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183249 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 068025 Page 1 of 1 t ONE CIVIC SQUARE CROSSROAD ENGINEERS, PC CHECK AMOUNT: $1,512.50 r CARMEL, INDIANA 46032 3417 S SHERMAN DR BEECH GROVE IN 46107 CHECK NUMBER: 183249 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 202 R4340100 16857A 10074 1,512.50 ADDL 97/0N CALL SVS 4 I I Cross Road Engineers, PC 3417 Sherman Drive Beech Grove, IN 46107 317- 780 -1555 "k City of Carmel Invoice number 10072 Michael McBride, City Engineer Date 03/04/2010 1 Civic Square Page number 1 of 2 Carmel, IN 46032 Project: CITY OF CARMEL ON CALL PLAN REVIEW For services performed January 30 through February 26, 2010 PROMPT PAYMENT OF INVOICE IS APPRECIATED!! These services were provided in accordance with our contract approved March 19, 1997 including Additional Services #104, Supplemental P.O. #15048 General Plan Review Professional Fees Billed Hours Rate Amount Senior Project Manager 3.00 115.00 345.00 Phase subtotal 345.00 total 345.00 Indiana Spine Professional Fees Billed Hours Rate Amount Senior Project Manager 2.00 115.00 230.00 Phase subtotal 230.00 total 230.00 PFM Car Truck Care Center Professional Fees Billed Hours Rate Amount Senior Project Manager 0.50 115.00 57.50 Project Engineer 1.50 85.00 127.50 Phase subtotal 185.00 total 185.00 City of Carmel Invoice number: 10072 Invoice date: 03/04/2010 City of Carmel Invoice number 10072 Date 03/04/2010 Page number 2 of 2 Project: CITY OF CARMEL ON CALL PLAN REVIEW i Carmel Office Park Building Addition Professional Fees Billed Hours Rate Amount Senior Project Manager 0.50 115.00 57.50 Project Engineer 1.50 85.00 127.50 Phase subtotal .185.00 total 185.00 Lake Forest Professional Fees Billed Hours Rate Amount Senior Project Manager. 0.50 115.00 57.50 Phase subtotal 57.50 total 57.50 Legacy Cottages Professional Fees Billed Hours Rate Amount Project Engineer 6.00 85.00 510.00 The Legacy Cottages Phase subtotal 510.00 total 510.00 Invoice total 1,512.50 Th k Yo C-1 c Chip Charl P. E. r President City of Carmel Invoice number: 10072 Invoice date: 03/04/2010 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL Ah 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 Crossroad Engineers #I Purchase Order No. 3417 S. Sherman Dr. Terms Beech Grove, IN 46107 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03104/10 10072 On Call Plan Review $1,512.50 -Total I hereby certify_that the. attached.invoice(s), or bill(s), is (are) true and correct and I have audite'd` same. in' accordance with IC 5 -11;1 0 -1.6.. Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Crossroad Engjneers IN SUM OF 3417 S. Sherman Dr Beech Grove, IN 46107 $1 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT P I hereby certify that the attached 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 20 Si nature 0 Cost distribution ledger classification if Title claim paid motor vehicle highway fund