o.00 $0.00 Totals 171 $98.33 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 CHA Purchase Order No. Union Station, 300 S. Meridian Street Terms Indianapolis, IN 46225 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 8/10/2015 29140-09 136th Street Path-Keystone to Gray Des 1383165 $ 4,291.90 8/10/2015 29140-b9 136th Street Path-Keystone to Gray Des 1383165 $ 361.81 8/10/2015 29139-09 Main Street Path - Keystone to Gray Des 1383166 $ 2,214.19 8/10/2015 29139-09 Main Street Path-Keystone to Gray Des 1383166 $ 2,969.61 Total $ 9,837.51 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 NO WARRANT NO. CHA ALLOWED 20 Union Station, 300 S. Meridian Street IN SUM OF $ Indianapolis, IN 46225 $ 9,837.51 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 31918 29140-09 203-R4462200 $ 4,291.90 bill(s) is (are) true and correct and that the --materials or services itemized thereon for 31918 29140-09 203-R4462200 $ 361.81 which charge is made were ordered and 31917 29139-09 900-R446286-1'$ 2,214.19 received except 31917 29139-09 2200-R44620 $ 2,969.61 8/24/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund