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189894 09/14/2010 s- CITY OF CARMEL, INDIANA VENDOR: 360656 Page 1 of 1 ONE CIVIC SQUARE M D S TECHNOLOGIES INC CARMEL, INDIANA 46032 CHECK AMOUNT: $4,477.91 PARK RIDGE IL 60068 'I CHECK NUMBER: 189894 4k U� S N W kkNf 10 CHECK DATE: 9/14/2010 DEPARTME ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 R4350900 21409 100181 4,477.91 PAVEMENT MANAGEMENT SIDS Technologies, Inc. Invoice 350 S. Northwest Highway, Suite 300 Park Ridge, 1L 60068 Tel: 847 -656 -8385 Fax: 847 656 -5201 Date: Invoice No. 8/31/2010 100181 FEW: 71- 0906508 Bill To: Please Remit to: City of Carmel Street Department MDS Technologies, Inc. 3400 W. 131st Street 350 S. Northwest Highway Westfield, IN 46074 Suite 300 Park Ridge, IL 60068 City of Carmel Street Department Pavement Condition Assessment Project P.O. 21409 Project Invoice No. 4 Period: May 1, 2010 through August 31, 2010 Terms: Net 30 Days Task Percent Earned Previous Net This Project Tasks Value Complete To Date Invoice Invoice PavementView GIS Linkage $44,779.04 95% $42,540.09 $38,062.18 $4,477.91 MarkingView GIS Linework /Linkage $7,500.00 20% $1,500.00 $1,500.00 $0.00 TOTALS: $52,279.04 84% $44,040.09 $39,562.18 $4,477.91 Total This Invoice: $4,477.91 Unpaid from Previous Invoices: $0.00 Balance Due: $4,477.91 VOUCHER NO. WARRANT NO. ALLOWED 20 MDS Technologies IN SUM OF 350 S. Northwest Highway Suite 300 Park Ridge, IL 60068 $4,477.91 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 21409 100181 43 509.00 $4,477.91 1 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 Thursday, Sept 09, 2010 Street Commi r s' ner ti:�rd�# 4�r'�Title�i9ri�P Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/31/10 100181 $4,477.91 1 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