193070 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 068025 Page 1 of 1
ONE CIVIC SQUARE CROSSROAD ENGINEERS, PC CHECK AMOUNT: $4,950.00
3417 S SHERMAN DR
CARMEL, INDIANA 46032
s BEECH GROVE IN 46107
CHECK NUMBER: 193070
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4340100 21791 10796 2,700.00 HAVERSTICK DRAINAGE P
206 4340100 21824 10799 2,250.00 HAVERSTICE DRAINAGE I
Cross Road Engineers, PC
3417 Sherman Drive
Beech Grove, IN 46107
317 -780 -1555
City of Carmel Invoice number 10796
Gary Duncan Date 11/30/2010
One Civic Square
Carmel, IN 46032 Protect HAVERSTICK DRAINAGE
IMPROVEMENTS
For services performed October 30 through November 26, 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.O. #21791
Amount
Haverstick Coachman Survey
Contract Amount 5,500.00
Percent Complete 100.00
Total 5,500.00
Billed
Current Billed 0.00
Haverstick Coachman Design Permitting
Contract Amount 12,500.00
Percent Complete 100.00
Total 12,500.00
Billed
Current Billed 0.00
Haverstick Coachman Bidding
Contract Amount 2,000.00
Percent Complete 100.00
Total 2,000.00
Billed
Current Billed 0.00
Haverstick Coachman Construction Administration
Contract Amount 4,000.00
Percent Complete 50.00
Total 2,000.00
Billed
Current Billed 1,200.00
City of Carmel Invoice number 10796 Invoice date 11/30/2010
Page 1 of 3
City of Carmel Invoice number 10796
Project HAVERSTICK DRAINAGE IMPROVEMENTS Date 11130/2010
Amount
Lexington Lane Survey
Contract Amount 2,000.00
Percent Complete 100.00
Total 2,000.00
Billed
Current Billed 0.00
Lexington Lane Design Permitting
Contract Amount 5,000.00
Percent Complete 100.00
Total 5,000.00
Billed
Current Billed 0.00
Lexington Lane Bidding
Contract Amount 1,000.00
_1
Total 1,000.00
Billed
Current Billed 0.00
Lexington Lane Construction Adminstration
Contract Amount 2,500.00
Percent Complete 50.00
Total 1,250.00
Billed
Current Billed 750.00
106th St at 106th Place Survey
Contract Amount 2,000.00
Percent Complete 100.00
Total 2,000.00
Billed
Current Billed 0.00
106th St at 106th Place Design Permitting
Contract Amount 5,000.00
Percent Complete 100.00
Total 5,000.00
Billed
Current Billed 0.00
106th St at 106th Place Bidding
Contract Amount 1,000.00
Percent Complete 100.00
Total 1,000.00
Billed
Current Billed 0.00
106th St at 106th Place Construction Administration
Contract Amount 2,500.00
Percent Complete 50.00
Total 1,250.00
Billed
Current Billed 750.00
Total 2,700.00
City of Carmel Invoice number 10796 Invoice date 11 /3012010
Page 2 of 3
City of Carmel Invoice number 10796
Project HAVERSTICK DRAINAGE IMPROVEMENTS Date 11130/2010
f
Invoice total 2,700.00
Tha u!
l
C Char
President
City of Carmel Invoice number 10796 Invoice date 11/30/2010
Page 3 of 3
i
CrossRoad Engineers, PC
3417 Sherman Drive
Beech Grove, IN 46107
317- 780 -1555
City of Carmel Invoice number 10799
Gary Duncan Date 11/30/2010
One Civic Square
Carmel, IN 46032 Project HAVERSTICK DRAINAGE
IMPROVEMENTS---
For services performed October 30 through November 26, 2010
PROMPT PAYMENT OF INVOICE IS APPRECIATED!!
These services were provided in accordance with our contract #0319.97.02 dated March 19, 1997 including the
Additional Services Amendment #10 P.O. #21824:
,1L0�
Amount
Lakeshore Drive East Lakeview Drive Survey
Contract Amount 2,000.00
Percent Complete 100.00
Total 2,000.00
Billed
Current Billed 0.00
Lakeshore Drive East Lakeview Drive Design /Permitting
Contract Amount 5,000.00
Percent Complete 100.00
Total 5,000.00
Billed
Current Billed 0.00
Lakeshore Drive East Lakeview Drive Bidding
Contract Amount 1,000.00
Percent Complete 100.00
Total 1,000.00
Billed
Current Billed 0.00
Lakeshore Drive East Lakeview Drive Construction Admin.
Contract Amount 2,500.00
Percent Complete 50.00
Total 1,250.00
Billed
Current Billed 750.00
City of Carmel Invoice number 10799 Invoice date 11/3012010
Page 1 of 3
City of Carmel Invoice number 10799
Project HAVERSTICK DRAINAGE IMPROVEMENTS Date 11130/2010
Amount
Stratford Place N. of 106th Street Survey
Contract Amount 2,000.00
Percent Complete 100.00
Total 2,000.00
Billed
Current Billed 0.00
Stratford Place N. of 106th Street Design /Permitting
Contract Amount 5,000.00
Percent Complete 100.00
Total 5,000.00
Billed
Current Billed 0.00
Stratford Place N. of 106th Street Bidding
Contract Amount 1,000.00
Percent Complete 100.00
Total 1,000.00
Billed
Current Billed 0.00
Stratford Place N. of 106th Street Construction Admin.
Contract Amount 2,500.00
Percent Complete 30.00
Total 750.00
Billed
Current Billed 750.00
106th Place N. of 106th Street Survey
Contract Amount 2,000.00
Percent Complete 100.00
Total 2,000.00
Billed
Current Billed 0.00
106th Place N. of 106th Street Design /Permitting
Contract Amount 5,000.00
Percent Complete 100.00
Total 5,000.00
Billed
Current Billed 0.00
106th Place N. of 106th Street Bidding
Contract Amount 1,000.00
Percent Complete 100.00
Total 1,000.00
Billed
Current Billed 0.00
106th Place N. of 106th Street Construction Admin.
Contract Amount 2,500.00
Percent Complete 50.00
Total 1,250.00
Billed
Current Billed 750.00
Total 2,250.00
City of Carmel Invoice number 10799 Invoice date 11/30/2010
Page 2 of 3
City of Carmel Invoice number 10799
Project HAVERSTICK DRAINAGE IMPROVEMENTS Date 11/30/2010
Invoice total 2,250.00
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Prescribed by State 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
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))
11/30/1 10796 Haverstick Drainage Design 1 $2,700.00
11/30/10 10799 Haverstick Drainage Design II $2,250.00
r'
Total
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. el
20 $4,950.00
Clerk- Treasurer
20
m $4,950.00
rs
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
r
PO# or
DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I 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
1 Z�'Z -O 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund