308528 02/28/17 CITY OF CARMEL, INDIANA VENDOR: 365731
® ONE CIVIC SQUARE FIRST GROUP ENGINEERING CHECK AMOUNT: $*****1,510.00*
CARMEL, INDIANA 46032 5925 LAKES DE BLVD CHECK NUMBER: 308528
INDIANAPOLIS IN 46278 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
250 R4350900 34330 7560-21 1,510.00 PROJECT 16-SW-07 PO 3
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 365731
IN SUM OF$
FIRST GROUP ENGINEERING CITY OF CARMEL
5925 LAKESIDE BLVD 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.
INDIANAPOLIS, IN 46278
Payee
$1,510.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoices)or bill(s)) AMOUNT
34330 7560-21 43-509.00 $1,510.00 1 hereby certify that the attached invoice(s),or 1/31/17 7560-21 Alternate Two A Modified-Unnamed Tributary $1,510.00
2200 Eecrrmbered 250 2200 250 of Williams Creek
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, February 21,2017
Jeremy Kashman
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Consulting Engineers
' 5927 Lakesrde Blvd
Indianapolis IN 467$
Phone(317)x290 9549:
zn 90 9560
>EINGI$F8PiNG INC
PO. 3y33o
2510— Ry-350q.0O
City of Carmel Invoice number 7560-21
Jeremy Kashman Date 01/31/2017
One Civic Square
Carmel, IN 46032 Project 12-7560 STRUCTURE REPLACEMENT
IN CARMEL
In accordance with our Amendment#1 dated September 19,2016,the following is an invoice for services
provided on ther referenced project from November 1,2016 through January 31,2017.
Project#16-SW-07
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
ADDITIONAL SERVICE AMENDMENT#1, P.O.# 11,800.00 95.00 11,210.00 9,700.00 1,510.00
34330
Total 11,800.00 95.00 11,210.00 9,700.00 1,510.00
Invoice total 1.510.00
Approved by:
Randall M.Willing
Executive Vice President
Please remit payments to: First Group Engineering, Inc. 5925 Lakeside Blvd. Indianapolis, IN 46278
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RECEIVED
Cl) FEB 2017
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Citv of Carmel Invoice number 7560-21