HomeMy WebLinkAbout198157 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365399 Page 1 of 1
ONE CIVIC SQUARE INSITUFORM TECHNOLOGIES USA INC
CHECK AMOUNT: $30,734.21
�4 /�o CARMEL, INDIANA 46032 ATTN: BOX 674060
oN 4400AMON CARTER BLVD, SUITE 110 CHECK NUMBER: 198157
FT WORTH TX 76155
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 647864 30,734.21 OTHER EXPENSES
Attm John Duffy JINVOICE
TO: City of Carmel,IN Make Checks Pa able to:
Carmel Utilities INSITUFORM TECHNOLOGIES USA, INC
760 Third Avenue SW Suite 110 Please Remit Payment to LOCK BOX
Payment Application: One
Carmel,IN 46032 BBVA Comp ass Bank Platform Po s12058
Phone 317 571.2451 Insituform.Technologies
Attn: Eric Haenlein Attn: Box 674060 JOB 126294
TO: Wessler En !near 4400 Amon Carter Blvd., SUite 110 Wessler Job 91104.03.01
6219 S. East Street Ft. Worth Texas 76155 Work period: 417!2011 4/8/2011
Indianapolis IN 46227 INDY Office 317 -489 -3867 Direct A plication Date: 4/812011
Phone 317- 788 -4551
Pro ject Carlin-Keystone Sewer Rehabilitation
Carmel IN 46032
ITEM CONTRACT COMPLETED THIS PERIOD COMPLETED -TO -DATE
NO DESCRIPTION QUANTITY H UNIT PRICE QUANTITY AMOUNT QUANTITY AMOUNT
1 8" Insituform® CIPP s 1200 LF 24.80 LF1 1 1164 LF 97 28 887.20 1164 LF 28,867.20
2 Lateral Reinstatment 10 EAFF 245.50 EA 10 EA 100 2 10 EA 2,455.00
3 Undistributed Protruding Tap Removal 5 EA 257.40 EA 4 EA 8080% 1 4 EA 1 029.60
4 Undistributed Sanda Sewer CCTV 100 LF1 2.90 LF 0 LF 0% 0.00 0 LF 0.00
5 Undistributed 10" CIPP Lining 100 LF 62.70 LF 0 LF F1 0 0.00 0 LF 0.00
EARNED THIS PERIOD: $32,351.80 1 EARNED TO DATE: 132
CONTRACT SUMMARY Month Gross $32 351.80 Less: Retainage 5% 1,617.59
Month Retention $11.617.59
Total Contract Earned 32 351.80 Month Open $30 I Previous Invoices 0.00
Less Retainage 1,617.59
Customer# S12058 Other
Add:
Attention John Duffy I Total Deductions from
Less: Earned to Date 1 617.59
cc: DeAnn B e ry
Net Amount Due: $30
AMOUNT DUE
Paid to Date: 0.00 THIS ESTIMATE: $30 734.21
TOTAL DUE: 30 73421
If there are any questions re garding this payment application, p lease
AMOUNT PAST DUE: $0.00 contact Alex Share at 317 -489 -3867 office 317 281 -3767 mobil
Electronic Ptmds Tr. nsfer lnforruation EFT
80VA Com ass
For Overnight payments SOfiO NorIL Central Expressway Prepared lb
Onllns'rexas,'I Ale Share ana, P
Insituform Technologies USA, Inc. PorA11 1907445 Insituform Technolog USA, Inc.
Attn: Box 674060 For Fed. Wire:111907445
4400 Amon Carter Blvd., Suite 110 Swift Code: CPASUS44 A roved by:
Ft. Worth ,Texas 76155 113enficiary: Insituform Technotogies Inc.
Account No: 2520837755
"`s ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item 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
19
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and c rect and I have audited same in accordance
with IC 5- 11- 10 -1.6.
19
Officer Title
,o. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
�NITATION DEPARTMENT A CC.
NOT
CARMEL, INDIANA
_Favor Of 1
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Total Amount of Voucher
Deductions
1' 6 7
0
Amount of Warrant
Month of 19
VOUCHER RECORD Acct. No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1 -800 -382 -8702 325