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Home My WebLink About156700 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 00351429 Page 1 of 1 ONE CIVIC SQUARE M.K. BETTS ENGINEERING INC CARMEL, INDIANA 46032 PO Box 2633 CHECK AMOUNT: $148,350.13 ANDERSON IN 46018 CHECK NUMBER: 156700 CHECK DATE: 2/2112008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 654 R5023990 S10726 4 3,106.13 CONSTRUCTION 654 .5023990 7 57,356.50 1050.79DPENSES 654 85023990 510655 7 87,887.50 SOLAR DRYING r APPLICATION AND CERTIFICATE FOR PAYMENT A/A DOCUMENT r 7 02 Instructions on reverse side) TO (OWNER): City of Carmel PROJECT: Blower/Electrical Modification APPLICATION NO: Four (4) Distribut One Civic Square Contract 60 Carmel, IN 46032 PERIOD TO: 01-31-08 C A R CH I TE- C CONITPACTOR FRO,1-1 (CONTRACTOR): VIA (,-ARCHITECT): ARCHITECT'S M. K. Betts Engineering PROJECT NO: Contracting, Inc. CONTRACT FOR: Invoice No. 07-262.04 CONTRACT DATE: Application is made for Pavrnent, as shown below, in connection with 'he Con r, c CONTRACTOR"S APPLICATION FOR PAYMENT Continuation �heet, 7 AIA Document G703, is attached. t. CHANCE ORDER SUMMARY I. ORIGINAL CONTRACT SUM 5 2,349,000.00 I -0- Change Orders approved in ADDITIONS DEDUCTIONS 2. Net change, by Change Orders 2 previous months by Owner 3. CONTRACT SUM TO DATE (Line 1 2) 349 000.00 TOTAL 4. TOTAL COMPLETED STORED TO DATE 5 51,687.56 Approved this Month I (Column G on G703) Number Date Approved 5. RETAINAGE: a. 10 of Completed Work S 4,941.63 (Column D E on G703) F b. 1 0 of Stored Material S 227.13 (Column P on G703) Total Retainage ;Line 5a 5b or TOTALS Total in Column I of G703) —5J68,76 Net change by Change Orders 6. TOTAL EARNED LESS RE TAINAGE 5 46,518.80 The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total) information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR -3,412.67 completed in accordance with the Contract Documents, that all amounts have been PAYMENT (Line 6 from prior Certificate) S 4 paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE S 3,106.13 issued and pavments received from the Owner, and that current payment shown 5 9. BALANCE To FINISH, PLUS RETAINAGE 2,302 481 .20 herein is now due. (Line 1 less Line 6) CONTRACTOR: M. K. Betts Engineering Contracting, Inc. Stale of: Indiana County of: Madison Subscribed and, sworn to before me this 31st day of Jan. 2008 Notary Publicl By: Date: January 31, 2008 my Commission e October 28, 2015 AMOUNT CERTIFIED S ARCHITECT'S CERTIFICATE FOR PAYMENT (Attach explanation it amount certified differs from the amount jppkec 'c In accordance with the Contract Documents, based on on -site observations and the ARCHITECT data comprising the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as By: 'Date: indicated, the quality of the Work is in accordance with the Contract Documents, and 'n This Certificate is not negotiable. The AMOUNT CERTIFIED is pay, the Contra is entitled to payment of the AMOUNT CERTIFIED. Contracicr named herein. Issuance, payment and acceptance or payment„ ri %u; prejudice ic: anv ri�hls of the Owner or Contractor under this I 1 1, 7W. C 1 a CONTINUAT!ON SHEET A/A D 0 703 C Contrac 60 PAGE o� P G. ,AIA Document 0702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: Four (4) Contractor's signed Certification is attached. APPLICATION DATE: January 31, 2008 In tabulations below, amounts are stated to the nearest dollar. PERIOD FROM: 01 -01 -08 Use Column I on Contracts where variable retainage for line items may apply. TO: 01 -31 -08 ARCHITECT'S PROJECT NO: A B C D E F G H WORK COMPLETED T OTAL COMPLETED ITE,m DESCRIPTION OF WORK SCHEDULED BALANCE o RF °a `:o. VALUE This Application AND STORED o TO FINISH Previous d Materials TO DATE (G =C) C —G) .Applications Work in Place Storeateras (D +E +F) ?y in D or E) 1. Mobilization, Bond Insurance 75,000.00 22,000.00 -0- -0- 22,000.00 30 53,000.00 2,200.00 2. Generator Pad Platforp 40,000.00 -0- -0- -0- -0- 00 40,000.00 -0- 3. Generator 272,000.00 -0- -0- -0- -0- 00 272,000.00 I -0- 4. Launder Covers 160,000.00 -0- -0- -0- -0- 00 160,000.00 -0- 5. Switch Gear Building 39,000.00 -0- -0- -0- -0- 00 39;000.00 -0- 6. Masonry 78,000.00 -0- -0- -0- -0- 00 78,000.00 l -0- 7. Roofing Sheetmetal 1.4,000.00 -0- -0- -0- -0- 00 14:,000.00 I -0- 8. Doors, Frames Hardware 16,000.00 -0- -0- -0- -0- 00 16,000.00 -0- i 9. Aeration Tank Work 40,000.00 -0- -0- -0- -0- 00 40,000.00 -0- 1.0. Valves 1.0,000.00 6,615.00 -0- -0- 6,615.00 67 3,385.00 661.50 1.1. Blower. Bldg Phase I 90,000.00 -0- -0- -0- -0 00 90,000.00 -0- 12. Blower Bldg Phase II 35,000.00 -0- -0- -0- -0- 00 35,000.00 -0-- 13. Pipe Insulation 5,400.00 -0- -0- -0- -0- 00 5,400.00 -0- 14. Acoustical Ceilings 21,000.00 -0- -0- -0- -0- 00 21,000.00 -0- 1.5 Rol]_ -i p Doors 7,1.00.00 -0- -0- 0 -0- 00 7,100.00 -0- 1.6. Signs Fire Extinguishers 1,500.00 -0- -0- -0 -0- 00 1,500.00 I -0- 17. Instrumentation 90,000.00 19 -0- 0 19,621.30 22 70,378.70 1,962.13 AIA DOCU C, -n3 COrtTI\'L'-'TION SHEET �.PRIL 1973 EDITION i�" CO SHEET AIA D OCUMENT 0703 Carmel Contract 60 PAGE Ga AIA Document 6702. 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. PERIOD FROM: Use Column I on Contracts where variable retainage for line 'items may apply. TO: ARCHITECT'S PROJECT NO: A B C D E F G H Y WORK COMPLETED COMPLETED ITEM DESCRIPTION' OF WORK SCHEDULED en BALANCE This Application AND STORED .o. VALUE Previous TO DATE (G C) To FINISH Applications Work in Place Stored—Materials (not in D or E) lD =ELF) (C —G) 18. Control Commissioning 56,000.00 -0- -0- -0- -0- 00 56,000.00 -0- 1 19. Software Allowance 25,000.00 -0- -0- -0- -0- 00 25,000.00 -0- •�i 't 20. HVAC 92,000.00 -0- -0- -0- -0- 00 92,000.00 -0- 21.. Electrical 11.24,000.00 -0- 1,180.00 2,271.26 3,451.26 01 1120,548.74 345.13 j 22. Painting 13,000.00 -0- -0- -0- -0- 00 13,000.00 -0- 1 23. Miscellaneous 45,000.00 -0- -0- -0- -0- 00 45,000.00 -0- ;1 a .,1 V I 1 1 2349,000.00 48,236.30 1,180.001 2,271.26 51,687.56 03 2297,312.44 5,168.76 ALA DOCU'htENT G%03 CON'TIN_,ea,TION SHEET APRIL 19 %8 EDITION: AIA'� ��7� ,735 N".`:' `IOC'•: y: tiul 'C',`: 01/30/2008 10:35 FAX NUGENT ELECTRIC M K BETTS [a 002 OR INVOICE Ti4L F.D. LA W F N C F ELECTRIC CO. i t 7 7 7 ELECTRICAL MATERIALS DS 164407 02 12/18/07 3150 BEEKMAN STREET 43•5402 CINCINNATI, OHIO 452222743 R 51,3-542-11.00 FAX 642-2422 12/10/0/ 2'1 CHAll SHRADER E M 653102 22 TROY JOLLEY T Ship To Information Below: CARMEL WWTP LIGHTING A NUGENT ELECTRIC -JOB ACCT NUGENI ELECTRIC N CARMEL WWTP#60 9609 HAZEL DELL PARKWAY G 2106 OHIO AVF E ANDERSON IN 46016-0000 INDIANAPOLIS IN 46016 W ADDRESS>Rernic check to The F.D. Lawrence Elect%zjc Co. L-6136 CXNC.TNNAT-T OR 45270-6136 8 META SCF-12-B 20. .20. 635 N/C JE 1,0 .00 I TYPE H 11 COOPER LOT PRICE FOR MATERIAL 1 1 637 122-00 E 1.0- 122.00 1 A-READY SHIPPED it and yog,acc t I invoice 1 ,cu r 1F9y 1/10/08 TAKE DISCOUNT OF 1.22 122.00 0911 INDIANA TAX EXEMPT .00 1.22.00 IThese goods were produced in compliance with all applicable requirements of section 6,7,and 12 of the Fair 1 or ;,qtandards Act as amended and of regulation and orders of the United Stater Department of Labor issued under Section 14 thereof. 'Returne merchandise or claims are subject to the conditions shown on sales tickets. Mcrchondisc shall not be returned without prior approval! :A Charge of 1.5t monthly of 18t per annum will be added to all past due balances. 4. 01/30/2008 10:35 FAX NUGENT ELECTRIC M K BETTS Z003 l ORIGINAL INV OICE E 1 C 1 Flforl?tr3Gxl2n ELECTRICAL MATERIALS r DS 164407 03 1/17108 :777 BEEKNAN STREET ,4; -$402 c:IN(_:}NNATI. Old TO 4521 R, 13 llpD Fnr, X42 2422 III 1/07/08 21 MIKE RUPERT :C. M 653102 22 TROY JOLLEY I T ship To information Below: C CARMEL WWTP LIGHTING A NUGENT ELECTRIC -JOB ACCT NUGENT ELECTRIC N CARMk'L WWTP #60 9609 HAZEL DELL PARKWAY G 2106 OHIO AVE F ANDERSON IN 46016 -0000 INDIANAPOLIS IN 460).6 N EW ADDRESS >Remit check Co The F.D. Lawrence Electric Co is -6 136 CINCINNATI OH 45270 -6136 ,i....... J. (..I.IMARK_MH_GPI75- 1,20 -Fj I..L -PE 4 4 637 N/C E 1.0 .00 i W /LAMPS INSTALLED TYPE C 12 LUMARK L07 PRICE FOR MATERIAL 1 1 637 578.00 E 1.0 578.00 ALREADY SHIPPED i i i I I i i your accoup 1y. cur and this invotrr J;: pald by: 2/10/08 TAKE DISCOUNT OF 5.78 ;,z r ;y 5 78 111 0911 INDIANA TAX EXEMPT 00 578. 00 These goods were produecd in compliance -with all applicable requirements of ::egr,ion :,i,and 12 of the Fair Labor Standdrd� Act as amended and of regulation and orders of �hr unit -re states Departnen_ of Labor issuCd. ""Culon 14 thefcol. ;returned merchandise or claims are subject to the Conditions =:sown on sales tiCkn: i Merrha_ndi. ^r ;hall nnt rr.e..urncd wi P.hrut prior approval t- 01/30/2008 10:36 FAX NUGENT ELECTRIC H R BETTS 0 004 ORRNNAJ, INVOI A1, DjE F.[(9-hAw K I NCE ELECIRrCCO. ELECTRICAL MATERIALS U`, 164407 01 12/14107 3450 BLLKMAN '_1 RCET C I N C I N N A T I OHIO 4 5 2 2 3. 1743 `.iia�� ?�i 1 _sue R 513 542 1100 FAX 542 2472 12 /07/07 21 CIIAll SURADFR E M 653102 22 TROY JOLLEY T 1 Ship To Information .8e2ow_ C CARMEL WWTP LIGHTING A' NUGENT ELECTRIC JOB ACCT NUGENT ELECTRIC I N CARMEL WWTP #60 9609 HAZEL DELI_ PARKWAY G 2106 OHIO AVE E ANDERSON IN 46016 -0000 INDIANAPOLIS IN 46016 i EW ADDRESS >Femit check Co The ,F.D_ Lawrence Electric Co. L -6136 CINCINNATI ON 45270 -6136 d G ��>a:•i5e�c; z�0? a x•3 C�sc anc x,. a�c�kJ?? aC3aiu: P.. .T -META .LC 232 UNV- .EB81 -.0 25 25 635 N/C E 1.0 ,00 TYPE H 4 META IC -232- UNV- EB81 -U 1.0 10 635 N/C E .00 TYPE 7 META GRP -SS -U 50 50 635 N/C E 1,0 .00 1' P E G 10 META I.UT PRICE FOR MATERIAL 1 1 637 1461.00 E 1.0 1461.00 READY SHIPPED Tr M Z I and in voicc is paiG 1 1/10/08 TAKE DISCOUNT OF 14, 61, 0911 INDIANA TAX EXEMPT 00 1, 4.61. 0 0 These goods were produced in compliance wSth all applicable requirements of suct:on 6,7,and 12 of the Fair ,:3ngr Stanpards Act as amended and of regulation n« orders of the uni.:ed States Dep: of tabor issued under Section 14 thereof. Return,d m,r- .rchandise or claims are suoject to the conditions sho•. on sales ticke Merchandise shall not be returned without prior approvall A eh,irge of 1.55 monthly of 18t per arunum will be added to all past due balance::. 01/30/2008 10:36 FAX NUGENT ELECTRIC M K BETTS 1 005 OR IGINAL Iii N-' 010E TAI P- ID) L\ W R F— N C E E L L C T R I C CO rfvPZ ce 7 tif PX`�Tia t on s illy JUjrEb:r::L:Ul;: ELECTRICAL MATERIALS RO 6862 00 12113107 6321 EAST 30TH SRFFT v 4] 5402 INDIANAPOLIS IN 46219 II 5�i `�:<:'a "e::<:_: >:z`,>;;•�:�� ';:.<:<;:;.1:! R 31.7 -549 -1100 FAX 549 -117: IU� 12/07/07 21 CHW SHRAOER� E i a ors M 653.02 22 TROY JOLLEY T OUR TRUCK Ship To Information Below: C CARMEL WWTP C/O H A NUGENT ELECTRIC -JOB ACCT NUGENT ELECTRIC N CARMEL WWTP #60 G 2106 OHIO AVE '9609 HAZEL DELL PKWY E ANDERSON IN 46016 -0000 INDIANAPOLIS IN 46016 9Ew ADDRESS >Remit check to The F.D. Lawrence Electric Co. L CINCINNATI OH 45270 6136 :P :`::Dg C� N. 1' na:` �ari iedeXadieko. d�< ��Zi;' ��i 'sNaria�I7ri�:K'::P�3�'�I':�� `IA'�,.� .iiri x....� G 'a L GE F32T8. /SP41. /ECO .TY.PE.G,H., SPARE 74 %Q .1. 49 E 12. 0 110. 26 I i I I �Z i I I a.d 'n is pai d n by: 1/10/08 TAKE DISCOUNT OF 2.21 0911 INDIANA. TAX EXEMPT <3ii`i` 00 <aZ€ 110.26 These goods were produced in compliance with all applicable requirements of section 6,7, and 12 of the Fair Standards Aot as amended and of regulation and orders of the United staten Depaftment: of Labor issued under. Sccl.iun 14 thereof. Returned merchandise or claims are subjatt to the conditions shown on sales tickets. IA��phsntii;: Shall not be returned without prior approval! I A charge of 1.54 monthly pj 181 pef annw+, will be added to all past due balances. Form No. 301St-S (eBoRev. 1995) ccounts ACCOUNTS PAYABLE VOUCHER Form 301 1995) 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 1 19 Signature Title 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. 19 LW1 icer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS SANITATION DEPARTMENT ANOT CARMEL, INDIANA /jl lC Reff s Favor Of Total Amount of Voucher Deductions 0 /DsDb( 3I D6 Amount of Warrant Month of 19 Acct. VOUCHER RECORD 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 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT 0702 (instructions on reverse side( TO (OWNER): City of Carmel PROJECT: Solar Drying APPLICATION NO: Seven (7) Distrihutior One Civic Square Contract 65 Carmel, IN 46032 Carmel IN PERIOD TO: 01-31-08 \R(- HITEC' L_ CONTR,AC FIR&M (CONTRACTOR): VIA (ARCHITECT): ARCHITECT'S M. K. Betts Engineering Jones Henry Engineers, Ltd. PROJECT NO: Contracting, Inc. CONTRACT FOR: Invoice No. 07--232.07 CONTRACT DATE: Application is made for Pavment, as shown below, in connection with the ConTrac.i. CONTRACTOR'S APPLICATION FOR PAYMENT Continuation Sheet, AIA Document G703, is attached. 696 450 00 ER SUMMARY 1. ORIGINAL CONTRACT SUM 5 CHANCE ORD 2. Net change by Change Orders 110,499.00 Orders approved in ADDITIONS DEDUCTIONS I Change Ord 1 3 806 previous months by Owner CONTRACT TO DATE (Line 1 2) S TOTAL 4. TOTAL COMPLETED STORED TO DATE Approved this Month (Column G on G703) 5. RETAINAGE: Number Date Approved a. of Completed Work S CO#1 $110,499.00 0 I (Column D E on G703) b. of Stored Material S (Column F on G703) Total Retainage (Line Sa 51b or TOTALS $110,499.0 —0— Total in Column I of G703) 5 34,822.50 Net change by Change Orders $110,499.00 6. TOTAL EARNED LESS RETAINAGE S 753,806.50 The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total) information and belief the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR completed in accordance with the Contract Documents, that all amounts have been PAYMENT (Line 6 from prior Certificate) S _608_,562._50 paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE S 145,244._00_ issued and payments received from the Owner, and that current payment shown 9. BALANCE TO FINISH, PLUS RETAINAGE 5 _534 1 -4- 2 _t 5a__ herein is now due. (Line 3 less Line 6) CONTRAC State of: Indiana County of: \r1adison TO R M K. Betts Engineering Contracting, Inc. Subscribed and sworn to before me this day of N otary P u b I i c: U� Bv: Date: Jan'. 31, 2008 My Commissioni expires: October 28, 2015 AMOUNT CERTIFIED S I ARCHITECT'S CERTIFICATE FOR PAYMENT (Attach explana if amount terrified differs from tl)c amount In accordance with the Contract Documents, based on on-site o bservations and the ARCHITECT data comprising the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge. information and belief the Work has progressed as By: Date: indicated, the quality of the Work is in accordance with the Contract Documents, and This Certificate s nor negotiable. The AMOUNT CERTIFIED is payable only m t the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor named herein. Issuance, pavment and acceptance of pavmen', are J! h,) Lj prejudice To ary rights Of the Owner or Contractor Under this Contract tT711;1( IT' 1 1,0 11-.- CONTINUATION SHEET AIA DOCUMENT 0703 Carmel WWTP Solar Drying Contract 65 PAGE AIA Document 0702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: Seven (7 Contractor's signed Certification is attached. APPLICATION DATE: January 31 2008 In tabulations below, amounts are stated to the nearest dollar. PERIOD FROM: 01 -01-08 :i Use Column I on Contracts where variable retainage for line items may apply. TO: 01 -31-08 'o ARCHITECT'S PROJECT NO: A B C D E F G H I -5 WORK COMPLETED COMPLETED c oa RET.4INAG ITEM DESCRIPTION OF WORK SCHEDULED BALANCE This Application AND STORED TO FINISH o. VALUE Previous Stored Materia s l TO DATE G =C) C —C) Applications Work in Place (D +E +F) (not in D or E) 1. Mobilization, Bond I i Insurance 20,000 00.' 20 ,;000.0 20,000.00 100 -0- 2. Topsoil Embankment 850 cy $1.5.66/cy 1.3,31.1.06 13,311.00 1.3,311.00 100 3. Removal_ of Biosolids 1.1.00 cy $6.48/cy 7,1.28.00 7,128.00 -0- -0- 7,128.00 100 -0- 4. Excavation, fill '1 embankment 5900 cy $6.48/cy 38,232.00 38,232.00 -0- -0- 38,232.00 1.00 -0- I 5. Site Demo, Piping, Etc. 79,000.00 77,435.00 -0- -0 77,435.00 98 A,565.001 i s 6, Build E'xc. Backfill 45,000.00 45,000.00 -0- -0- 45,000.00 100 -0- 1 7. Concrete Drying Bldg and Control 237,000.00 237,000.00 -0- -0- 237,000.00 100 -0- S. Dock Extension 6,250.00 6,250.00 -0- -0- 6,250.00 100 -0- ti 9. Building Erection 84,200.00 84,200.00 -0- -0- 84,200.00 100 0 1.0. Hot Water Piping 33,800.00 33,800.00 -0- -0- 33,800.00 100 0 11. Waterlines 13,450.00 13,450.00 -0- -0- 13,450.00 100 -0- ti 1.2. Miscellaneous 7,579.00- 7,579.00 -0- 0 7,579.00 -0- 13. A.spltal t� 'Paving 24,000.00 24 000`:_00 -0- -0- 24 100 -0- 1.4. Electrical 87,500.00 36 50,500.00 -0 86,500.00 99 1,000.00 I AIA DOCUMENT G703 CONTINLATION SHEET APRIL 1978 EDITION AIA'b D 1978 THE A ".cP,IC:A^ I OF ARCHITECTS, 1735 NEW YORK: AVE,. N.W. WAS'H(NCTO\: F) J CONTINUAT;Oti SHEET AIA DOCUMENT 0703 PACE sIA Document C702. ,\PPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION `'UMBER: Seven (7) Contractor's signed Certification is attached. APPLICATION' DATE: January 31 2008 In tabulations below, amounts are stated to the nearest dollar. PERIOD FROM: 01 01 08 Use Column I on Contracts where variable retainage for line items may apply. TO: 01 708 S ARCHITECT'S PROJECT NO: A R C D E G H r. WORK CO3�IPLETED z ITEM pp DESCRIPTION OF WORK SCHEDULED OTAL CO T TED o r BALA`'CE This A lication :��'D STORED `;o. VALUE previous TO DATE G -C) TO FINISH (C G) Stored M aterlals Applications Work in Place (not in D or E) (D +E +F) 15. Change Order No. 1 1. Backflow Preventor piping, found, etc 26,500.00. -0 26,500 00 -0- 26,500.00 100 -0- I 2. Dock Lights 5,740.00 —0— 5,740.00 —0— 5,740.00 100 —0— 4 3. Heating lines and Conduit 48,000.00 —0— 48:,000.00 —0 48,000.00 100 —0 4. 40 Amp Breaker 2,755.00 —0— —0— —0— —0— 00 2',755.001 a 5. MCC Cover at Centri. 748.00 —0— 748.00 —0— 748.00 100 —0— `1 6. Relocate Fence at firing range 1,256.00 -0- 1,256.00 1,256.00 100 7. Additional Asphalt 22,780.00 9,780.00 9,780.00 43 13,000.00 8. Remove Lift Station f Structure 1,100.00 -0- 1,100.00 -0- I 1,100 '.00 100 19. Contour Eorth Edge i of Lagoon 1,620.00 —0— 1,620.00 —0— 1,620.00 100 —0- 1 I n i i i 806,949.00 643,385.00 1 45,244 00 —0— 788 62' 98 18,320.00 34,822.50' AIA DOCUtit E.`'T G703 SHEET APR.II. 1978 EDITION`' e MA' V 7Y. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER Form No. 301 -S (Rev. 1995) 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 1 19 Signature Title I hereby certify that the attached invoice(s), or bill(s), is (are) true and cor ct and I have audited same in accordance with IC 5- 11- 10 -1.6. 19 f er Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS SANITATION DEPARTMENT ACCT. CARMEL, INDIANA Favor Of Total Amount of Voucher Deductions 7 Amount of W rant Month of V 19 Acct. VOUCHER RECORD 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