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251570 11/18/15
�r[AA . a' ,,,,f CITY OF CARMEL, INDIANA VENDOR: 366795 ® it ONE CIVIC SQUARE H W C ENGINEERING CHECK AMOUNT: $..."'1,586.60" f. ?� CARMEL, INDIANA 46032 601 SOUTH 3RD ST CHECK NUMBER: 251570 , off�, TERRE HAUTE IN 47807 CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 250 4350900 32922 2015-112—S-0 1,586.60 SMALL STRUCTURE REPLA C ENGINEERING ?.o S2922- Confidence in the built environment. 601 South 3rd Street 2 SO —y 3509 OC Terre Haute.Indiana 47807 www.hwcengl n eeri n g.cpm Carmel City of Attn: Katie Neville November 02,2015 One Civic Square Carmel, IN 46032 Invoice No: 2015-112-S-0000005 Project 2015-112-S Carmel-Small Str 86,101,102 Replacement Appropriation#250-4350900; PO#32922 Professional Services from October 05.2015 to November 01.2015 — - - - - - - - - - - - - — — — — — — — — — — — — — — — — — — — — — — — — — — — —— — — — — — — — Phase 10 Field Survey Fee Total Fee 10,360.00 Percent Complete 68.00 Total Earned 7,044.80 Previous Fee Billing 7,044.80 Current Fee Billing 0.00 Total Fee 0.00 Total this Phase 0.00 - -— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —- - Phase 20 Design&Specs Fee Total Fee 107,900.00 Percent Complete 38.75 Total Earned 41,811.25 Previous Fee Billing 40,732.25 Current Fee Billing 1,079.00 Total Fee 1,079.00 Total this Phase $1,079.00 - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - - Phase 30 Geotechnical Invest Fee Total Fee 11,165.00 Percent Complete 67.20 Total Earned 7,502.88 Previous Fee Billing 7,502.88 Current Fee Billing 0.00 Total Fee 0.00 0%eae - � ,�� `SCAIndianapolis , Terre Haute Lafayette Scot tsburgi504 www.hwcengineering.comL }�NEER CAU�`Cj- Project 2015-112-S Carmel-Small Str 86,101,102 Replacement Invoice 0000005 Total this Phase 0.00 - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - Phase 40 Utility Coordination Fee Total Fee 16,920.00 Percent Complete 33.25 Total Earned 5,625.90 Previous Fee Billing 5,118.30 Current Fee Billing 507.60 Total Fee 507.60 Total this Phase $507.60 - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - 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 $1,586.60 Outstanding Invoices Number Date Balance 0000004 10/5/2015 7,356.75 Total 7,356.75 Indianapolis I Terre Haute Lafayette I Scottsburg www.hwCO Agin eOri ng.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 11/2/2015 15-112-S-00000 Small Structure Replacement-86,101,102 $ 1,586.60 Total $ 1,586.60 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. HWC Engineering ALLOWED 20 601 South 3rd Street IN SUM OF $ Terre Haute, IN 47807 $ 1,586.60 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 2015-112-S-0 250-4350900 $ 1,586.60 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 11/16/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund