252619 12/15/15 �,.CQpy`� CITY OF CARMEL, INDIANA VENDOR: 365731
ONE CIVIC SQUARE FIRST GROUP ENGINEERING CHECK AMOUNT: $*****2,275.97*
•� `,�a;: CARMEL, INDIANA 46032 5925 LAKESIDE BLVD CHECK NUMBER: 252619
9M,�rON�� INDIANAPOLIS IN 46278 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 R4462300 26575 7560-12 2,275.97 ASA#2—WILLIAMS CREEK
- 3 Consnitins Engmeer.`s:'
• 5925 Lakeside Blvd
l ti Indianapolis IN 46278:
Phone(317)290-9549.
,y Fae(917)290 956Q
cFNGINEERING;`1`INC ,eo
t' 0.2(o�i S
211— R44 (a 2300
City of Carmel Invoice number 7560-12
Jeremy Kashman Date 11/30/2015
One Civic Square
Carmel, IN 46032 Project 12-7560 STRUCTURE REPLACEMENT
IN CARMEL
In accordance with our Amendment#1 dated August 15,2012,the following is an invoice for services provided
on ther referenced project from September 1,2015 to November 30,2015.
Structure Replacement over Tributary of Williams Creek at Spring Mill Rd,South of 106th St.
Contract Percent Amount Less Prior Amount Due
Description Amount Complete Complete Billings This Billing
SOILS INVESTIGATION 5,000.00 100.00 5,000.00 5,000.00 0.00
SURVEY 9,000.00 100.00 9,000.00 9,000.00 0.00
DESIGN AND PERMITS 27,600.00 100.00 27,600.00 25,640.24 1,959.76
PLAN REVISIONS&SURVEY 10,500.00 42.59 4,472.00 4,155.79 316.21
STREAM MODELING 11,500.00 100.00 11,500.00 11,500.00 0.00
Total 63,600.00 90.52 57,572.00 55,296.03 2,275.97
Invoice total 2,275.97
Approved by:
Randall M.Willing - -
Executive Vice President
Please remit payments to: First Group Engineering, Inc. 5925 Lakeside Blvd. Indianapolis, IN 46' �� ��` �,,
Citv of Carmel Invoice number 7560-12
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
First Group Engineering, Inc. Purchase Order No.
5925 Lakeside Blvd. Terms
Indianapolis, IN 46278 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
11/30/2015 7560-12 Structure Replacement-Williams Creek $ 2,275.97
Total $ 2,275.97
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
1
VOUCHER NO WARRANT NO.
r
First Group Engineering, Inc. ALLOWED 20 !.
5925 Lakeside Blvd. IN SUM OF$
Indianapolis, IN 46278
I
$ 2,275.97
i r
I,
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
oePT# I hereby certify that the attached invoice(s), or
26575 7560-12 211-R4462300 $ 2,279.97 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
i
12/14/2015 "
Signature
City Engineer
Cost Distribution ledger classification if
Title
claim paid motor vehicle highway fund