329342 08/27/18 `/ �� CITY OF CARMEL, INDIANA VENDOR: 367635
j 1 ONE CIVIC SQUARE PRECISION CONCRETE CUTTING CHECK AMOUNT: $*******333.75*
:. a� CARMEL, INDIANA 46032 1896 GOLDENEYE DRIVE CHECK NUMBER: 329342
v,�,,'oN_�. HOLLAND MI 49424 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 180351 333.75 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 367635 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PRECISION CONCRETE CUTTING IN SUM OF$ CITY OF CARMEL
1896 GOLDENEYE DRIVE 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.
HOLLAND, MI 49424
Payee
$333.75
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
180835-1 43-509.00 $333.75 1 hereby certify that the attached invoice(s),or 8/13/18 180835-1 $333.75
2201 2201 2201 2201
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
Wednesday,August 22,2018
Huffman, Dave
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
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE Summary
Invoice: 180835-1
*.. Date: 08/13/18
Trip Hazard Removal Specialists Purchase Order:
Supplier Number:
Job Site: Bill to: Remit to:
Booth Tarkington Civic Center City of Carmel Precision Concrete,Inc.
contact:Jim Hobbs attn:Jim Hobs 1896 Goldeneye Drive
3 Center Green#300 3400 W 131 St St Holland,MI 49424
Carmel,IN 46032 Carmel,IN 46074
(616)403-1140-phone
Work Completed: Phone: (317)733-2001 (616)582-5951 -fax
10-Aug-18 Fax: Federal ID#:80-0183496
Email:jhobbs@carmel.in.gov Sales Rep: Don
Cost Per Inch Foot
$40.00
Job
No. i:7;F J%-ortom, #of Trip .Linear
(Area), Location, i1Jx.xjF3,gki, Hazards.Cut Feet fnchlFeet Cost
1 Special cuts at Booth Tarkington Civic Center 6 22.5 11.13 $445.00
6 22.5 11.13 $445.00
Approved Project Budget: $333.75
Travel and Expenses: $0.00
Discounts: $111.25
Invoice Total Amount Due $333.75;
Terms: Net 15
Project Name: Sidewalk Trip Hazard Removal 2018
Notes: This invoice is for work completed by Precision Concrete Cutting(PCC)based on the request and approval by Jim Hobbs.
Work was performed on Auguist 10,2018.
Audit completed,onsite walk thru by Dave Reiner(Precision Concrete)on August 10,2018.
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: Sarah Temple Name:
Position: Project Coordinator Position:
Signature: I Signature:
Date:I Date:
Form:INVOICE 180835-1 for Carmel-Booth Tarkington Civic Center
form v8 Summary
INVOICE DETAIL for Area (1)
Address or Area: Completed Date:
Booth Tarkington Civic Center Friday,August 10,2018
Carmel
file:27610 Total Ln Ft Cost Per Inch Ft Total in Ft Total Cost
22.5 $40.00 11.13 $445.00
PRECISION CONCRETE CUTTING Special cuts at Booth Tarkington Civic Center
Lineal ;
No. Cut._ RR_ + Size Size,' Feet Location per•GPS Description Ihch,Ft ' Cost -
1 2 0.750 0.125 9 Monon Greenway 3 Center Green 300, Cut around Manhole 3.94 $157.50
2 1 0.750 0.750 1 Monon Greenway 3 Center Green 300, Cut around Manhole crack 0.75 $30.00
3 1 0.750 0.500 5.5 Monon Greenway 3 Center Green 300, Gut around Manhole meets lid 3.44 $137.50
4 1 0.750 0.750 1 Monon Greenway 3 Center Green 300, Cut around Manhole crack 0.75 $30.00
51 1 0.750 0.000 6 Monon Greenway 3 Center Green 300, Cut around Manhole 2.25 $90.00
22.51=linear ft of cutting Total: 11.13 $445.00
Cuts:1 6 0=RR'location count 5 1=locations documented(count)
Job Notes: Map showing approximate location of trip hazards
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form v8 Page 2 of 2 form:INVOICE 180835-1 for Carmel-Booth Tarkington Civic Center