163413 09/03/2008 CITY OF CARMEL, INDIANA VENn Page 1 of 1
j 0 ei ONE CIVIC SQUARE RATION
CARMEL, INDIANA 46032 CHECK AMOUNT: $157,735.00
CHECK NUMBER: 163413
CHECK DATE: 9/3/2008
a. r 1
DEPA ACCOUNT S DESCRIPTION
Z02 4 4 6_O.RQ -r ci `,�Q� MOTOR COURT /RAMP CONS
902 1`` SW BLOCK OF MAIN /RANG.
i
Corporate Sr Institutional Services
any,
OIL IT P; General Contractors
Construction Managers
INVOICE
SOLD TO: INVOICE NUMBER 2007
Carmel Redevelopment Commission INVOICE DATE 06/30/08
111 W. Main Street, Ste. 140 PURCHASE ORDER NUMBER 16253
Carmel, IN 46032 TERMS upon receipt
Attention: Matt Worthley JOB NUMBER 208013
DESCRIPTION AMOUNT
Parcel 62 Parking and Drainage Improvements
General Conditions 9,100.00
Staking and Survey 2,500.00
Site Demolition and Excavation 18,487.00
Storm Sewer System/Fire Hydrant 31,715.00
Landscape Planting, Mulch, Stone 2,016.00
Concrete Pads and Stoops 3,349.00
Rework Wood Deck 928.00
(4) New Pipe Ballards and Parking 1,200.00
OH P 10,000.00
Contingency 5,000.00
SUBTOTAL 84,295.00
84,295.00
Questions concerning this invoice? Please make check payable to: Pay This
Call (317)262 -4999 Stenz Construction Corporation Amount
429 North Pennsylvania Street
Indianapolis, Indiana 46204
Telephone: 317.262.4999
Facsimile: 317.262.4992
Website: www,stenzcorp.com
f
AFFIDAVIT AND WAIVER OF LIEN
a Final Partial 1XI Payment to Follow
State of Indiana, County of Marion SS:
Rebecca Sinders being duly sworn states that he /she is the CFO /Controller of
Name of Officer Title
Stenz Construction Corporation having contracted with Carmel Redevelopment Commission
Const. Mgr. /Contractor Subcontractor /Owner
to furnish certain materials and /or labor as follows: Parking and Drainage Improvements
Description
for a project known as Parcel 62
located at 30 W. Main Street, Carmel, Indiana and owned by Carmel Redevelopment Commission
and does hereby further state on behalf of the aforementioned subcontractor /supplier:
(PARTIAL WAIVER) that there is due from the contractor the sum of
Dollars
F1 Receipt of which is hereby acknowledged, or
the payment of which has been promised as the sole consideration of this Affidavit and Partial
Waiver of Lien, which is given soley with respect to said amount, and which waiver shall be
effective only upon receipt of payment thereof by the undersigned.
(FINAL WAIVER) that the final balance due from the contractor is the sum of
Eighty -Four Thousand Two Hundred Ninety -Five dollars and 00 /100 Dollars 84 f 295.00
Receipt of which is hereby acknowledged, or
the payment of which has been promised as the sole consideration for this Affidavit and Final
Waiver of Lien which shall become effective upon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the owner of said premises, any and all lien or claim
whatsoever on the above described property and improvements thereon on account of LABOR or material or both,
furnished by the undersigned thereto, subject to imitations or conditions expressed herein, if any; and further certifies that
no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned
for said project, and within the scope of this affidavit and w n e
Stenz Construction Corporation BY Title CFO /Controller
Firm o i d Representative
WITNESS MY HAND AND NOTARIAL SEAL, this day of �U
My Commission Expires 1 2615
otary Public
Residing in J v J b'� C nnnty Printed C
SIT z 767
Pax
NO' a F�nm General Contractors
So p h n �c w f' Constructlon Managers
G"jueP
pRx S
phoo
FA INVOICE
SOLD TO: INVOICE NUMBER 19811
Carmel Redevelopment Commission INVOICE DATE 06/30108
111 W. Main Street, Ste. 140 PURCHASE ORDER NUMBER
Carmel, IN 46032 TERMS u on receipt
Attention: Matt Worthley JOB NUMBER 208007
DESCRIPTION AMOUNT
Parcel 85 North Lot 73,440.00
See Enclosure
Due 15 days of SUBTOTAL, 73,440.00
73,440,00
Questions concerning this invoice? Please make check payable to: Pay This
Call (317)262 -4999 Stenz Construction Corporation Amount
429 North Pennsylvania Street
Indianapolis, Indiana 46204
Telephone: 31 7.262.4-999
Fa cs I m i le: 317.262, 4992
Website: www.stenzcorp.com
STENZ CONSTRUCTION CORPORATION ARAIARPT PAGE 1
AIA DOCUMENT
APPLICATION AND CERTIFICATE FOR PAYMENT
TO (OWNER): 111 W. MAIN STREET, SUITE 140 PROJECT: NORTH LOT PARCEL 85 APPLICATION NO: 1 DISTRIBUTION TO:
CARMEL, IN 46032 OWNER
PERIOD TO: 06/30/08 ARCHITECT
CONTRACTOR
FROM (CONTRACTOR): STENZ CONSTRUCTION CORP VIA (ARCHITECT): ARCHITECT'S
429 N. PENNSYLVANIA STREET PROJECT NO:
INDIANAPOLIS, IN. 46204
CONTRACT FOR: CONTRACT DATE:
Application is made for Payment, as shown below, in connection
Changes approved with the Contract. Continuation Sheet, AIA Document G703
in previous months: ADDITIONS DEDUCTIONS is attached.
TOTAL 0.00 0.00 ORIGINAL CONTRACT SUM 90,233.00
Approved this Month: Net change by Change Orders 0.00
No. Date Approved
0.00 0.00 CONTRACT SUM TO DATE 90,233.00
TOTAL COMPLETED STORED TO DATE 73,440.00
RETAINAGE 0.00
TOTAL EARNED LESS RETAINAGE 73,440.00
TOTALS 0.00 0.00 LESS PREVIOUS CERTIFICATES FOR PAYMENT 0.00
Net Change By Change Orders 0.00 CURRENT PAYMENT DUE 73,440.00
The undersigned Contractor certifies that to the best of the BALANCE TO FINISH, INCLUDING RETAINAGE 16,793.00
Contractor's knowledge, information and belief the Work
covered by this Application for Payment has been completed in
accordance with the Contract Documents, that all amounts have
been paid by the Contractor for work for which previous Cert-
ificates for Payment were issued and payments received from State of: INDIANA County of: MARION ;yy�
the Owner, and that current payment shown herein is now due. Subscribed and worn before me this day of Al C
Notary Public:
CONTRACTOR: STENZ CONSTRUCTION CORPORATION My Commission exp' es: I'�I2101r
429 N. PENNSYLVANIA STREET, ANAPOLIS, IN. 46204
—7
By: w Date: a
REBECCA SINDERS, VICE PRESIDENT
ARCHITECT'S CERTIFICATE FOR PAYMENT AMOUNT CERTIFIED
In accordance with the Contract Documents, based on on -site
observations and the data comprising the above application, ARCHITECT:
the Architect certifies to the Owner that to the best of the
Architect's knowledge, information and belief the Work has BY: DATE:
progressed as indicated, the quality of the work is in This Certificate is not negotiable. The AMOUNT CERTIFIED is
accordance with the Contract Documents, and the Contractor payable only to the Contractor named herein. Issuance,
is entitled to payment of the AMOUNT CERTIFIED. payment and acceptance of payment are without prejudice to
any rights of the Owner or Contractor under this Contract.
STENZ CONSTRUCTION CORPORATION ARAIARPT PAGE 2
AIA DOCUMENT
APPLICATION AND CERTIFICATE FOR PAYMENT
TO (OWNER): 111 W. MAIN STREET, SUITE 140 PROJECT: NORTH LOT PARCEL 65 APPLICATION NO: 1 DISTRIBUTION TO:
CARMEL, IN 46032 OWNER
PERIOD TO: 06/30/08 ARCHITECT
CONTRACTOR
FROM (CONTRACTOR): STENZ CONSTRUCTION CORP VIA (ARCHITECT): ARCHITECT'S
429 N. PENNSYLVANIA STREET PROJECT NO:
INDIANAPOLIS, IN. 46204
CONTRACT FOR: CONTRACT DATE:
SCHEDULE PREVIOUS COMPLETED STORED COMPLETED
ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED BALANCE RETAINAGE
1 GENERAL CONDITIONS 9,500.00 0.00 9,000.00 0.00 9,000.00 94.74 500.00 0.00
2 LAYOUT /STAKING 2,000.00 0.00 2,000.00 0.00 2,000.00 100.00 0.00 0.00
3 DEMOLITION /GRADING 22,841.00 0.00 21,000.00 0.00 21,000.00 91.94 1,841.00 0.00
4 LANDSCAPING 3,220.00 0.00 2,000.00 0.00 2,000.00 62.11 1,220.00 0.00
5 ASPHALT STONE 23,464.00 0.00 12,500.00 0.00 12,500.00 53.27 10,964.00 0.00
6 CONCRETE 17,940.00 0.00 17,940.00 0.00 17,940.00 100.00 0.00 0.00
7 JOINT SEALANTS 501.00 0.00 0.00 0.00 0.00 0.00 501.00 0.00
8 STAIR RAIL 1,200.00 0.00 0.00 0.00 0.00 0.00 1,200.00 0.00
9 CONTINGENCY 1,500.00 0.00 1,500.00 0.00 1,500.00 100.00 0.00 0.00
10 OVERHEAD /PROFIT 8,067.00 0.00 7,500.00 0.00 7,500.00 92.97 567.00 0.00
REPORT TOTALS 90,233.00 73,440.00 73,440.00 16,793.00
0.00 0.00 81.39 0.00
AFFIDAVIT AND WAIVER OF LIEN
F] Final rx Partial r Payment to Follow
State of Indiana, County of Marion SS:
Rebecca Sinders being duly sworn states that he /she is the CFO /Controller of
Name of Officer Title
Stenz Construction Corporation having contracted with Carmel Redevelopment Commission
Const. Mge. /Contractor Subcontractor /Owner
to furnish certain materials and /or labor as follows: Sitework
Description
for a project known as North Lot Parcel 85
located at 30 W. Main Street, Carmel, Indiana and owned by Carmel Redevelopment Commission
and does hereby further state on behalf of the aforementioned subcontractor /supplier:
(PARTIAL WAIVER) that there is due from the contractor the sum of
Seventy -Three Thousand Four Hundred Forty dollars and 00 /100 Dollars
Receipt of which is hereby acknowledged, or
the payment of which has been promised as the sole consideration of this Affidavit and Partial
Waiver of Lien, which is given soley with respect to said amount, and which waiver shall be
effective only upon receipt of payment thereof by the undersigned.
(FINAL WAIVER) that the final balance due from the contractor is the sum of
Dollars
Receipt of which is hereby acknowledged, or
the payment of which has been promised as the sole consideration for this Affidavit and Final
Waiver of Lien which shall become effective upon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the owner of said premises, any and all lien or claim
whatsoever on the above- described property and improvements thereon on account of LABOR or material or both,
furnished by the undersigned thereto, subject to imitations or conditions expressed herein, if any; and further certifies that
no other. party has any claim or right to a lien on account of any work performed mat lal furnished to the undersigned
for said project, and within the scope of this affidavit and w Iv
Stenz Construction Corporation BY Title CFO /Contrcl.Ler
thorized Representative
Firm
WITNESS MY HAND AND NOTARIAL SEAL, this day of 2v
My Commission Expires 1 11 2015
Notary Pu lic
Residin in County Panted r l e,
Prescribed _n 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
S z C O AF�_,A �o_, ��n�.G t �a� Purchase Order No.
tfZ AJ P2 ,IJii S�uf Terms
4 gpA`•.r A/ `-f�7_o Date Due
Invoice Invoice Description Amount
Date Number (or note attached in voice(s) or bill(s))
(0 30 G R 7 00 7 Pa l
3o f log t It 8S' te- lS '7 3 4�fy.
Total 733 °O
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
3
VOUCHER NO. WARRANT NO.
ALLOWED 20
!4e.,7 Co ..rM�+��+o.. �c- Fa.c_��a.. IN SUM OF
PRO IATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
O Z Zoo 4Y(aa X34 ZI—S bill(s) is (are) true and correct and that the
4Ceo $S" 7 3 a materials or services itemized thereon for
which charge is made were ordered and
received except
200
Signat ree
Cost distribution ledger classification if e
claim paid motor vehicle highway fund