HomeMy WebLinkAbout155962 01/23/2008 1 CITY OF CARMEL, INDIANA VENDOR: 356231 Page 1 of 1
ONE CIVIC SQUARE YARDBERRY LANDSCAPING 8, EXCAVAT�N�
CARMEL, INDIANA 46032 9940 SOUTH 100 WEST CHECK AMOUNT: $66,225.64
ANDERSON IN 46017 CHECK NUMBER: 155962
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
G06 R4462300 16845 6331 -AA 29,479.50 DRAINAGE PROJECT
206 R4462300 16845 6339 -AA 36,746.14 DRAINAGE PROJECT
'r
Document G702" —1992
Application and Certificate fiorPayment L
TO OWKER: PROJECT: APMCATKZ�3T V0 A- AEVIS co Dgfrihution to:
C,-rj of L,MF —Mee n l�ATU'1r�- \J, PEERIODTO la- r7 -o7 ox�tp
®nl Crv LT A -L I l Q 2-m6 L t I M P"'iC CONTRACT F0)t
ARC}-IITECT:
FROM V1A CONTRACT DACE:
PROSECf N05: COtTTRACTCR:
g O Q2� q �Ib SC Pr✓ _y C CL ARCHITECT 1/�r FAD:
qqyQ S 1 000 rfha -.$Cj, I� vR-OSS \OFD C�NE7ln�EE(LS
OTHER-[3
CONTRACT'OR'S APPLICATION FOR PAYMENT The undersi Cbafrartzx certifics Vial to die beg of the Cis Imou�� irrformatiwn
and behd the Rork cov=md by skis "PLx -Tim far Paym= has been Maud in aooardmoc
AppEct ion is madc for pa} as thovm bdow, in 000nc:Yion alth the Couft acL with the Contract Doaunbni that aLl amc=fs haee bean paid by the Comm I for Work for
Shed, ALA Documad G703, is amwled. st'hich pmiaas Cantles for and pa) tcom cd from the Ow=, and
1.ORnNAL COWRACT SUM S 193 5-15 0 0 that cmzmc payment shown effi is D >W due.
2. Net change by Change Orders S O.Oo CONTRACT
3. CONTRACT SUM TO DATE (line I d z>._...— s I`I 3, 54S oo By.
l TOTAL COWL= 6 STORED TO DATE (Cclu G on C703) S -14 G C St= of:
5. RETAXAGE: comaty of
L O of Compie¢d Work Subscribed and swam to befom
(Column D E ou G703) S I i a this �t day of
b. Q of Std Material
(Column F on 6703) S 0.O Notary Public
Total R cudaige fl..mes 52 +5b or Total to Coh=1 of (703)_ S I j, C1 A?+• O my Ca=li� -Firm 14
5 TOTAL EARXED LESS TETAIRAGE s lc`l� �o ARCHITECT'S CERTIFICATE FOR PAYMENT
(Lent 4 Leis Linc 5 Total) In zmardmct with the Cawnwa. Doerr: =sus based on cn -site ohsrnariom and the d= oosptaing
7. LESS PREVMS CERTF=TES FOR PAYWEN7 S �D this zpplkanm, the AuJulca mtihrs to the Gumm th2t to the best of the Arliited't knoaiedgr,
(lint b from pasta Crsl ficatr) mfonn3d= and belief the Wank hoc prog� as Ei&cm r the quality of the Wow is is
aocacda= mth the Contra Docm,i-mts, and the Cnaurctra is er -mled to payment of the
CURRENT PAYMElT D LEE S 3rj S a AMOUNT CERTIFIED-
1 RALANCE TO 0KL.UUDKG RfTAKACrE gr ay 3. AvoM CSC S Z9 79. $O
(Line 3 Lc-is I-Ir>e 6) S (Arlarh e>plmrar if a==..2 crrt4ied differs frost the mmrot! c7pha &ma7 all fWares on this
Apptiocuicu+ and on Cerrpruano S irei drat ate changed m mo brss ttuh the aarosvrt ccn#L
CRA NGE ORDER SUMMIZY ADDTIIONS DEDIJMO.*I5
oat cbzngm 2pprovrd in pritvious modhs by 0-%mcr S 0 S 0.00 By- ti Date O otA rd 6s Stoadi S Q 0 p S O. 00 TOTALS S 0. OU' 1 0-00 This Ccrdfc t is not Tlk: AMOUNT CERTIFLED b M y to ta
tztmad bexzm hzmann payn=m and atc:cptancc of pa3mvn ae wirhDOt prrjudxc to arty wits of
NET CHAN= by Changr Order I S 0-00: the Oaaer or Caatrb=vndes this 01 ::rod
ALA Damancrf G7M 1992. copyright 01 S 32 and 1992 by TN4 A tra8� of Amttedc AN rl" res. red. WAFT MO: Tats 91A' D oar.:>e. a a try us. o3 PI7PgN LEE a--,I
cn 7rea Un=r d rrpro,:re25on cc dtst M"Lal of thN AW Dcara>eret, a aM porCon of tk mny vesLft Las v CN3 srd cr1mLaat penrabes,"wM ba prosect=ed to Me a --1t=M
eY,¢rt poss t uc :�w the tarn. 7Ya d3umv t was fired L7 ASS soscare as 0975i_19 an 05M-2005 trxer the trial D001212, vdhd e3virm on 6/L WS, and Is rsi for resa%-
tber Hot— ff 763
CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF2
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER:
Contractor's signed Certification is attached. APPLICATION DATE:
In tabulations below, amounts are stated to the nearest dollar. ARCHITECTS PROJECT NO:
Use Column I on Contracts where variable retainage for line items may apply.
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED THIS PERIOD MATERIALS TOTAL (G C) BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS PRESENTLY COMPLETED 100% TO FINISH
APPLICATION STORED AND STORED (C G)
(D E) NOT IN TO DATE
DORE D +E +F
1 Construction Engineering $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00
2 Mobilization Demobilization $8,000.00 $4,000.00 $1,500.00 $0.00 $5,500.00 70% $2,500.00
3 Maintenance of Traffic $5,000.00 $1,500.00 $1,000.00 $0.00 $2,500.00 50% $2,500.00
4 Clearing Right of Way $7,800.00 $3,500.00 $0.00 $0.00 $3,500.00 45% $4,300.00
5 Utility Exploration and Relocation $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 100% $0.00
6 Ditch Grading $20,052.00 $0.00 $12,000.00 $0.00 $12,000.00 60% $8,052.00
7 Drive Culvert Cleaning $1,075.00 $0.00 $1,075.00 $0.00 $1,075.00 100% $0.00
8 Core Existing Structure $750.00 $750.00 $0.00 $0.00 $750.00 100% $0.00
9 12" CMP $44,039.00 $44,039.00 $0.00 $0.00 $44,039.00 100% $0.00
10 12" 22.5 deg. CMP Bend $1,100.00 $1,100.00 $0.00 $0.00 $1,100.00 100% $0.00
11 18" RCP $4,680.00 $0.00 $0.00 $0.00 $0.00 0% $4,680.00
12 21" RCP $5,184.00 $0.00 $0.00 $0.00 $0.00 0% $5,184.00
13 18" Concrete Pipe End Section $5,040.00 $0.00 $0.00 $0.00 $0.00 0% $5,040.00
14 21" Concrete Pipe End Section $5,880.00 $0.00 $0.00 $0.00 $0.00 0% $5,880.00
15 Inlet, E -7 $24,750.00 $24,750.00 $0.00 $0.00 $24,750.00 100% $0.00
16 B- Borrow for Structure Backfill $4,320.00 $2,400.00 $0.00 $0.00 $2,400.00 60% $1,920.00
17 Paved Side Ditch $5,520.00 $0.00 $0.00 $0.00 $0.00 0% $5,520.00
18 HMA Surface, 9.5 mm $1,690.00 $0.00 $1,000.00 $0.00 $1,000.00 70% $690.00
19 HMA Intermediate, 19.0 mm $2,160.00 $0.00 $1,160.00 $0.00 $1,160.00 55% $1,000.00
20 PCCP for Driveways 6" $770.00 $0.00 $770.00 $0.00 $770.00 100% $0.00
21 Concrete for Street Cut Repair, Depth 12" $4,500.00 $0.00 $4,150.00 $0.00 $4,150.00 95% $350.00
22 Flowable Fill for Street Cut Repair $4,400.00 $1,430.00 $0.00 $0.00 $1,430.00 32% $2,970.00
23 Compacted Aggregate, No 53 Base $1,820.00 $0.00 $850.00 $0.00 $850.00 45% $970.00
24 Rip Rap, Revetment $5,250.00 $0.00 $0.00 $0.00 $0.00 0% $5,250.00
25 Drop Fabric Inlet Protection $2,250.00 $0.00 $2,250.00 $0.00 $2,250.00 100% $0.00
26 Temporary Rock Check Dam $1,400.00 $0.00 $0.00 $0.00 $0.00 0% $1,400.00
27 Temporary Silt Fence $1,440.00 $0.00 $0.00 $0.00 $0.00 0% $1,400.00
28 Erosion Control Blanket wl Mulched Seeding $12,045.00 $0.00 $7,000.00 $0.00 $7,000.00 65% $5,045.00
29 Sidewalk Repair, Concrete 4" (Undistributed) $4,770.00 $0.00 $0.00 $0.00 $0.00 0% $4,770.00
30 Tree Removal, 3 in. (Undistributed) $400.00 $0.00 $0.00 $0.00 $0.00 0% $400.00
31 Tree Removal, 12 in. (Undistributed) $1,500.00 $0.00 $0.00 $0.00 $0.00 0% $1,500.00
32 Tree Removal, 24 in. Undistributed $3,000.00 $0.00 $0.001 $0.00 $0.00 0% $3
$193,545.00 1 $86,469.001 $32,755.001 1 $74,321.00
AIA DOCUMENT G703'APPLICATION AND CERTIFICATE FOR PAYMENT*MAY 1983 EDITION`AIA" 1983
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE,N.W.,WASHINGTON, D.C. 2006 G703 -1983
Yardberry Landscape Excavating Invoice
9940 South 1000 West
Date Invoice
Anderson, IN 46017
12/6/2007 6331 -AA
Bill To I vo
Q.
CITY OF CARMEL CARMEL VIEW DRAINAGE IM
V)
Description Amount
APPLICATION FOR PAYMENT #2 29,479.50
THANK YOU FOR YOUR BUSINESS
Total $29,479.50
C
Document 6702" —1992 DORIG
Applicai5on and Certificate for Payment
m OWN R. PROJECT: APMCATION Fjo: 3
C. 5 or- C I Z-mck- w C v �'�K D bihu�an to:
C t t_,rt 1 f} t a a tr PERIOD TO:
l t (lv Q c-^ eN T s CONTRACT FOY.`- ARCHnCT: D
FRDM IA CONTRACT DAZ `E: C URACTOR: D
CONTRACTOR Lq,��Scaf �'KC 'UZ0UTE.U: PROJECT NOS
�4a DB�tZ' I c fZOSS �n)�'1i ^f R S FAD: Q
9q 40 S 1 000 v) �}„lD�kso„� I rJ onm;L D
CONTRACTOR'S APPLICATION FOR PA`nAENT TI= certifics ilex to die bt of the cwt >urwied.-r.
snd bchd 6c Wmt cowed by [his l.pplicmt on far Paym= has bacn mmplemd is »ooidmoe
Apptieanon is made for pa}==n, as shotm blow, m crffm 2 ion alih the CoatYau. with the Canaan Docan=rs, that aB amaonts ham-c beea paid by the Conan for Work foe
Shan, AiA Dock 6703, is attached. vktirb pr iam Cates for Pa)mecd are issuad and Mm mu rnccned fr= the Ow=, and
1.ORWiAL COKIRACT SUM S 1 cA 3, 51 5. Lt O that ---I payn-a sh,o herein is nc w dnt.
2 Net change by Change Orders S do, 3L I O`{ CO
3. CONTRACT SUM TO DATE (lint 1 f 2)._.- ,R t 3, 9L By tale: i 14 0�
C TOTAL COWLEM 6 STORM TO DATE (C:alm G on C.703) S I (,0, 0S 3. C S WAT
5. RETAINAM- Cm ft. mty o A i
L IC of Cwpi=d work SabsaibCd and SW= to bcfOM
(Cch= D E on G733) S iG, 00 5.3p me.this, Ttt dy.1 �r���aay, a008
b 0 of Storm Matcrial I jL L✓
O 1 d1C,Uxf
(Coh= F on G703) S 0 .00 Notary Public
Tout Rccxin e f lines 52 5b or Total in Ca1a=1 of Cii 103 S Ito p05. 3 L) M3' C -F—L
Ea. TDTA1EATNID LESS RETAINAGE S IL44 0 y.1 ARCHITECT'S CERnFICATE FOR PAYMENT
(Lint 4 Less Lime 5 Total) In amcm with ibt Co== Do=)cn based on an-she obsatiaios and the data aou g
7. LESS PREVIOUS CERTFMTES FOR PAYMENT S 0 q 01 -(,O this Mlic Ile Archked o atifia r9 the ORna that to the best of the Archimal•s knau ledgr,
(line 6 from pnoar CaLscatc) mformatim and betief the Wad has proms as ia� rated, the gaatuy of the Work is m
with the Contract Domnscros and the Coa¢ra= is ecmkd to pa)mx= of the
R CURRENT PAYMENT D[I£ ;3( l,.iq 4 A1,10ITTTCERTITTED_
9. BALANCE TO FNMT INCLUDING RETAKAGE
(Tine 3 less Lmc 6) S i, 9 I 5 30 (Aaach e3pZ= wn rf a== rxrrified di, ffers from the wwwa appbed buLul all figures ova thus
AppUacdm and on dic Cormarratlon Shirrs d zu are ch= j ad w =4brm wah the aaaormr ccmi ie&)
`CiE ORDOZ SU191ARY ATIDTi1ONS DEDIX ROANS ARCfT<T
oW d=rm qyirox m previous months by O mcf S L0 1 C4 S 0.00 By Dxr-
otzl rd this Monte S 0 Ct S Oa This C=d5care is not neg otiable. The ANIOUM CERTIF® is payable only to (be Cana wmm
TOTALS S p 3V I, 0�. S 00 named heu Ltmance, Palm= tad 4 of M=int t= Rahom prrjudicc tc> nay tights of
T- CHANGES by Ctxnor Or3cr S &217 3:✓L PF d" 0, or Car this Oc:,nad
AAA D=a eft G=rm 1 .442. C. oprright O 1932 and 1992 by T1v /madcap 6a2iat d A Ai riou reswwe& VVAF1?M;ti This AtA' Docu^tertl ('I pro..-ard by LLS. GJ, T ?gN tsar zL'M
ht!ma=mas Tra"_es. Ursa— reprp.tn n Of dt3. ct VL•.s AW occumwit cr try porton of ti, r=..ey rest? to s--r -e etv9 and cr pw `-i M -4 ts9 ba prosecL=cd to the r --m r
ext t poss;[ uc :�u the tan nz cbnmmca >vas mad by AIA max re ac 0929 an 0,5.7 =055 rrdei ordis f8a1 DD0121246 2 Wd df e3# en Ni121105. and is nU for resad>_
User N&J= K 2&avZ3)
CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER:
Contractor's signed Certification is attached. APPLICATION DATE:
In tabulations below, amounts are stated to the nearest dollar. ARCHITECTS PROJECT NO:
Use Column I on Contracts where variable retainage for line items may apply.
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED THIS PERIOD MATERIALS TOTAL (G C) BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS PRESENTLY COMPLETED 100% TO FINISH
APPLICATION STORED AND STORED (C G)
(D E) NOT IN TO DATE
DORE D +E +F
1 Construction Engineering $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00
2 Mobilization Demobilization $8,000.00 $5,500.00 $1,000.00 $0.00 $6,500.00 85% $1,500.00
3 Maintenance of Traffic $5,000.00 $2,500.00 $1,500.00 $0.00 $4,000.00 90% $1,000.00
4 Clearing Right of Way $7,800.00 $3,500.00 $3,500.00 $0.00 $7,000.00 90% $800.00
5 Utility Exploration and Relocation $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 100% $0.00
6 Ditch Grading $20,052.00 $12,000.00 $0.00 $0.00 $12,000.00 60% $8,052.00
7 Drive Culvert Cleaning $1,075.00 $1,075.00 $0.00 $0.00 $1,075.00 100% $0.00
8 Core Existing Structure $750.00 $750.00 $0.00 $0.00 $750.00 100% $0.00
9 12" CMP $44,039.00 $44,039.00 $0.00 $0.00 $44,039.00 100% $0.00
10 12" 22.5 deg. CMP Bend $1,100.00 $1,100.00 $0.00 $0.00 $1,100.00 100% $0.00
11 18" RCP $4,680.00 $0.00 $4,680.00 $0.00 $4,680.00 100% $0.00
12 21" RCP $5,184.00 $0.00 $1,728.00 $0.00 $1,728.00 30% $3,456.00
13 18" Concrete Pipe End Section $5,040.00 $0.00 $2,520.00 $0.00 $2,520.00 50% $2,520.00
14 21" Concrete Pipe End Section $5,880.00 $0.00 $1,960.00 $0.00 $1,960.00 30% $3,920.00
15 Inlet, E -7 $24,750.00 $24,750.00 $0.00 $0.00 $24,750.00 100% $0.00
16 B- Borrow for Structure Backfill $4,320.00 $2,400.00 $1,920.00 $0.00 $4,320.00 100% $0.00
17 Paved Side Ditch $5,520.00 $0.00 $0.00 $0.00 $0.00 0% $5,520.00
18 HMA Surface, 9.5 mm $1,690.00 $1,000.00 $690.00 $0.00 $1,690.00 100% $0.00
19 HMA Intermediate, 19.0 mm $2,160.00 $1,160.00 $0.00 $0.00 $1,160.00 55% $1,000.00
20 PCCP for Driveways 6" $770.00 $0.00 $770.00 $0.00 $770.00 100% $0.00
21 Concrete for Street Cut Repair, Depth 12" $4,500.00 $4,150.00 $0.00 $0.00 $4,150.00 95% $350.00
22 Flowable Fill for Street Cut Repair $4,400.00 $1,430.00 $0.00 $0.00 $1,430.00 32% $2,970.00
23 Compacted Aggregate, No 53 Base $1,820.00 $850.00 $970.00 $0.00 $1,820.00 100% $0.00
24 Rip Rap, Revetment $5,250.00 $0.00 $0.00 $0.00 $0.00 0% $5,250.00
25 Drop Fabric Inlet Protection $2,250.00 $2,250.00 $0.00 $0.00 $2,250.00 100% $0.00
26 Temporary Rock Check Dam $1,400.00 $0.00 $0.00 $0.00 $0.00 0% $1,400.00
27 Temporary Silt Fence $1,440.00 $0.00 $0.00 $0.00 $0.00 0% $1,400.00
28 Erosion Control Blanket w/ Mulched Seeding $12,045.00 $7,000.00 $0.00 $0.00 $7,000.00 65% $5,045.00
29 Sidewalk Repair, Concrete 4" (Undistributed) $4,770.00 $0.00 $0.00 $0.00 $0.00 0% $4,770.00
30 Tree Removal, 3 in. (Undistributed) $400.00 $0.00 $0.00 $0.00 $0.00 0% $400.00
31 Tree Removal, 12 in. (Undistributed) $1,500.00 $0.00 $0.00 $0.00 $0.00 0% $1,500.00
32 Tree Removal, 24 in. Undistributed $3,000.00 $0.00 $0.00 $0.00 $0.00 0% $3,000.00
$193,545.00 $118,454.00 $21,238.00 $0.00 $139 692.001 1 $53,853.00
AIA DOCUMENT G703'APPLICATION AND CERTIFICATE FOR PAYMENT`MAY 1983 EDITION'AIA' 1983
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE,N.W „WASHINGTON, D.C. 2006 G703 -1983
CONTINUATION SHEET AIA DOCUMENT G703 PAGE 3 OF 3 PAGES
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER:
Contractor's signed Certification is attached. APPLICATION DATE:
In tabulations below, amounts are stated to the nearest dollar. ARCHITECTS PROJECT NO:
Use Column I on Contracts where variable retainage for line items may apply.
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED THIS PERIOD MATERIALS TOTAL (G C) BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS PRESENTLY COMPLETED 100% TO FINISH
APPLICATION STORED AND STORED (C G)
(D E) NOT IN TO DATE
DORE D +E +F
33 19 "x30" Oval RCP Pipe $4,991.04 $0.00 $4,991.04 $0.00 $4,991.04 100% $0.00
34 Extra 18" RCP Pipe $2,470.00 $0.00 $2,470.00 $0.00 $2,470.00 100% $0.00
35 19 "x30" Concrete End Sections 6 $10,800.00 $0.00 $10,800.00 $0.00 $10,800.00 100% $0.00
36 Type E Inlet 1 $2,100.00 $0.00 $2,100.00 $0.00 $2,100.00 100% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$0.00 $0.00 $0.00 $0.00 0% $0.00
$20361 04 $0.00 $20,361.04 $0.00 $20361 04 0%' $0.00
$213,906.04 $118,454.00 $41,599.04 $0.00 $160,053.04 $53,853.00
AIA DOCUMENT G703 "APPLICATION AND CERTIFICATE FOR PAYMENT`MAY 1983 EDITION'AIA' 1983
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W.,WASHINGTON, D.C. 2006 G703 -1983
Yardberry Landscape Excavating invoice
9940 South 1000 West O'Y 'O IAJ I f Date Invoice
Anderson, IN 46017 44. 1/14/2008 6339 -AA
Bill To
CITY OF CARMEL CARMEL VIEW DRAINAGE IMP
Description Amount
APPLICATION FOR PAYMENT #3 36,746.14
THANK YOU FOR YOUR BUSINESS
Total $36,746.14
ti 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
Yardberry Landscape Excavating
Purchase Order No.
9940 South 1000 West
Terms
Anderson, IN 46017
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/10/08 6331 -AA Carmel View Drainage Project (07 -05) $29,479.5
Pay App #2
1/15/08 6339 -AA Carmel View Drainage Project (07 -05) $36,746.1
Pay App #3
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
1
ALLOWED 20
-Ya-rd-berry Landscape Excavating IN SUM OF
9940 South 1000 West
Anderson, IN 46017
$66,225.64
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
7694'5 t5331 -AA CCS R4462300
materials or services itemized thereon for
Pay App IFI- which charge is made were ordered and
1 6845 16339-AA -=74=00 received except
Pay App
20Dg
ate
r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
