181794 02/03/2010 CITY OF CARMEL, INDIAN VENDOR' 00350562 Page 1 of 1
A. 45 14 .1 ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC CHECK AMOUNT: $44,262.43
1s; CARMEL, INDIANA 46032 7260 SHADELAND STATION
„q INDIANAPOLIS IN 46256 -3957 CHECK NUMBER: 181794
CHECK DATE: 2!312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
202 R4340100 18307 2,625.00 ADDLT 54 /MISC PROJECT
206 R4340100 19813 630.00 106TH CULVERT REPLACE
920 R4340101 17764 42376 2,814.28 KEYSTONE PROJECT
920 R4470302 19782 42377 1,750.00 R/W SERVICES 116 /CAR
920 R4340101 19798 42378 14,328.00 DESIGN- 131ST /KEYSTONE
202 4340100 42379 412.50 ENGINEERING FEES
920 R4350900 19792 42380 15,502.65 KEYSTONE AVE ON CALL
920 R4470502 19810 42390 6,200.00 131ST ROW SERVICES
Remit to:
El 7260 Shadeland Station
1 Indianapolis, IN 46256 -3957
AMERICAN TEL 317.547.5580 FAX 317.543.020
STRUCTUREPOINT wwwstructurepoint.com
INC. Federal Tax ID: 35- 1127317
January 21, 2010
Invoice No: 42379
Mr. Mike McBride
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This Invoice (see breakdown below): $492.50
Project 01N2006.00895.0001 On -Call Transportation System ServicesVarious LocationsCarmel, IN
46032P0 16537 (IN)
On Call Transportation System Services Various Locations Carmel, IN 46032 PO 19793 202 R401
Services from December 1, 2009 through December 31, 2009
Phase 00200 2009 On -Call Traffic Services
Professional Services
Hours Rate Amount
Project Manager 2.00 135.00 270.00
Senior Technician 1.50 95.00 142.50
Totals 3.50 412.50
Professional Services Total 412.50
Billing Limits Current Previous Total
Total Billings 412.50 18,237.17 18,649.67
Maximum 20,000.00
Under Maximum 1,350.33
TOTAL THIS PHASE S412.50
TOTAL DUE THIS INVOICE S412.50
Outstanding Invoices:
Number Date Balance ar .5262.p1, (9
41952 12/23/09 1,985.00 ry `L '49
o
o JARS 2010
C ARM1 Ei'.
r CITY ENGINEER
Full payment of this invoice is due within 30 days from invoice date. l
Interest at the rate of 1.5% per month ($25.00/month minimum) plus anyfall collection Z�
costs/attorney costs maybe charged if payment is not received within 60 clays from the invoice date.
Project 0IN2006.00895.0001 On -Call Transportation System ServicesVarious Invoice 42379
LocationsCarmel, IN 46032P0 16537 (IN)
Very truly yours,
Jeffrey Swenson
Full payment of this invoice is due within 30 days from invoice date.
Interest at the rate of 1.5% per month ($25.00 /month minimum) plus any /all collection
costs/attorney costs may be charged if payment is not received within 60 days from the invoice date.
Page 2
Remit to:
7260 Shadeland Station
Indianapolis, IN 46256 -3957
AMERICAN TEL 317.547.5580 FAX 317.543.020
STRUCTUREPOINT
wwwstructurepoint.com
F- I INC. Federal Tax ID: 35-1127317
1 January 21, 2010
Invoice No: 42371
Mr. Mike McBride
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This Invoice (see breakdown below): $630.00
Project 0002009.00536.0001 106th Street Culvert Replacement 1400' West of Keystone Parkway
Carmel, Indiana (IN) cli
Additional Services 2007.26 (Keystone), P.O. 19813 206 -401
Services from December 1, 2009 through December 31, 2009
Fee
Percent Fee Prior Current
Phase Fee Complete Earned Billing Fee
Environmental Services 7,000.00 100.00 7,000.00 7,000.00 0.00
Field Survey 3,250.00 100.00 3,250.00 3,250.00 0.00
Culvert Design Plan 10,500.00 95.00 9,975.00 9,345.00 630.00
Preparation
Total Fee 20,750.00 20,225.00 19,595.00 630.00
Total Fee 630.00
TOTAL DUE THIS INVOICE S630.00
Very truly yours, o��2Z 2324 ?SQs
Craig Parks
tom+ 4 G�`�e
r' c te J ,r�
e
cn
-``L °1 Lg S'‘i
Full payment of this invoice is clue within 30 days from invoice date.
Interest at the rate of 1.5% per month ($25.00fmonth minimum) plus anyfall collection
costs/attomey costs may be charged if payment is not received within 60 days from the invoice date.
Remit to:
III 7260 Shadeland Station
p'j Indianapolis, IN 46256 -3957
AMERICAN
TEL 317.547.5580 FAX 317.543.020
S TRUCTUREPOINT www.structurepoint.com
N C. Federal Tax ID: 35- 1127317
January 21, 2010
Invoice No: 42381
Mr. Mike McBride
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This Invoice (see breakdown below): $2,625.00
Project 01N2008.00147.0004 On Call Project Coordinator City of Carmel, IN 46032 (IN) 2009
Miscellaneous City Projects
Additional Services #2007.18 PO's 18307 c2m1„
Services from December 1, 2009 through December 31, 2009
G'
Phase 00100 2009 Miscellaneous City Projects
Professional Services
Hours Rate Amount
Project Engineer 25.00 105.00 2,625.00
Totals 25.00 2,625.00
Professional Services Total 2,625.00
TOTAL THIS PHASE $2,625.00
Billing Limits Current Previous Total
Total Billings 2,625.00 15,463.85 18,088.85
Maximum 23,375.00
Under Maximum 5,286.15
TOTAL DUE THIS INVOICE $2,625.00
R'
NECFI►,EC z.o
JAI 2010
CARMEN 1
`4 CITY ENGINEER
le iLLOLG
Full payment of this invoice is due within 30 days from invoice date
Interest at the rate of 1.5% per month($25.00 /month minimum) plus any /all collection
costs/attomey costs may be charged if payment is not received within 60 days from the invoice date.
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
American Structurepoint, Inc.
Purchase Order No.
7260 Shadeland Station
Terms
Indianapolis, IN 46256 -3957
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/21/10 42371 106th Culvert Replacement $630.00
01/21/10 42381 On CaII Project Coordinator $2,625.00
01/21/10 42379 On Call Eransportation System Services $412.50
Total $3,667.50
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.
ALLOWED 20
American Structurepoint, Inc IN SUM OF
7260 Shadeland Station
Indianapolis, IN 46256 -3957
$3,667.50
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT hereby y invoice( s), DEPT. I hereb certify that the attached invoices or
bill(s) is (are) true and correct and that the
1981:: 42371 206-R401 $630.00 materials or services itemized thereon for
18307 42381 206 -R401 $2,625.00 which charge is made were ordered and
42379 2021401 $412.50 received except
21\ 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Remit to:
Efi
7260 Shadeland Station
Indianapolis, IN 46256 -3957
o� AMERICAN TEL 317.547.5580 FAX 317.543,020
S TRUCTUREPOINT www.structurepoint.com
INC Federal Tax ID: 35- 112731
January 21, 2010
Invoice No: 42390
Engineering Department
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This Invoice (see breakdown below): $6,200.00
Project 01N2003.00661.0041 Keystone Ave Expressway 96th St to 146th Street (Keystone Parkway)
(IN) 131st Street R/W Services (Add'I Services 2007.24, PO 19810)
Services from December 1, 2009 through December 31, 2009
Phase 00506 Relocation Assistance
Consultants
Relocation Consultant
12/31/09 Boomerang Ventures, LLC RELOCATION PARCEL 74 6,200.00
AND 75
Total Consultants 6,200.00 6,200.00
TOTAL THIS PHASE $6,200.00
TOTAL DUE THIS INVOICE $6,200.00
Outstanding Invoices:
Number Date Balance
41932 12/22/09 3,000.00
Very truly yours,
Craig Parks
Full payment of this invoice is due within 30 days from invoice date.
Interest at the rate of 1.59 per month($25.00 /month minimum) plus any /all collection
costslattomey costs may be charged if payment is not received within 60 days from the invoice date.
N
e Boomerang
Ventures, LLC
PO Box 426
Brownsburg, IN 46112 Invoice
i�`'o.''ic �'::�5?�:';�:r: ''a�;�;;�;7'ra y;;�' ?�rr:: '`�i �`::C': !i?;i?;i!: "�:'r: i
317.650.5489 3 fax x ;Y r k A 7'I� �.t f rNy 1.G E,#� 4 r i a t
www.boomerangventures.com K_. V., .x..,:..._.:.; i �....vw.
I2/15/2009 200940 1/14/2010
f C i h IlBILL 1 G e ^hc t 1 L, li
i vi' ri l H..r a :.�rru.._.... h.N 1_ r...,N.
American Structurepoint, Inc.
Attn: Skip Tennaucour
7260 Shadeland Station
Indianapolis, IN 46256
S s x s l k e r ..M i sa.
ITEM D�S�RIPTIOt�i Q I F a OUNT
:d V l..,r n- r 1 S. A "S K. f ,..t ,n h ,3 r� 1 'J+ b Y1 r,
Relo Res -Owar Relocation: Residential Owner Parcel 74(00), 1 3,100.00 3,100.00
Lowry, Cleared and Vacated
Relo Res -Ownr Relocation: Residential Owner; Parcel 75(00), 1 3,100.00 3,100.00
Haagsma, Cleared and Vacated
POS
TED
'ELATE E D DEC ZOO
DEC 212099
Keystone 131st, Task Order 11o. 1- 1N20030661- Boomerang Ventures, LLC
Total $6,200.00
S
1 ,41._;,
Prescribed by Slate Board of Accounts City Farm 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
American Structurepoint, Inc- Purchase Order No. 19810
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/21/10 42390 Keystone Reconstruction Project
131st Street R/W Services
Project 07 -08
Additional Services #2007.24
Parcel 74 Relocation $3,100.00
Parcel 75 Relocation $3,100.00
Total $6,200.00
I hereby certify that the attached invoice(s), or bills(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.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
6,200.00
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
19810 42390 4470502 $6,200.00
I hereby certify that the attched 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
February 1, 20 10
Total $6,200.00 Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title
Remit to:
7260 Shadeland Station
O Indianapolis, IN 46256 -3957
AMERICAN TEL 317.547.5580 FAX 317.543.020
S TRUCTUREPOINT wwwstructurepoint.com
I N c. Federal Tax ID: 35- 1127317
January 21, 2010
Invoice No: 42378
Engineering Department
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This Invoice (see breakdown below): $14,328.00
Project 01N2003.00661.0037 Keystone Ave 96th St to 146th Street (Keystone Parkway) (IN) 2009
Project Management and Financial Planning (PO 19798)
Additional Services 2007.19 (4340101) PO 19798
Services from December 1, 2009 through December 31, 2009
Fee
Percent Fee Prior Current
Phase Fee Complete Earned Billing Fee
Project Design Mgmt 238,800.00 80.00 191,040.00 176,712.00 14,328.00
Financial Planning
Total Fee 238,800.00 191,040.00 176,712.00 14,328.00
Total Fee 14,328.00
TOTAL DUE THIS INVOICE $14,328.00
Outstanding Invoices:
Number Date Balance
41931 12/22/09 19,104.00
Very truly yours,
Craig Parks
Full payment of this invoic e is clue within 30 days from invoic e date.
Interest at the rate of 1.5% per month ($25 00 /month minimum) plus any/all collection
costs/attorney costs may be charged if payment is not received within 60 clays from the invoice date.
