HomeMy WebLinkAbout197292 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 360656 Page 1 of 1
c{q* ONE CIVIC SQUARE M D S TECHNOLOGIES INC
CARMEL, INDIANA 46032 350 S NORTHWEST HWY CHECK AMOUNT: $9,255.00
SUITE 300 CHECK NUMBER: 197292
PARK RIDGE IL 60068
CHECK DATE: 5/1112011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
2201 4350900 110210 2,250.00 OTHER CONT SERVICES
2201 R4350900 21463 110210 7,005.00 PAVEMENT MGT
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
4/22/2011 110210
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
Additional Service Amendment 1
P.O. 21463
March 22, 2010 to April 22, 2011
Terms: Net 30 Days
Task Percent Earned Previous Net This
Project Tasks Value Complete To Date Invoice Invoice
Project Initiation $750.00 100% $750.00 $750.00 $0.00
Prepare for Fieldwork $1,800.00 100% $1,800.00 $1,800.00 $0.00
Field Work $11,500.00 100% $11,500.00 $11,500.00 $0.00
Pavement Condition Evaluation $14,900.00 100% $14,900.00 $8,195.00 $6,705.00
Upload Data and Calculate OCI Score $4,500.00 100% $4,500.00 $2,475.00 $2,025.00
Review Data and Provide to City $525.00 100% $525.00 $0.00 $525.00
TOTALS: $33,975.00 100% $33,975.00 $24,720.00 $9,255.00
Total This Invoice: $9,255.00
Unpaid from Previous Invoices: $0.00
Balance Due: $9,255.00
VOUCHER NO. WA NO.
ALLOWED 20
MDS Technologies o
IN SUM OF
350 S. Northwest Highway Suite 300
Park Ridge, IL 60068
$9,255.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Member
21463 110210 43- 509.00 $7,005.00 1 hereby certify that the attached invoice(s), or
2201 110210 43- 509.00 $2,250.00 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
Thursda� l�a �r) r-, �11
Street Gari i�itr
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, 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))
04122/11 110210 $7,005.00
04/22/11 110210 $2,250.00
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