191981 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00350562 Page 1 of 1
ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC
CARMEL, INDIANA 46032 7260SHADELANO STATION CHECK AMOUNT: $75.00
INDIANAPOLIS IN 46256 -3957
CHECK NUMBER: 191981
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4340100 21799 16,592.50 CHESTERON DRAINAGE IM
206 R4350900 21799 16,592.50 CHESTERON DRAINAGE IM
920 R4470502 18347 47312 75.00 ROW SERVICE
Remit to:
7260 Shadeland Station
U Indianapolis, IN 46256 -3957
0 AMERICAN TEL 317.547.5580 FAX 317.543.020
ST UCTPOIT www.structurepoint.com
i -1 F N C. Federal Tax ID: 35- 1127317
.i u
November 16, 2010
Invoice No: 47312
Engineering Department
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This Invoice (see breakdown below): $75.00
Project OIN2003.00661.0033 Keystone Ave 96th St to 146th Street (Keystone Parkway) (IN)
Keystone Ave 136th Street R/W Services (4470602)
Additional Services 2007.12 (4470602) PO 18347 R/W Mgmt
Services from October 1, 2010 through October 31. 2010
Phase 136th Street Handling and Recording (l 1 a S75)
P0125412 Recording Parcel 90
Fee
Number of Handling /Rec 4.00
Fee Each 75.00
Total Fee 300.00
Total Earned 300.00
Previous Fee Billing 225.00
Current Fee Billing 75.00
Total Fee 75.00
TOTAL THIS PHASE $75.00
TOTAL DUE THIS INVOICE $75.00
Very truly yours,
Craig Parks
Full payment of this invoice is due within 30 days from invoice date.
Interest at the rate ofl.5% per month($25.00 /month minimum) plus eny /all collection
costs/attorney costs may be charged if payment is not received within 60 days from the invoice date.
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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
American Structurepoint, Inc. Purchase Order No. 18347
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/16/10 47312 Keystone Reconstruction Project
R/W Acquisition Services 136th Street
Project 07 -08
Additional Services #2007.12
Parcel 90 Handling and Recording $75.00
r
Total $75.00
�p
I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
I.........................................
C' A
VOUCHER NO. WARRANT NO.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
75.00
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
18347 47312 4470502 $75 -00
hereby certify that the attched 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
22 -Nov 20 10
4 4t o&
Total $75.00 Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title