252098 1 2/02/1 5 (9,
CITY OF CARMEL, INDIANA VENDOR: 367635
ONE CIVIC SQUARE PRECISION CONCRETE CUTTING CHECKAMOUNT: $*****1,863.00*
CARMEL, INDIANA 46032 1896 GOLDENEYE DRIVE CHECK NUMBER: 252098
HOLLAND MI 49424 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4350900 31894 150919 1,863.00 REPAIR SIDEWALK
INVOICE Summary
**A;N� ! Invoice: 150919
1k).
j / Date: 09/26/15
Thp Hazard Removal Specialists Purchase Order:
Supplier Number.
Job Site: Bill to: Remit to:
City of Carmel City of Carmel Precision Concrete,Inc.
attn:Dave Huffman,Street Commissioner attn:Dave Huffman,Street Commissioner 1896 Goldeneye Drive
City Center Dr 3400 W.Main Street Holland,MI 49424
Carmel IN 46074 Carmel IN 46074
(616)403-1140-phone
Work Completed: Phone:317-733-2001 (616)582-5951 -fax
25-Sep-15 Fax: Federal ID#:80-0183496
Cost Per Inch Foot
$36.00
Job RR(Remove
No. and Replace)or #of Trip Linear
(Area) Location out of scope Hazards Cut Feet Inch Feet Cost
1 Walkwa s alona Citv Center Dr 4 38 126.5 72.91 $2,624.63
4 38 126.5 72.91 $2,624.63
Approved Project Budget: $1,863.00
Travel and Expenses: $0.00
Credits/Adjustments: -$761.63
Invoice Total(Amount Due): $1,863.00
Project Name: Sidewalk Trip Hazard Removal,City Center Drive 9-2015
Notes: This invoice is for work completed by Precision Concrete Cutting(PCC)based on the September 16,2015 proposal as accepted by Dave Huffman
Work was performed September 25,2015
Audit completed,onsite walk thru Dave Reiner(Precision Concrete)on 9/25/2015
PCC removed the trip hazards within specification making a slope according to customer specifications for the specified Areas or Jobs.
All concrete has been cut to a neat and uniform finish.
Each trip hazard has been cut to a"0"point of differential(0 inch vertical height delta)
Each trip hazard has been completely cut all the way to the edges of the walkway(sod and temporary patches removed)
All areas around cuts including walkways,grass,and landscaping left clean.
Itemized invoicing(Invoice Detail)per cut is attached for your audit.
APPROVALS(acceptance of work completed):
Precision Concrete,Inc. Customer
Name: Jeff Clark Name:
Position: Project Manager Position:
Signature: Signature:
Date: Date:
Form:INVOICE 150919 for Carmel-City Center
form v8
Summary
VOUCHER NO. WARRANT NO.
Precision Concrete Cutting ALLOWED 20
IN SUM OF$
1896 Goldeneye Drive
Holland, MI 49424
j
$1,863.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
31894 150919 43-509.00 $1,863.00 1 hereby certify that the attached invoice(s), or
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
Frida , ov r2 15
Title 1
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/26/15 150919 $1,863.00
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