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
American Structurepoint, Inc. Purchase Order No. 19798
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/21/10 42378 Keystone Reconstruction Project $14,328.00
Keystone /131st Street Interchange Design
Additional Services #2007.19
Project 07 -08
Total $14,328.00
I hereby certify that the attached invoice(s), or bills(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.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
14,328.00
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
19798 42378 4340101 $14,28.00
I hereby certify that the attched 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
February 1, 20 10
277- s
Total $14,328.00 Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title
Remit to:
III
7260 Shadeland Station
0 r Indianapolis, IN 46256 -3957
AMERICAN TEL 317.547.5580 FAX 317.543.020
S TRUCTUREPOINT www.structurepoint.com
INC. Federal Tax ID: 35- 1127317
January 21, 2010
Invoice No: 42380
Mr. Mike McBride
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This invoice (see breakdown below): $15,502.65
Project 01N2008.00147.0003 On Call Project Coordinator City of Carmel, IN 46032 (IN) 2009
Keystone Parkway Coordinator
Additional Services 2007.17 P.O. 19792
Services from December 1, 2009 through December 31, 2009
Phase 00100 2009 Keystone Parkway Coordinator
Professional Services
Hours Rate Amount
Project Engineer 147.00 105.00 15,435.00
Totals 147.00 15,435.00
Professional Services Total 15,435.00
Reimbursable Expenses
Mileage 67.65
Reimbursables Total 67.65 67.65
TOTAL THIS PHASE S15,502.65
Billing Limits Current Previous Total
Total Billings 15,502.65 200,133.45 215,636.10
Maximum 223,900.00
Under Maximum 8,263.90
TOTAL DUE THIS INVOICE S15,502.65
Outstanding Invoices:
Number Date Balance
41924 12/22/09 17,95 8.60
Full payment of this invoice is due within 30 days from invoice date.
Interest at the rate of l.5% per month ($25.00 /month minimum) plus any /all collection
costsfattorney costs may be charged if payment is not received within 60 clays from the invoice date.
Project 0IN2008.00147.0003 On Call Project Coordinator City of Carmel, IN Invoice 42380
46032 (IN) 2009 Keystone Parkway
Coordinator
Very truly yours,
Craig Parks
Full payment of this invoice is due within 30 clays from invoice date.
Interest at the rate of 1.5% per month ($25.00 /month minimum) plus any /all collection
costs/attorney costs may be charged if payment is not received within 6U days from the invoice date.
Page 2
Prescribed by Slate 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
American Structurepoint, Inc. Purchase Order No. 19792
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/21/10 42380 Keystone Reconstruction Project $15,502.65
Keystone On -Call Project Coordinator Service
for Year 2009
Additional Services #2007.17
Project 07 -08
Total $15,502.65
I hereby certify that the attached invoice(s), or bills(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.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
15,502.65
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
19792 42380 4350900 $15,502.65
1 hereby certify that the attched 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
February 1, 20 10
Total $15,502.65 Signature
Cost distribution ledger classification if City Engineer
T
claim paid motor vehicle highway fund Title
Remit to:
7260 Shadeland Station
Indianapolis, IN 46256 -3957
o AMERICAN TEL 317.547.5580 FAX 317.543.020
S TRUCTUREPOINT www.structurepoint.com
INC. Federal Tax ID: 35- 1127317
January 21, 2010
Invoice No: 42376
Engineering Department
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This invoice (see breakdown below): $2,814.28
Project 0IN2003.00661 .0009 Keystone Ave 96th St to 146th Street (Keystone Parkway) (IN) Utility
Coordination
Utility Coordination (4340101) PO #17764
Services from December 1, 2009 through December 31, 2009
Fee
Percent Fee Prior Current
Phase Fee Complete Earned Billing Fee
Utility Coordination 101,978.02 97.00 98,918.68 96,1 04.40 2,814.28
City of Carmel Utilities 22,800.00 18.00 4,104.00 4,104.00 0.00
Conceptual Rel
Total Fee 124,778.02 103,022.68 100,208.40 2,814.28
Total Fee 2,814.28
TOTAL DUE THIS INVOICE $2,814.28
Very truly yours,
Craig Parks
Full payment of this invoice is due within 30 clays front invoice date.
Interest at the rate of 1.5% per month ($25.00/month minimum) plus any /all collection
costs/attorney costs may be charged if payment is not received within 60 days from the invoice date.
Prescribed by Slate 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
American Structurepoint, Inc. Purchase Order No. 17764
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/21/10 42376 Keystone Reconstruction Project $2,814.28
Design Services
Project 07 -08
Additional Serivces 2007.27
Total $2,814.28
I hereby certify that the attached invoice(s), or bills(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.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
2,814.28
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
17764 42376 4340101 £2,814.28
I hereby certify that the attched 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
;February 1, 20 10
2 -17-7 '7 47 j 7 2-25?
Total $2,814.28 Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title
f
Remit to:
7260 Shadeland Station
Indianapolis, IN 46256 -3957
A M E R I C A N TEL 317.547.5580 FAX 317.543.020
STRUCTUREPOINT
www.structurepoint.com
INC. Federal Tax ID: 35- 1127317
January 21, 2010
Invoice No: 42377
Engineering Department
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This Invoice (see breakdown below): $1,750.00
Project 01N2003.00661.0036 Keystone Ave 96th St to 146th Street (Keystone Parkway) (IN)
Keystone Ave 116th Street R/W Services (4470302)
Additional Services #2007 -15 for Keystone Reconstruction 116th Carmel Drive (4470302) P.O. 19782
Services from December 1, 2009 through December 31, 2009
Phase 00503 116th Street R/W Buying (11 $1,750)
Additional Services #2007 -15 for Keystone Reconstruction 116th Carmel Drive (4470302) P.O. 19782
Buying, Parcel 35SA
Consultants
Buying Consultant 1,750.00
Total Consultants 1,750.00 1,750.00
Billing Limits Current Previous Total
Total Billings 1,750.00 17,500.00 19,250.00
Maximum 19,250.00
TOTAL THIS PHASE $1,750.00
TOTAL DUE THIS INVOICE $1,750.00
Outstanding Invoices:
Number Date Balance
41930 12/22/09 6,000.00
Very truly yours,
Craig Parks
Full payment of this invoice is due within 30 days from invoice date.
Interest at the rate of 1.5% per month ($25.00 /month minimum) plus anyfall collection
costsfattorney costs may be charged if payment is not rec eived within 60 days from the invoice date.
RWS 5214 S. East St, Suite D -2, Indianapolis, IN 46227
SOUTH,
INC. 317.781.9723 Fax 317.781.9727 www.rwssouth.com
INVOICE
L wu1 '4
December 28, 2009 09 -12284
e�o�xr_tr x4W13... e»x7z ei• Hl ?rteWeiaa 4
Skip Tennancour
AMERICAN STRUCTUREPOINT, INC.
128 Torrey Pine Drive
Brownsburg, IN 46112
Land Acquisition Services Buying
Keystone Avenue Reconstruction: 07 -08
1 35sa Ramco- Gershenson $1,750.00
TOTAL INVOICED $1,750.00
FEDERAL TAX ID: 35- 1970723
BRED P OSTED 1�
JAN 5 tin DEC 2009 11
36
Prescribed by Slate 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
American Structurepoint, Inc. Purchase Order No. 19782
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/21/10 42377 Keystone Reconstruction Project
R/W Acquisition Services 116th Street
Project 07 -08
Additional Services #2007.12
Parcel 35SA Buying $1,750.00
Total $1,750.00
I hereby certify that the attached invoice(s), or bills(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.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
1,750 -00
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT
19782 42377 4470302 $1,750.00
I hereby certify that the attched 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
February 1, 20 10
Total $1,750 -00 Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title