250984 11 /04/15 >u���p*' CITY OF CARMEL, INDIANA VENDOR: 00350562
b ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC CHECK AMOUNT: S"'"'`378.00'
�. CARMEL, INDIANA 46032 7260 SHADELAND STATION CHECK NUMBER: 250984
9.j�,`TON. r INDIANAPOLIS IN 46256-3957 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
212 R4462865 25290 81863 378.00 WETLAND INSPECTION
P.0 , z 5?,- a
Remit to:
Zi 2—2 t l+l b 28(o S 7260 Shadeland Station
Indianapolis,IN 46256-3957
TR
0-- AMERICAN TEL 317.547.5580 FAX 317.543.0270
SUCTEPOINT www.structurepoint.com
_ ❑ I N C. Federal Tax ID: 35-1127317
u October 26,2015
Invoice No: 81863
Mr.Jeremy Kashman
City of Carmel
One Civic Square
Carmel,IN 46032
Total Due This Invoice (see breakdown-below): $378.00- --- - - i
Project OIN2004.00791.0013 Bray Homestead Wetland Mitigation Monitoring
Additional Service Amendment#4, PO #25290
Services from September 01,2015 through September 30,2015
Fee
Percent Fee Prior Current
Phase Fee Complete Earned Billing Fee
2014 Bray Wetland 5,000.00 100.00 5,000.00 5,000.00 0.00
Mitigation Monitoring
2015 Bray Mitigation 4,200.00 85.00 3,570.00 3,192.00 378.00
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 8,570.00 8,192.00 378.00
Total Fee 378.00
TOTAL DUE THIS INVOICE $378.00
rXY3.p j, •``\
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($2 5.0 0/m onth mini mum)plus anylall collection
c o stsfattorn ey costs may be charged if payment is not received within 60 days fro in 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
10/26/2015 81863 Bray Homestead Wetland Mitigation $ 378.00
Total $ 378.00
I 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 $
Indianapolis, IN 46256-3957
$ 378.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEEPT# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
25290 81863 212-R4462865 8 378.00 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
11/2/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund