189039 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 357225 Page 1 of 1
ONE CIVIC SQUARE TROY RISK INC CHECK AMOUNT: $917.20
CARMEL, INDIANA 46032 7466 SHADELAND STATION WAY
o ao INDIANAPOLIS IN 46256 -3925 CHECK NUMBER: 189039
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4462838 19779 109.0408 -10 917.20 GAS SPILL INVESTIGATI
Troy Risk, Inc. I nvoice
7466 Shadeland Station Way
INC" DATE INVOICE
Inditul�apolis, IN 46256
(3 1 7) 570 -6730 5/31/20 10 109.0408 -10
BILL TO PROJECT
Cily of Carmel City of Carmel
I Civic Square Worrell Spill Investigation
CarmeL IN 46032 F�L, "fF Cost Recovery
Additional Services 41
P.O. 419779
TERMS DUE DATE REP TRI PROJECT
Net 30 6/30/2010 PT 109.04.08
DATE ITEM QTY DESCRIPTION RATE AMOUNT
CONSUI..TING SERVICES
-1 -lours
5/1 10 Principal Gcol... 1.3 P f: Prepare dOCLIMCnt for Settlement 139.00 250.2 0
5/ 14/20 10 Principal Gcol... 0.5 PT: Prepare document for Settlement 1 :39.00 69.50
5r' {110 Principal Geol... 1.2 PT: Conference call 139.00 166.80
51 17/2010 Project E:n S... 0.5 .IS: Conierence call with M. McBride and G. Silver 83.00 41.50
5!18/2010 Principal Geol... 2.8 PT: Craft cost estimate letter to attorney 139.00 359.20
Amount clue for hours 91720
Thank you for your bLISllless.
Troy Risk, Inc iccl I D '135- 82435 Tota $017.20
trov Risk. Inc.
Prescribed by Siate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995
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
Troy Risk, Inc.
Purchase Order No.
7466 Shadeland Station Way
Terms
Indianapolis, IN 46256 -3925
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/31/10 109.0408-11C Gas Spillage Investigation Main St. Express Marathon $917.20
Total S91720
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
Troy Risk, Inc. IN SUM OF
74 66 S S Way
Indianapolis, IN 46256 -3925
$917.20
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PT I NVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
19779 109.0408 -10 206- R4462838 $917.20 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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund