252566 12/1 5/15 - CITY OF CARMEL, INDIANA VENDOR: 034249
;; ® i1 ONE CIVIC SQUARE CALUMET CIVIC CONTRACTORS CHECK AMOUNT: $****33,648.00*
CARMEL, INDIANA 46032 4898 FIELDSTONE DRIVE CHECK NUMBER: 252566
�M(�ON�G�.d WHITESTOWN IN 46075 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 4470299 32644 1 33,648.00 KEYSTONE CARMEL DR RE
t
c
F.c). 32(.4q
CONSTRUCTION PROJECT INVOICE 112° .- 44-4 oz 9 �
DATE: December 9, 2015
COMPANY NAME: Calumet Civil Contractors, Inc.
AND ADDRESS 4898 Fieldstone Drive
Whitestown, Indiana 46075
TELEPHONE NO.: (317)-769-1900
FAX NO.: (317)-769-7424
PROJECT NAME: Keystone Parkway and Carmel Drive— Decorative
Concrete and Street Repairs
PROJECT NO.: Project No. 15-02 (INS)
INVOICE NO.: 1
TOTAL EARNINGS TO DATE: $ 33,648.00
MINUS 10% RETAINAGE: $0.00
TOTAL EARNED MINUS RETAINAGE: $ 33,648.00
MINUS PREVIOUS PAYMENTS: $ 0.00
TOTAL AMOUNT DUE: $ 33,648.00
----7-- 7
, y ashman
City Engineer
City of Carmel
i
'J
Date:December 9,2015 ,
Project No. 15-02 (INS) : Keystone Parkway and Carmel Drive-Decorative Concrete and Street Repairs
Contract Items and Unit Prices
Contract Item Installed to Date
No. Description Units Bid Quantity Unit Price Bid Price Quantity Actual Price
1 Mobilization&Demobilization LS 1.00 $ 1,000.00 $ 1,000.00 1.00 $ 1,000.00
2 Maintenance of Traffic LS 1.00 $ 2,000.00 $ 2,000.00 1.00 $ 2,000.00
3 Decorative Concrete Repairs LS 1.00 $ 19,590.00 $ 19,590.00 1.00 $ 19,590.00
4 Milling Asphalt,1.5 inch SYS 242.00 $ 25.00 $ 6,050.00 242.00 $ 6,050.00
5 HMA Surface,Type C TON 20.00 $ 175.00 $ 3,500.00 20.00 $ 3,500.00
6 Asphalt for Tack Cost TON 1.00 $ 250.00 $ 250.00 0.00 $ -
7 Restoration LS 1.00 $ 800.00 $ 800.00 1.00 $ 800.00
8 Transverse Marking,Thermoplastic,Crosswalk,White,24" LFT 70.00 $ 10.00 $ 700.00 63.00 $ 630.00
9 Line,Thermoplastic,Solid,White,4" LFT 105.00 $ 1.00 $ 105.00 78.00 $ 78.00
Bid Total= $ 33,995.00 This Estimate= $ 33,648.00
Total to be Paid Estimate 1= $ 33,648.00
i
f.'
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
Calumet Civil Contractors, Inc Purchase Order No.
4898 Fieldstone Drive Terms
Whiestown, In 46075 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
12/9/2015 1 Keystone Parkway&Carmel Drive Decorative Concrete Repairs $ 33,648.00
Total $ 33,648.00
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.
Calumet Civil Contractors, Inc ALLOWED 20
4898 Fieldstone Drive IN SUM OF$
Whiestown, In 46075
$ 33,648.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
32644 1 920-4470299 $ 33,648.00 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
12/14/2015
Signa ure
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund