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166350 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 00351554 Page 1 of 1 ONE CIVIC SQUARE POINDEXTER EXCAVATING INC i 0 CHECK AMOUNT: $619,302.40 CARMEL, INDIANA 46032 PO BOX 36399 o INDIANAPOLIS IN 46236 -0399 CHECK NUMBER: 166350 CHECK DATE: 11/24/2008 DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBE AMOUNT DESCRIPTION 1205 4350900 2 17,599.81 131ST /WEST SIDE ROAD 1205 R4350900 19141 2 466.83 WEST SIDE ROAD IMPROV 404 4462855 3 54,382.44 131 /WEST SIDE ROAD IM 202 4350900 19141 3 140,000.00 WEST SIDE ROAD IMPROV 202 4462859 19141 3 242,691.84 WEST SIDE ROAD IMPROV 202 R4462859 19141 3 84,914.88 WEST SIDE ROAD IMPROV 206 4462300 19141 3 79,246.60 WEST SIDE ROAD IMPROV r •C_ No. 3 CLAIM 11/24/08 A Spr Mill /Dorset $242,691.84 202 4462859 PO 19141 CLAIM 11/24/08 A Spr Mill /Dorset $84,914.88 202- R4462859 PO 19141 CLAIM 11/24/08 A Spr Mill /Dorset $83,245.36 202 -509 PO 19141 $410,852.08 No. 3 Clarion Pay Request #65 B 116th /5pr Mill $10,000.00 Clarion Bond no PO Wipes out Clarian Bond except for $40.00 CLAIM 11/24/08 B 116th /Spr Mill $56,754.64 202 -509 PO 19141 CLAIM 11/24/08 B 116th /Spr Mill $76,906.60 206 4462300 PO 19141 $143,661.24 No. 3 CLAIM 11/24/08 C 131st /Spr Mill $54,382.44 404 4462855 (2002 COIT) no PO $111,000 minus $56,617.56 paid on Claim No.1 Wipes out 2001 COIT bond 2006 Bond Pay Req #40 C 131st /Spr Mill $35,474.10 2006 Road Bond PO 19141 $89,856.54 No. 3 CLAIM 11/24/08 D 131st /Illinois $2,340.00 206 4462300 PO 19141 $2,340.00 No. 1 2006 Bond Pay Req #40 C 131st /SprM $57,605.14 2006 Bond PO 19141 $57,605.14 No. 2 2004 Bond Pay Req #59 D 131st /Illinois $3,292.13 2004 Bond PO 19141 Wipes out 2004 Bond encumbrance CLAIM 11/24/08 D 131st /Illinois $466.83 1205 -R509 PO 19141 CLAIM 11/24/08 D 131st /Illinois $20,448.11 1205 -509 no PO $24,207.07 Total Pd 11/24/08 $728;522 07 Total Pd on Contract $979,186.03 Remaining on Contract $121,314.07 CONSTRUCTION PROJECT INVOICE DATE: September 10, 2008 COMPANY NAME: Poindexter Excavating, Inc. AND ADDRESS PO Box 36399 Indianapolis, IN 46236 n TELEPHONE NO.: (317)- 823 -683 FAX NO.:. (317)- 823 -4662 PROJECT NAME: 131 Street, Misc. West Side Improvements PROJECT NO.: 08 -03 INVOICE NO.: 1 Construction pay items as per Progress Pay Estimates No: 1 as the dates o August attached requests for parts C and D for work completed between 2008 to August 31, 2008. At TOTAL PAY THIS ESTIMATE, Part C: /3/ /,�irn� $64,005.71 z *e I —d $57,149.76 TOTAL PAY THIS ESTIMATE, Part D: i3 Y .TOTAL PAY;' X121,155.47 $12,115.55 MIN US 10% RETAINAGE: TOTAL NOW DUE: $109,039.92 Submitted by Cripe Architects and Engineers Date Jofe ent e signed me nna,v7 C .oM�R Date ted name Project Representative prin CONSTRUCTION PROJECT.INVOICE DATE: October 8, 2008 COMPANY NAME:: Poindexter. Excavating, Inc A NDADDRESS PO Box 36399. LL t. t' Indianapolis; IN 46236 b 2K TELEPHONE NO. (317)- 823 -6837 FAX N O (317)-823-4662 n, PROJECT NAME: 131 Street, Misc. West Side Improvements PROJECT NO.:: 08 -03 INVOICE NO.: 2 Construction pay items as per Progress Pay Estimates No. '2 as shown attached requests for parts A, B, C and D for work completed between the dates of September 1, 2008 to September 30, 2008. r Y THIS ESTIMATE, Part A: $106,172.00 1 z.a 9 TOTAL PA B: $19,364.00 TOTAL PAY THIS ESTIMATE, Part 936 Y �6� �1 6 7rSb TOTAL PAY THIS ESTIMATE, Part C: $62,908.40 a 10 S 3`'29 59,818.10 5 3 :TOTAL PAY THIS ESTIMATE, Part D: $248,262.50 r Z�Ya.0 2_1 yX6.a� TOTAL PAY: -MINUS 10WRETAINAGE: $24,826.25 TOTAL NOW DUE'' $223,436.25 ZG 0 Submitted by Cripe Ar hitects and Engineers M e P ject Re pr ent ve signed me JAcJL. �V1f1N�G011n lam' Date Project Representative printed name �S91 r J� CONSTRUCTION PROJECT INVOICE RECEIVED N 00 DATE: November 7, 2001 COMPANY NAME: Poindexter Excavating, Inc. AND ADDRESS PO Box 36399 Indianapolis, IN 46236 TELEPHONE NO.: (317)- 823 -6837 FAX NO.: (317)- 823 -4662 PROJECT NAME: 131 Street, Misc. West Side Improvements PROJECT NO.: 08 -03 INVOICE NO.: 3 Construction pay items as per Progress Pay Estimates No. 3 as shown on the attached requests for parts A, B, C and D for work completed between the dates of October 1, 2008 to October 31, 2008. TOTAL PAY THIS ESTIMATE, Part A: $456,502.31 ro, 23.; y lol �Sa o8 TOTAL PAY THIS ESTIMATE, Part B: $159,623.60 /S, 962,N 1 66/, a Y TOTAL PAY THIS ESTIMATE, Part C: $99,840.60 t, 6 g?, TOTAL PAY THIS ESTIMATE, Part D: $2,600.00 a6o.o TOTAL PAY: $718,566.51 MINUS 10% RETAINAGE: $71,856.65 TOTAL NOW DUE: $646,709.86 Submitted by Cripe Architects and Engineers Pro' ct Repre nt e signe ame Date JKC-i fy' Ow zG D/vl uny 7 -o 2> Project Representative printed nafne Date POINDEXTER Excavating, Inc. PO Box 36399 Indianapolis, IN 46236 -0399 INVOICE 31734 (317) 823 -6837 FAX: (317) 823 -4662 INVOICE DATE: 11/6/2008 DUE DATE: 12/6/2008 Page 1 of 1 CITY OF CARMEL MAYOR'S OFFICE 1 CIVIC SQUARE CARMEL IN 46032 08 -043 CARMEL WESTSIDE ROAD IMPROVEMENTS PROJECT #08 -03 PO it Iq 141 PERIOD THRU 11/3/08 PART A 1.00 LS 456,502.31 456,502.31 PART B 1.00 LS 159,623.60 159,623.60 PART C 1.00 LS 99,840.60 99,840.60 PART D 1.00 LS 2,600.00 2,600.00 AMOUNT DUE: 718,566.51 Less I ol rei-. �t�4le, "f Oq. Sly This invoice is priced at our special T M rates. This pricing is offered with the understanding that no retainage will be withheld and that payment will be made within 30 days of invoice date. 1.5% PER MONTH FINANCE CHARGE WILL APPLY ON UNPAID BALANCE AFTER 30 DAYS We are an Equal Opportunity Employer'`*'` 51 a s i a 9 a U si L�; 2 8 9 8 8 o l 2- ]n f> z t: t .2 W, Iz ul z 0 O. o c z z z 2 'o j'E I z z o R Z2 Pi Q 174 R City of Carmel P Jaet No. 08 -03 B Roundaboul Bypass Lane, WB 1160, Street to NB Spring MIg Road Poindexter ITEM DESCRIPTION UNIT QUANTITY UNIT TOTAL NO. PRICE 1 CONSTRUCTION ENGINEERING LS 0.70 $3.800.00 $2,660.00 2 MOBILIZATION AND DEMOBILIZATION LS 0.00 $8,000.00 $0.00 3 CLEARING RIGHT OF WAY LS 0.50 $12,000.00 $6.000.00 4 0.00 $0.00 5 CURB AND GUTTER, REMOVE LFT 0.00 $6.00 $0.00 6 SIGN, SHEET, REMOVE EACH 2.00 $100.00 $200.00 7 0.00 $0.00 8 INLET, REMOVE EACH 2.00 $500.00 $1.000.00 9 EXCAVATION, COMMON CYS 100.00 $46.00 $4,600.00 10 TEMPORARY EROSION AND SEDIMENT CONTROL. CURB INLET EACH 0.00 $130.00 $0.00 PROTECTION 11 TEMPORARY SILT FENCE LFT 453.00 $2.00 $906.00 12 STRUCTURE BACKFILL, TYPE 1 CYS 11.00 $75.00 $825.00 13 CHEMICAL MODIFICATION, SOILS SYS 815.00 $6.00 $4,890.00 14 COMPACTED AGGREGATE. NO. 53. BASE TON 227.00 $31.00 $7,037.00 15 MILLING, ASPHALT, 1 1/21N. SYS 488.00 $8.00 $3,904.00 16 HMA SURFACE, TYPE A TON 27.00 $154.00 $4,158.00 17 HMA SURFACE. TYPE C TON 96.00 $150.00 $14,400.00 18 HMA INTERMEDIATE. TYPE A TON 61.00 $84.00 $6.804.00 19 HMA INTERMEDIATE. TYPE C TON 74.00 $100.00 $7,400.00 20 HMA INTERMEDIATE OG, TYPE C TON 143.00 $81.00 $11,583.00 21 HMA BASE, TYPE 8 TON 278.00 $71.00 $19,738.00 22 ASPHALT FOR TACK COAT TON 1.00 $740.00 $740.00 23 CURB RAMP, CONCRETE, G SYS 8.00 $193.00 $1,544.00 24 CURB AND GUTTER, CONCRETE, TYPE 111 LFT 104.00 $25.00 $2.600.00 25 CURB AND GUTTER, CONCRETE, TYPE II LFT 448.00 $17.00 $7,616.00 26 DECORATIVE PAD, CONCRETE, 71N. LFT 93.00 $95.00 $8.835.00 27 TOP SOIL CYS 180.00 $19.00 $3,420.00 28 SODDING SYS 0.00 $3.00 $0.00 29 PIPE. TYPE 2. CIRCULAR. 12 IN. LFT 84.00 $75.00 $6,300.00 30 PIPE END SECTION, 121N. EACH 3.00 $500.00 $1,500.00 31 CASTING, ADJUST TO GRADE EACH 0.00 $600.00 $000 32 INLET. J10 EACH 1.00 $1,800.00 $1,800.00 33 INLET, MIO EACH 1.00 $1,800.00 $1,800.00 34 MAINTAINING TRAFFIC LS 1.00 $8,800.00 $8,800.00 35 SIGN POST, SQUARE. 1, REINFORCED ANCHOR BASE LFT 33.00 $17.60 $580.80 36 SIGN, SHEET, RELOCATE EACH 1 2.00 $71.50 $143.00 37 SIGN, SHEET, ENCAPSULATED LENS WITH LEGEND. 0.080 IN. THICKNESS SFT 1 6.00 $23.10 $138.60 38 SIGN, SHEET, ENCAPSULATED LENS WITH LEGEND, 0.100 IN. THICKNESS SFT 18.00 $26.40 $475.20 39 HANDHOLE EACH 2.00 $1,100.00 52.200.00 40 WIRE, NOA. COPPER, IN PLASTIC DUCT, IN TRENCH, 4 11C LFT 508.00 $22.00 $11,176.00 41 DECORATIVE STREET LIGHT, RELOCATION EACH 1.00 $3,850.00 $3,850.00 42 PAVEMENT MESSAGE MARKINGS, REMOVE EACH 0.00 $96.00 $0.00 43 LINE, THERMOPLASTIC, BROKEN, WHITE. 41N. LFT 0.00 $1.70 $0.00 44 LINE. THERMOPLASTIC, SOLID, WHITE, 41N. LFT 0.00 $1.70 $0.00 45 LINE, THERMOPLASTIC, SOLID, WHITE. 81N. LFT 0.00 52.00 SO.00 46 TRANSVERSE MARKINGS. THERMOPLASTIC, CROSSWALK LINE, 61N. LFT 0.00 $2.00 $0.00 17 PAVEMENT MESSAGE MARKINGS. THERMOPLASTIC, LANE INDICATION EACH 0.00 $150.00 $0.00 ARROW 48 PAVEMENT MESSAGE MARKINGS, THERMOPLASTIC. WORD (ONLY) EACH 0.00 $165.00 $0.00 49 LINE. THERMOPLASTIC. SOLID, WHITE, 121N. LFT 0.00 $4.00 $0.00 50 LINE, THERMOPLASTIC, BROKEN, WHITE, 61N. (3' LINE, 3' GAP) LIT 0.00 $3.00 $0.00 51 PAVEMENT MESSAGE MARKING, THERMOPLASTIC, FISHHOOK ARROW EACH 0.00 5400.00 $0.00 52 PAVEMENT MESSAGE MARKING, THERMOPLASTIC,'SHARK'S TEETH' LFT 0.00 $9.00 50.00 PART 3B TOTAL: $159,623.60 MINUS 10% RETAINAGE TOTAL 143,661.24 City of Carmel Projecf No. 08 -03 C Additional Entry Lanes for Spring Mill Road and 131st Street Roundabout ITEM Poindexter NO. DESCRIPTION UNIT QUANTITY UNIT TOTAL OTAL 1 Construction Engineering LS 0.30 $4,300.00 $1,290.00 2 Mobilization and Demobilization LS 0.00 $10.000.00 $0.00 3 Clearing Right-of -Way LS 0.00 $18,000.00 $0.00 4 Concrete Curb, Remove LFT 365.00 $8.00 $2,920.00 5 Concrete Center Curb, Remove SYS 4.00 $100.00 $400.00 6 Concrete Curb Ramp, Remove SYS 10.00 $20.00 $200.00 7 Sign and Support, Remove Flt 1.00 $50.00 $50.00 8 Asphalt Milling, 1.5 in. SYS 832.00 $4.00 $3,328.00 9 Linear Grading LFT 0.00 $15.00 $0.00 10 Temporary Silt Fence LFT 0.00 $2.00 $0.00 11 Subgrade Treatment, Type IA SYS 433.00 $11.00 $4,763.00 12 Compacted Aggregate, No. 53, Base TON 40.00 $42.00 $1,680.00 13 HMA Surface, Type C TON 31.00 $128.00 $3,968.00 14 Widening with HMA, Type C TON 396.00 $143.00 $56,628.00 15 HMA Surface, Type A TON 0.00 $138.00 $0.00 16 HMA Intermediate, Type A TON 0.00 $111.00 $0.00 17 Curb Ramp, Concrete SYS 16.00 $96.00 $1,536.00 18 Combined Curb and Gutter Type II LFT 112.00 $20.00 $2,240.00 19 Combined Curb and Gutter Type III LFT 255.00 $21.00 $5,355.00 20 Straight Concrete Curb LFT 28.00 $32.00 $896.00 21 Center Curb, D. Concrete SYS 5.00 $180.00 $900.00 22 Water kGAL 0.00 $100.00 $0.00 23 Topsoil CYS 0.00 $20.00 $0,00 24 Sodding, Nursery SYS 68.00 $3.00 $204.00 25 Pipe, Type 4, Circular, 6 in. Double Wall, Smooth Interior LFT 0.00 $10.00 $0.00 26 Aggregate for Underdrain CYS 0.00 $28.00 $0.00 27 Geotextiles for Underdrain SYS 0.00 $3.00 $0.00 28 Construllm Sign, A EA 0.00 $210.00 $0.00 29 Maintaining Traffic LSUM 0.25 $15,000.00 $3,750.00 30 Sign Post, Square, 1, Reinforced Anchor Base LFT 13.00 $17.60 $228.80 31 Sign, Sheet, Encapsulated Lens with Legend, 0.080 in. SFf 0.00 $23.00 $0.00 32 Reset Decorative Street Sign Assembly EA 0.00 $2,090.00 $0.00 33 Sign, Sheet Relocation EA 0.00 $71.50 $0.00 34 Concrete Foundation with Grounding, 30 in. Diameter x 96 in. EA 0.00 $2,200.00 $0.00 35 Reset Street Light Pole Assembly EA 0.00 $1,650.00 $0.00 36 Wire, No. 4, Copper, In Plastic Duct, In Trench, 4 1!C LFT 219.00 $22.00 $4,818.00 37 Line, Themwplastic, Dotted White, 8 in. 2' Line, 2' Gap LFT 0.00 $2.00 $0.00 38 Line, Thermoplastic, Dotted While, 4 in. 2' Line, 6' Gap LFT 0.00 $1.70 $0.00 39 line, Thermoplastic, Solid, White, 4 in. LFT 174.00 $1.70 $295.80 40 Line, Thermoplastic, Solid, Yellow, 4 in. LFT 0.00 $1.70 $0.00 41 Snowplowable Raised Pavement Marker EA 4.00 $200.00 $800.00 42 Pavement Message Markings, Thermoplastic, Lane Indication Arrow EA 0.00 $130.00 $0.00 43 Pavement Message Markings, Thermoplastic, Word (ONLY) EA 0.00 $170.00 $0.00 44 Transverse Markings, Thermoplastic, Crosswalk Line, 24 in. LFT 0.00 $7.00 $0.00 45 Transverse Markings, Thermoplastic, White Yield Line, 27 in. LFT 10.00 $9.00 $90.00 46 Restore Landscape and Irrigation System LSUM 0.50 $7,000.00 $3,500.00 PART X TOTAL: $99,840.60 MINUS 10% RETAINAGE $9,984.06 TOTAL $89,856.54 A m 8 8 8 8 8 8 8 8 k w N a m w 8 0 8 8 8 g 8 g 8 8 8 g g 8 =a s s s$$ 8 x 8 8 8 8. 8 8 8 8 8 8 8 8 8 8 8 8 8 8. 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 a a p F m a y n o E Q N Z 0 0 0 O o o o O 2 O O O O n y o 0 0 0 °i v 3 s z 8 z Qg S9 I N a wo s 5 C� AFFIDAVIT AND WAIVER OF LIEN FINAL XX PARTIAL PAYMENT TO FOLLOW James P. Fohl being duly sworn, states that he is the (Name of Officer) CFO of Poindexter Excavating, Inc. (Title) (Company Name and Address) PO Box 36399, Indianapolis, IN 46236 having contracted with City of Carmel to furnish certain materials and /or labor as follows: Site Work (Description) for a project knows as Carmel Misc. Westside Road Improvements #08 -03 located at and owned by and does further state (Owner) PARTIAL WAIVER: that the balance due from the owner is the sum of six hundred forty -six thousand seven hundred nine and 8 cents Dollars $646,709.86 receipt of which is hereby acknowledged (chk# date or XX the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien, which is given to and for said amount, effective upon receipt of such payment (chk# date FINAL WAIVER: that the final balance due from the owner is the sum of Dollars receipt of which is hereby acknowledged (chk# date 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 (chk# date 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, 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 waiver. Poindexter Excavating, Inc. Company, e f. k C. Authorized Representative James P. Fohl, CFO Printed Signature and Title WITNESS MY HAND AND NOTARY SEAL this 6th day of November ,2008 S' 2 i4 1VM Notary Public 9/25/2015 POINDEXTER ,%1,213 Excavating, Inc. j j PO BOX 36399 M �fLG 1 r I Indianapolis, IN 46236 -0399 p N ru INVOICE 31734 (317) 823 -6837 GQxl p FAX: (317) 823-4662 Al DATE: 11/6/2008 �cs�8ZL�9��Z�L DUE DATE: 12/6/2008 Page 1 of 1 CITY OF CARMEL MAYOR'S OFFICE 1 CIVIC SQUARE CARMEL IN 46032 I M 0 08 -043 CARMEL WESTSIDE ROAD IMPROVEMENTS PROJECT #08 -03 PG i- Iq 141 PERIOD THRU 11/3/08 PART A 1.00 LS 456,502.31 456,502.31 PART B 1.00 LS 159,623.60 159,623.60 PART C 1.00 LS 99,840.60 99,840.60 PART D 1.00 LS 2,600.00 2,600.00 AMOUNT DUEJ 718,566.51 Mess lurre1 $LP4U ICq.3U This invoice is priced at our special T M rates. This pricing is offered with the understanding that no retainage will be withheld and that payment will be made within 30 days of invoice date. 1.5% PER MONTH FINANCE CHARGE WILL APPLY ON UNPAID BALANCE AFTER 30 DAYS *We are an Equal Opportunity Employer ITEMIZED SUMMARY Application #3 thru 08 -043 Car mel Westside Improvements (A) 11/3/08 Qty This Cost This NO. DESCRIPTION QUANTITY UNIT UNIT COST TOTAL COST Period Period 1 ConstructioriEn ineerin .an�•a'. 1m"5'«, r -...LS 8;00000 ,z• h '$800000 'm0 $400000,, o iza ion and? amo ''Za ion 25,000.00 $25,000.00 $0.00 k 31f: Cleaniig;ofahe Rlght of Way s 1 -c�' 'LS *?7.. ,Sezi s "2000000 i'.,,, •$2000000 ',i x 000�.� avemen ern a 15 00 $585,00 $0.00 5 Excavatidh Common z 1053':.; „CYS .5 ?:36.00 :$3790800 .5265 $1895400 emporary Check L) am, traw a as 16 100.00 $3,600.00 14 $1,400.00 ora i0itch':int! P,rotechon,,. x'.. x 1 W",1 is EACH:$,; ::200.00 t', t <Y -`$200 00 1 Y S200 00 em,ca o i icaUon, of s 5.90 $27,765.40 4706 $27,765.40 9_ r, Gom ailed` r ateNo, 53 ^�292e 1e TON-= .S. =4000. $1 T68000 160 „$6'40000 i ing, sp at, 8.00 $4,616.00 577 $4,616.00 tt 11, HMA °.Surface,, ",T e C 's .:n.. ...'i 1- 40T s3 ,TON °ec,•906.00, ate•.,, ,x,.$93`14200 E362, RIVA n arme late, ype 73.00 $43,727.00 544 $39,712.00 13 I. HMABase e ,,9496;x- 1..TON g :156 00% $83776 00 1386 HMA I ntermediate, Type C tvu lu 70.00 $49,420.00 667 $46,690.00 15x ,Fk Asphalt .forz,Tack Coat •:ter. 5 x TON 1•' 850.00 ;:x$3' 00 C urb amp, Concre C 210.00 $1,68000 12 $2,520,00 Curb Ramp, `Concre ,1i te, L ;.tea., 4 -i 8' I,, SYS r *131.00. n <-$1 ^048 00 7 $917 00 P ,0, i ewa oncre e, 4 IN 96 SYS I 51.00 $4,896 00 100 $5,100.00 ,193 7 Decorative Concrete Truck A SYS =W ,x:7.12.00 ii$tOj97600 ,r,,98�$10,9760g C oncre t e Curb End reatment 2 EACH 1 297.00 $594.00 2 $594.00 '21; z Gurb- Turnout �_y 4n� N, .6s,,, ',255.00 ,$1;530 .0 j 5 ,$1,275 DO M oomed Roll u 16.00 $4,752.00 193 $3,088.00 x23; Curb:and,Gutter;,Concrete, Type 11. 5 „s :x. ,.�.161259,.�k LFT o$ ":14.00 $1 7;626 00 Vaig t u oncrete g 16.00 $26,096.00 1608 $25,728.00 -25? '.1 Roll CurblConcrete xa-xK °s .k jwr., 94,, LFT.N;? 26 1 op tioil V9V CYS 19.00 $18,981.00 f« 999 $18,981.00 27, 1� Soddm X2999' ,.SYS 3.00, „;$8!997 DO .2999 r $8 00 a ve ox, lus o ra e 300.00 $900.00 2 $600.00 "EACH•i «600.00 %-$1' +80000 .i$0 DD 29, a Casting, :'Adjust to Grad ,i; 3 ..,7. Ire y ran, e c e 1 E4,600.00 31•- DetourRoute'MarkecASSembl �.z;', ^40.i,. EACN': $135.00, r, r;«s x$5;300.00 ,,.'$0 00 eo onstruc Ion ign, 210.00 $3,150.00 $0.00 >33 :Gan structlon_Sgn,B °•.�.�R.zi ',:Z�, °EACH;:.. 6400 5 $44800 :$000 E in alning ra is 20,000.00 $20,000.00 $0.00 35 Barricade IIIiA «fit 5M «,e,<11FT:, ..x$24000 B arricade, 60.00 $240.00 $0.00 37. �F Sign P,asq'? Square, l Reinforced'Anchor,Base�r"£x .a., -'s ':-.E 184:; LFT- .;;,_£$1';'� ?17.60 �I "':$2;686.40 ;_"<184 ign, ee ri a ate ens With egen Thickness 23.10 $1,224.30 37.26 $860.71 '39' Sign °SheetjtEncapsulated,Cens with:Le end, 0.100 IN Thicknessu. =28 ..SFT;7;$ '.:26.40, `$739,20 28 ,x$73920 rogation on uit, n Is n ute 22.00 $11,000.00 500 $11,000.00 ,41 Handhold lighlin ^tt ;i?�5u"„'�,,. x„1 °64CHi 9;A0000, ,�.II$110000 1, 41;100 00 te: ❑e, O. opper, rent 22.00 $8,690.00 395 $8,690.00 43: 31 Decorative'Street Li ht, Wiring;and:lnstallatwn*F,_;;.: 4 -EACH: '1 10,780.00. aza%,,, .$43120,OD 4 $43;120 00 Ig Lng over Ism utlon ane 7,700.00 $7,700.00 1 $7,700.00 45" TransverselMarkm s „Thermo lasfir,'CrosswalkWhile, 24,IN 48x5 n i'LFT ,7,00_., ":1$336.00 X42,,. $294 00, ine, ennop ashc, soli e ow, 0.60 81,433.40 1930 81,158.00 k47•, M 1 T2nsverse?Markin Markings,' Sohd,lYellow.Crosshatch,Llne; 8-IN 174":' LFT;,, 5.00..'':. 130 00 L ine, thermop So Yellow, 0.60 $1,448.40 2286 $1,371.60 49 :':Snowplowable Raised ':Pavement <.Marker �W2at'. -,a EACH-- :21000 ,:$42000 „y' P avement Message Marking, thermoplastic, "Sharks I ee 9.00 $531.00 43 $387.00 i51 Line;- Therrnoplastic?;Broke, White &IN 3',Lme 3'Gap a q31 II,,..&.,,LFT� t$ ,01 •3.00 11 fin, .•x:$9300 'x,,,42 .,z m ons rut ion Igo, 300.00 $1,800.00 $0.00 $0.00 $0400 i. aka., ...fir ••k 7 777 M, ..1�:! $0 00 .",3�''. a $0.00 CONTRACT AMOUNT $581,119.10 r CHANGE ORDERS $0.00 $0.00 CHANGE ORDER SUBTOTAL $0.00 TOTAL $581,119.10 ORIGINAL CONTRACT: $581,119.10 Change Orders: $0.00 REVISED CONTRACT AMT: $581,119.10 p #3 Total $456,502.31 Less Retainage $45,650.23 Amount Due $410,852.08 ITEMIZED SUMMARY Application p3 08 -047 Carmel Westside Improvements (B) thnu 1113108 ITEM Ory This Cost This NO. DESCRIPTION QUANTITY UNIT UNITCOST TOTAL COST Penrod Period r «t' Construct.. E ineerin •-t ^Z4 aar• t, LS E'• 380000; ::'S'L, ••;$3'80000 07 5268000 zz o 12atlon an o rzahon 8,000.00 $8,000.00 $0.00 3.t Clearing of the .Right of Way,A '1; av, %1271 77LS' 12 000.00. M !$1200000 OS '5600000 th $0.00 moo 5 Curb:and Gutter, ;Remove '?%%?382 LFT $-1.' 6001 1si ':'8229200 Ign, heel, e 4 100.00 $400.00 2 $20000 $000 INK Remove 500,00 $1,220.00 '9 ..1, �.5z:k ;P �s „z. ,r "1 198 'I�, CYB;s �S�• �s %159'108 Ezcevatton *common 00 100, ,.8480000 ,u46 00 10 1 emporary roron and bediment Contro Curb Inlet r ectlon EACH 130.00 $650.00 $0.00 IV a Tem ovary Stlt Fenca? .e;s x,' ,453 ''k FT ?'S 200, ?o :590600 ,�y, 453 $90800 1 tructu e a ype 75.00 $825.00 11 $825.00 5,13 rf ChemicalModihcation; Sods '.:aSVS 6.00 x:$7.39800 ,..815 T. '2�1'�'. 1233 .84,890 00� 14 ompacte ggrega e, o. ase 31.00 $8,30800 227 $7,037.00 ?x'425; ;;,Sys b' 8,00:' "=$340000 s `480' $380400 'r' ;75 Millin helt,-1112:IN�3A v e, ype 11 TON 154.00 $4,158.00 27 $4,158.00 "7d HMA`. Surface Type .C' ^3- z„ 51 9 '-TON 15000 $765000 96 $14,40000 is HMA Intermediate, TypeA 81 TON 84.00 $6,804.00 81 $6,804.00 <79 :3 HMA' Intermediate, :iT eC .i ,r' •66'; ';TON,.. $5_? 100.00? Q, 5 `'$680000 74 57,400.00 m lu nterme late ype 81.00 $10 143 $11,583.00 1:21 HMA'Ba e T e8:1: "she" =255 MTONa $UR _I =7100 :$18x10500 278 $1973800,,, spa o oat I TON 740.00 $740.00 1 $740.00 323- Curb: Ra ,:Concrete ;:G S 1 SYS. 193,00 $tt54400 8 E7,54400�.`;er r an utter, oncrete, ype 25.00 $2,60000 104 $2,600.00 't 25. i curb :and G 4480>, LFT, E•'. +':'S' 1700; Ji $781600 y j, 'i 448 57,61600� y ecoratrve a 95.00 $3,800.00 93 $8,835.00 a1 :127 1,' T1 'Soil .182 CYS 1900' 53'42000 e: 180 $,3,42000 „r" S odding 3.00 $1,608.00 $0.00 829; Pipe, Type 2 Circular'i121N 47 LFT 75.00 153'525 00 84 „x,86 300 00, 1. Ipe n 3 $1,500.00 ii31z Caspn ust to Grade.sf "9 F. *Y^EACH•. Srr es x 600.00 diW• •$+&s ?33$60000 1 EACH nel, ?Ad S 1,800.00 $1,800.00 1 $1,800.00 133 %9. Inlet ;i M10 ,311 1r' EACH :':33; 160000, :$180000 1 $1 BD000 a lntammg ra 8,800.00 $8,800.00 1 $8,820.00 35 1 Si n'P,ost Square 1 Reinforced Anchor Base S i 33 LFT •i .77.m0 :':$58080 33 58080 Ign, eel, eocate 71.50 $143.00 2 $143.00 ;13731^ Si n ;?Sheet ?:Enca sulatetl'Lens.with'Le end;'.0.080':IN Th ckness. ;?8 68'SF7Y2 ,$...`1... 2310e +x,:3573860 Ign, eel, ncapsu ate vnt egen 26.40 $475.20 18 $475.20 £39 Handhoie'z "EACH ::..1100.00x€ $7.10000 2 52,20060 Ire, No. Copper, In Plastic Duct 22900 $1,210.00 508 $11,176900 :41 Dewrative:Street Li ht Relocat -Ca.1' :::EACH 5----::,385000 $385000 avemen assage a Ings, Remove 3 EACH 96.00 $288.00 $0.00 431 pl Lne ':Thermo tastic ;l8rokan•Whlte41N r�z,,'dl '•"'3.': 47a::• LFT,- Sr: ^•si• .sue "°57990 me, mop aF a ne, 4 IN 100 LFT 1.70 $170.00 $0.00 :245 Line: Thermolashc ;_Solid ^White ?:BIIN u;�•., 157 LFT, 200 I1`,W $31400,',' $000 ransversa arkings, mop asuc, 2.00 $13000 $0.00 ne +47 Arrow F- 3t,_ 3'1 W, EACH"$ ".3 150 00; I $450 00 $0 DO P avement Message Markings, Thermoplastic (Onl 165.00 $330.00 $0.00 ;49, 1W Line, Thermo Iashc l. 11 While 12'.IN s5 :u, f' 3: 27 -e LFT@ 1$.: 4.0W ;'':1$108 00 1"' f 50 00, mop ashc, r rte, ap 3.00 $204.00 50.00 51 Pavement:Messa eMarlun iThermo lashc.:.'Fisfihook ADaN "A;;r, <i: 4 EACH:fr '$."'4"40000 "'$1 $090 ,a P avement sage a Ing, hermop ashc, harks eel I 9.00 $315.00 $0.00 s ..:•aa. 3 ,a;.:1 .nom. ::$000 $000. $0.00 $0.00 25 'oani' •"ij$0 00 r ox $0.00 $0.00 CONTRACT AMOUNT $162054.50 CHANGE ORDERS 50.00 $0.00 CHANGE ORDER SUBTOTAL TOTAL $162 054.50 ORIGINAL CONTRACT: $162,054.50 Change Orders: $0.00 REVISED CONTRACT AMT: $162,054.50 App d2 Total $159,623.60 Less Retainage 315962.36 Amount Due $143,661.24 ITEMIZED SUMMARY Application #3 08 -043 Carmel Westside Improvements© thru 1113/08 ITEM T"MrXT Dry This Cost This NO. DESCRIPTION QUANTITY UNIT UNIT COST TOTAL COST Period Period 7 ,77 7 onswcbom. n meenng ;'.fit, 177 M o b ilization ization an emo izabon g 10,000.00 510,000.00 $0.00 3 F Clearing oi,the ightso[ a s n ..,1 L6, t$ xR $0.00 oncrete u emove 8.00 §6,218.00 365 $2,920.00 E Concrete :CentenCutb, Remove;>§F,':PI +5;',.:.100.00 ,h;.:-e" $700!00 §x,,,, 1 �5400�00 .9 (E oncre e u amp, e 20.00 $540.00 10 $200.00 Remove 2 „s,: c CH t$.„s, .:'.50:00 $100.00 1., "§60'00, 'a:7 Sign,and Support7lRemove „_;k „...,e Asphalt Milling, 1.5 IN 4.00 $6,104.00 832 $3,328.00 9 Lmear,.Gratlmg '483 aLFTr,- as.�.:=. :15;00 emporary it e 114 2.00 $248.00 $0.00 rice ^rill Subgrade7reatin ent;, a A„ 98 S `::.'s�71'i00 =;$6778.00 433 t 54,763.00 Iz Compacted grega e, o ase 42.00 $3,696.00 40 $1,680.00 13- H 128`.00 =$16,128.00 l31 '$3,968:00 MA'SUrfaces YPe i II u 1 6 ON 4 Widening mth HMA, Type C 396 N 143.00 $56,62600 396 $56,628.00 1.15; U HMA Surface, ype;A •f£Y; 3 7 777= ON 7,1381007 ,$0.00 .x 16 HMA Intermediate, Type A 111.00 $3,885.00 $0.00 717 Curb Ramp; Concrete ,h .40 ,v '.,:SYS 4S ':'9600 0::$384000 ,�7 16 ;51,53600, 4 is Combined u and Gutter type 11 4d3 LFT I 20.00 59,660.00 0 112 $2,240.00 9 Combined Cu and!Gutter Type III, 240; z' FT 21:00, V $5 040.0 255 ,,,;$5,355 "OO a1 alg R 7 lo LFT 32.00 $512.00 28 $896.00 n2111 Center Curb, ,Concrete 'SYS x180:00 ,3$1080/00 5 590000 ,PE y;� a er 100.00 $200.00 $0.00 3 op.Sol -t, ,'i_�„ .r g,,.a:, VSO 20100 xsu,: $76000 ;i $0.00, Sodding, Nursery 340 3.00 $1,020.00 68 $204.00 -25 Pipe, a 4, Crccular 61N Double II;I mooth'Imenw 449 dl ,LFT..f 410.00 $4 490 00 x $0 00 grega a or n er rain 28.00 $1,148.00 $0.00 17.10' eotelNes forcUn er ran re m..••:'r' £8a108 e;1'$•. „i- ,�,�!3:00 $924.00'; d`k�,,. 50.00 C-FE57MR Si5F, A 14 EACH 210.00 $2,940.00 $0.00 ?29 ±Maintatmnga rafgc, 1,. 3 'S 45;000;00 Y$15,000.00 025 E3,755000 gn o quare, em orce c or ase 0 13 $228. s =31 -`Sign Sheet Encapsulated .Lenswith Legend, 0'.OBOiNIThickness 22z -gin ,,?,.;:SFT z, r '/23.00 -.5,. 5506.00 $000,,,, R eset Dec orative Street Sign se y 2,090.00 $2,090.00 $0.00 ;'33, ;k. Sign Sheet Relocation '7te330, x4ffi", -i s 3 s <'d$ r 7df50 r r. §214.50 $000, Concrete Foundation vith Grounding, 30 In Diameter x 96 IN I 2,200.00 §2.200.00 $0.00 115, Reset Street Light Pole Assembly 1 EACHa_ ('$1,650,00 ue, No.4, Copper, in Pl astic D uct,lu Trench, 22.00 $374.00 219 $4,818.00 37 Une„ Thermoplastic; 0oried Whdei81N (21Line2'Gap „{g 1% x,',131 ,LFT,z y$,^-',:;d 2.00 ,e,;4;;. $266.00 Ine, er p a mas c, one rte, Ine, ap 1.70 $170.00 $0.00 _39k lane Fermoplastc Solid;Whde;;4;IN 110 .$867100 S, ,;174,.,, .'`$29580 1 Line, ermop asbc, oI a ow, 1.70 §62.90 $0.00 x41; Snowplowable Raised lPavement Marker ,;4.,,, ;EACH ei200:00 580000 .4 5800.00 avement essage ar ing, Thermoplastic, Lane Indication row 13000 5520.00 $000 er 4�43'- s' Pavement Message Marlungs,;ThermoplasBc,SWork (Ony. 2.. EACH ir$ >;.170.00 $34000 n,� ?$000 44 Transverse Mar logs, ermop asbc, crosswa me. 7.00 $672.00 $0.00 X45, Transverse: Markings,+- Thermoplastic;While:.Yield Line, 271N 30 w, :9:00, $27000}AX,,,,,,, 10 r i $90.00 Restore Landscape and Irrigation ystem 7,000.00 $7,000.00 0.5 $3,500.00 §o.00 ,.t,;,% E a;:; 50.00, $0.00 '•II .,amH s 'M' 0, �23E$0.00 d. $O, OOxalk n, x $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 „,H O oo $0.00 $0.00 $o.00 sa o0 So.00 $0.00 CONTRACT AMOUNT $212,089.2 CHANGE ORDERS $0.00 $0.00 CHANGE ORDER SUBTOTAL $0.00 TOTAL $212 ORIGINAL CONTRACT: $212,089.20 Rounding Adj: Change Orders: $0.00 REVISED CONTRACT AMT: $212,089.20 App #3 Total $99,840.60 Less Retainage $9,984.06 Amount Due $89,856.54 ITEMIZED SUMMARY Application 03 08 -043 Carmel Westside Improvements (D) thru 1113108 ITEM City This Cost This NO. DESCRIPTION QUANTITY UNIT UNITCOST TOTALCOST Period Period ConstrUOtlon °,En Ineenn •S s =,1'� =BLS $$ar 3;800.00e �r'a; ,.�3,?n :,,$3`,800;00 9 g 2 Mobilization an em0bl nation 1 6 7,000.00 $7,000.00 $0.00 3­ Clearing,pfgthe Right of Way °;1 'LS 5 000'00: $5;000:00 t $6 4 oncrete urb, Remove 2 6 8.00 $2,368.00 $0.00 5b: Concrete! Curb Ramp,:Remove...,a r +;i: ez'. r9,,.. SYS $.e ''5000', 'U,: .$450'00 ,L.. 6 Sign and Support, emove 2 H 50.00 $100.00 $0.00 7;, Asphalt Millin 1'i571N s -1547 0 i$"�°�' .5.00 It Ss $2;735'0 8 Linear Grading 274 LFT 15,00 $4,110.00 $0.00 9,.1 Temporary:Dropinlet',Protectwn ,a. s': 1�, EACH 20000; .$200:00 r, $000 0 Temporary Silt Fence 2T3 2.00 $526.00 $0.00 11 Subgrade Treatment; TYPe.IA�- -'v I'444a� ;.•;SYS 12.00 $5,32800 s"r $0.00, 2` Compacted Aggregate, No. 53 Base 0 N 52.00 $2,600.00 rr• 50 $2,600.00 13 Colored and Jointed! Concrete, 7" `:39 a ?SYS ,$*s�.V:=:_' 112.001 %$4;368:00 F $0 00 A�, 4 HMA Surface, Type C 4 N 170.00 $7,650.00 $0.00 c 15 .M Wldening,with HMA, Type,C r' 250 &.;a -TON' ✓r 134'OOr± $33j500:00 ,�,W a,y:, ,SO �,,t, _f 6 HMA Surface. Type A I b TU 177.00 $2,655.001 $0.00 17? HMA:.lntenoediate�,Type q.. y „aa %25 TON ,.,.120.00 :x$3;000'.00 $,0 00 r 18 Curb amp, oncrete 9 189.00 $7,371.00 $0.00 19,� ,Y CombinediCurb'and Gutter, Type lt;',., i i i�, 's ;:x274' ',LFT. S �AI: ,,20:001 $5;480:00 K „_,$000 20 Straight Concrete u 30.00 $2,910.00 $0.00 '21' Center.Curb; D'.Concrete 6 .�,��`.ia•�:% may;; �:SYS 258`,00 #a;e, v./,'., ?;x,$516100 1 $000 22 ate,, 1 k L 100.00 $100.00 $0.00 ,f Topsoil .sus' is-;.. .u1;27 :CYS $:,,20:00° ::,$540:00 23 n... „r, ,..$0.00 24` o ding, ursery 242 3.00 $726.00 $0.00 •25'•^ Pipe Type.:4,°,Circulari6 IN Double FWalf'Smooth lntenor j} y�, LFT 3,p,1 `H.,A 0;00; ::.$2700:00 ,$000 4,� ,y, 2 ggregate or n er ram 25 30.00 $750.00 $0.00 27 Geotextiles for Underdrarn,.,; `;186 "s; ,$.•at'.500: �r roi. •"$930:00 $0.00 8 1 Structure No. 2 1 2,500.00 $2,500.00 $0.00 ,�29• Structure: No 3�.,,. ;.LS... 777 2:500.00: 500`00 3 $2: $000 i ruc ure o. BOOM 0 $0.00, F 131,E a Construcbon Sign "A 't `.°s. ^10 -EACH "210.00:: "'::.$2100' :00 `sue SO 00 2 Maintaining raffic 1 10,000.00 9 $10,000.00 $0.00 Dior, rost;fG, re, Reinforced Anchor Base 37 'LFT:� ,17.60': ••+x"m,x�• Sign, Sheet, Encapsulated Lens wdh Legend-OMO IN 11 SFT 23.10 $254.10 $0.00 •:351 x Sign, Sheet Relocatiorc;,. ;r�s �y 2 "EACH :,.7.. s :ass,., t,.,,., v $0 00.E 1 50'i $143:00 6 Concrete with rounding, D iameter x 6 N 1 H 2,200.00 $2,200.00 $0.00 37 reset Street Light Polerassembl 1,650.00 9 Y <:1 EACH $1,85000 .­,:r 8 Wire, NoA copper, in Plastic Duct, In Trench, 4 0 22.00 $1,760.00 $0.00 39 `r', Cable Duc6Marker., a r ,1 i "l EACHSx 150:00', f�v $150 00 40 Wire, No. 4, Copper in 2 IN Galvanized Steel Conduit, 4 22.00 $2,310.00 $0.00 41 Conduit„ Steel,Galvanized, 2" i' 3::28. x, LFT "t 28.00£ "'.$784'00 $0.00 [42 ine, Thermoplastic, Dotted White, 8 2ne, 2 ap 22 5.00 $110.00 $0.00 E43,1 •:i. Line; Thennoplasbc IDotted White "4 IN (2'Line .2, GaP) -jam -77 LF� •,,,2. 00' is $,154:'00 $0 00 X me, Thermoplastic, Solid, White, 4 N 1 2.00 $602.00 $0.00 Snowplowable Raised:.: P,avementiMarker 4 :'NEAGH,.,,, e ;t. 200.00:. :3 .$800.00 s, g 9 avement essage arkmgs, hermop astir, ane ndication mow 2 150.00 $300.00 $0.00 PavementMessa e:Markin Thermoplasbc;;WOrd" Onl Tj>, 1 200.00: 1 $200.00 Y)' .y ransverse a Ing, ermop astir, rosswa k ine, 24 N 2 7.00 $784.00 $0.00 Transverse Markings ,Thermoplastic;zWhrteYield Cine2Z.IN ;y':8 •LFT 9:00 ^$72 :00 r e,$000 Restore Landscape and Irrigation ,stem 1 LS 7,000.00 $7,000.00 $0.00 .fir .k- Fe.. „may:.', 'a, $0':00 $0 00 $0.00 $0.00 CONTRACT AMOUNT $145,237.30 CHANGE ORDERS $0.00 $0.00 CHANGE ORDER SUBTOTAL $0.00 TOTAL $145,237.30 ORIGINAL CONTRACT: $145,237.30 Rounding Adj: Change Orders: $0.00 REVISED CONTRACT AMT: $145,237.30 App #3 Total $2,600.00 Less Retainage $260.00 Amount Due $2,340.00 y AFFIDAVIT AND WAIVER OF LIEN FINAL XX PARTIAL PAYMENT TO FOLLOW James P. Fohl being duly sworn, states that he is the (Name of Officer) CFO of Poindexter Excavating, Inc. (Title) (Company Name and Address) PO Box 36399, Indianapolis, IN 46236 having contracted with City of Carmel to furnish certain materials and /or labor as follows: Site Work (Description) for a project knows as Carmel Misc. Westside Road Improvements #08 -03 located at and owned by and does further state (Owner) PARTIAL WAIVER: that the balance due from the owner is the sum of six hundred forty -six thousand, seven hundred nine and 86 cents Dollars $646,709.86 receipt of which is hereby acknowledged (chk# date or XX the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien, which is given to and for said amount, effective upon receipt of such payment (chk# date FINAL WAIVER: that the final balance due from the owner is the sum of Dollars receipt of which is hereby acknowledged (chk# date 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 (chk# date 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, 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 waiver. Poindexter Excavating, Inc. Company Name Authorized Representative James P. Fohl, CFO Printed Signature and Title WITNESS MY HAND AND NOTARY SEAL this 6th day of November 2008 1 UA Notary Public /25/2015 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 Poindexter Excavating, Inc. Purchase Order No. PO Box 36399 Terms Indianapolis, IN 46236 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/7/08 Inv. #3 Misc. West Side Road Improvements Spring Mill /Dorset RAB (A) 10,852.08 116th /Spring Mill (B) 33,661.24 131SVSpring Mill 13 1 i of 1078108 Inv. #2 13101111 nois Partial Tbtal$6 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. ALLOWED 20 chat Exr-avating, -lns• IN SUM OF PO Box 36399 Indianapolis, IN 46236 $619,302.40 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 19141 Inv. #3 02- 4462859 materials or services itemized thereon for 19141 Inv. #3 2 02- R4462859 AA which charge is made were ordered and 19141 7n T ffT 202-509 received except nv. 202-509k 02 -509 4 nv. 06- 446230 19141 HY.#3 286-4462988 IRY. #2 i2es 14599 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund