187108 06/24/2010 CITY OF CARMEL, INDIANA VENDOR: 068025 Page 1 of 1
ONE CIVIC SQUARE CROSSROAD ENGINEERS, PC
a CARMEL, INDIANA 46032 3417 S SHERMAN DR CHECK AMOUNT: $5,625A0
BEECH GROVE IN 46107 CHECK NUMBER: 187108
CHECK DATE: 6/24/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4340100 21791 10295 5,625.00 HAVERSTICK DRAINAGE P
CrossRoad Engineers, PC
3417 Sherman Drive
Beech Grove, IN 46107
317- 780 -1555
City of Carmel Invoice number 10295
Gary Duncan Date 06103/2010
One Civic Square Page number 1 of 2
Carmel, IN 46032 Project: HAVERSTICK DRAINAGE IMPROVEMENTS
'Zoe °qb
For services performed May 1 through May 28, 2010
PROMPT PAYMENT OF INVOICE IS APPRECIATED!!
These services were provided in accordance with our contract #03.03.10.03 approved March 3, 2010 and
Additional Services #3:
P.0. 21.7.91
Haverstick Coachman Survey
Amount
Contract Amount 5,500.00
Percent Complete 100.00
Total Billed 5,500.00
Current Billed 0.00
Haverstick Coachman Design Permitting
Amount
Contract Amount 12,500.00
Percent Complete 50.00
Total Billed 6,250.00
Current Billed 3,125.00
Haverstick Coachman Bidding
Amount
Contract Amount 2,000.00
Percent Complete 0.00
Total Billed 0.00
Current Billed 0.00
Haverstick Coachman Construction Administration
Amount
Contract Amount 4,000.00
Percent Complete 0.00
Total Billed 0.00
Current Billed 0.00
Lexington Lane Survey
Amount
Contract Amount 2,000.00
Percent Complete 100.00
Total Billed 2,000.00
Current Billed 0.00
Lexington Lane Design Permitting
Amount
Contract Amount 5,000.00
Percent Complete 50.00
Total Billed 2,500.00
Current Billed 1,250.00
City of Carmel Invoice number. 10295 Invoice date: 06103/2010
City of Carmel Invoice number 10295
Date 06/03/2010
4 Page number 2 of 2
Project: HAVERSTICK DRAINAGE IMPROVEMENTS
Lexington Lane Bidding
Amount
Contract Amount 1,000.00
Percent Complete 0.00
Total Billed 0.00
Current Billed 0.00
Lexington Lane Construction Adminstration
Amount
Contract Amount 2,500.00
Percent Complete 0.00
Total Billed 0.00
Current Billed 0.00
106th St at 106th Place Survey
Amount
Contract Amount 2,000.00
Percent Complete 100.00
Total Billed 2,000.00
Current Billed 0.170
106th St at 106th Place Design Permitting
Amount
Contract Amount 5,000.00
Percent Complete 50.00
Total Billed 2,500.00
Current Billed 1,250.00
106th St at 106th Place Bidding
Amount
Contract Amount 1,000.00
Percent Complete 0.00
Total Billed 0.00
Current Billed 0.00
106th St at 106th Place Construction Administration
Amount
Contract Amount 2,500.00
Percent Complete 0.00
Total Billed 0.00
Current Billed 0.00
Total 5,625.00
Invoice total 5,625.00
Than ou!
Chip Char f
President
City of Carmel Invoice number: 10295 Invoice date: 06103/2010
escribed 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
Crossroad Engineers
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))
06/03/10 10295 Haverstick Drainage Design $5,625.00
06/03/10 10299 Hazel Dell ARRA design $1,110.00
06/03/10 10337 On -Call Consulting Services $19,582.52
06/03/10 10311 On Call Project Management $1,607.50
06/03/10 10310 Hazel Dell ARRA inspection $2,451.38
Tot
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
UCHER NO. WARRANT NO.
ALLOWED 20
Crossroad Engineers IN SUM OF
3417 S. Sherman Dr
Beech Grove, IN 46107
$30,376.40
r"
I
ON ACCOUNT OF APPROPRIA"TION FOR
Department of Engineering
f s Board Members
P@16 or IN lOICE °NOS ACC f #/TITLE AM6rJNT
S
T I hereby certify that the attached invoice(s), or
u_".� bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
i received except
C¢k2� 20
1 I Signature
L Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund