190853 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 360656 Page 1 of 1
ONE CIVIC SQUARE M D S TECHNOLOGIES INC
CARMEL, INDIANA 46032 350 S NORTHWEST HWY CHECK AMOUNT: $5,988.95
SUITE 300 CHECK NUMBER: 190853
PARK RIDGE IL 60068
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 5,250.00 OTHER CONT SERVICES
2201 R4350900 21409 100187 738.95 PAVEMENT MANAGEMENT
MDS Technologies, Inc. Invoice
350 S. Northwest Highway, Suite 300
Park Ridge, IL 60068
Tel: 847 656 -5385
Fax: 847 -656 -5201 Date: Invoice No
9/30/2010 100187
FEIN: 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. 5
Period: September 1, 2010 through September 30, 2010
Terms: Net 30 Days
Task Percent Earned Previous Net This
Project Tasks Value Complete To Date Invoice Invoice
PavementView GIS Linkage $44,779.04 100% $44,779.04 $42,540.09 $2,238.95
MarkingView GIS Linework /Linkage $7,500.00 70% $5,250.00 $1,500.00 $3,750.00
TOTALS: $52,279.04 96% $50,029.04 $44,040.09 $5,988.95
Total This Invoice: $5,988.95
Unpaid from Previous Invoices: $0.00
Balance Due: $5,988.95
VOUCHER NO. WARRANT NO.
ALLOWED 20
MDS Technologies
IN SUM OF
350 S. Northwest Highway Suite 300
Park Ridge, IL 60068
$5,988.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 100187 43- 509.00 $5,250.00 1 hereby certify that the attached invoice(s), or
21409 100187 43- 509.00 $738.95 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
n -7 1
Thursday, 07, 2010
P
r
Street Commisdld er
:J .[�cJl '�Uf Ii i iIJ51UF ECI
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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, bs
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))
09/30/10 100187 $5,250.00
09/30/10 100187 $738.95
1 hereby certify that the attached invoice(s), or bil)(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer