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HomeMy WebLinkAbout163945 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00352715 Page 1 of 1 ONE CIVIC SQUARE SESCO GROUP CARMEL, INDIANA 46032 1426 W 29TH ST CHECK AMOUNT: $6,893.38 INDIANAPOLIS IN 46208 CHECK NUMBER: 163945 CHECK DATE: 9/17/2008 DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES 902 4460812 2008 -396 6,893.38 O'MALIA'S C: 0 Air_ Earth. Etrer rt.h tii nb In Betwe SESCO Group 1426 W. 29th Street Indianapolis, IN 46208 317 347 -9590 City of Carmel Invoice number 2008 -396 Carmel Redevelopment Commission Date 08/22/2008 Carmel City Wall One Civic Square Attn: Sherry Mielke, Staff Rede Project: 3308 CRC -BP Amoco Site Carmel, IN 46032 SESCO EIN 35- 2080452 Invoice Summary Budget Prior Total Current Description Amount Billed Billed Billed 12 ORC -A INJECTION REMEDIATION 11,966.00 0.00 5,325.43 5,325.43 13 GW MONITORING (7 QUARTERS) 53,151.00 8,596.80 8,596.80 0.00 14 WASTE DISPOSAL 5,805.00 0.00 0.00 0.00 15 -CAPI REPORT 2,955.00 0.00 0.00 0.00 16- IDEM RESPONSE LETTER 1,455.00 0.00 1,567.95 1,567.95 SUPPLEMENTAL PROJECT MANAGEMENT 0.00 0.00 0.00 0.00 Total 75,332.00 8,596.80 15,490.18 6,893.38 City of Carmel Invoice number: 2008 -396 Invoice date: 08/22/2008 Page 1 of 10 City of Carmel Invoice number 2008 -396 Date 08/22/2008 Project: 3308 CRC -BP Amoco Site 12 ORC -A Injection Remediation Professional Fees Billed Hours Rate Amount 02/27/2008 Senior Project Manager Joseph L. Gordon Review project status 0.25 120.00 30.00 04117/2008 Project Manager Russell Schlukebir Site Visit 3.00 100.00 300.00 0411812008 Project Manager Russell Schlukebir Site access 0.25 100.00 25.00 04/25/2008 Project Manager Russell Schlukebir Work plan development 1.50 100.00 150.00 Draft report 4.50 100.00 450.00 04/28/2008 Staff Manager Jason Novotny Site Visit 2.00 85.00 170.00 1DEM visit Project Manager Russell Schlukebir Technical document preparation 4.00 100.00 400.00 05/02/2008 Project Manager Russell Schlukebir Technical document preparation 2.00 100.00 200.00 05/07/2008 Project Manager Russell Schlukebir Technical document preparation 0.50 100.00 50.00 06/03/2008 Senior Project Manager Joseph L. Gordon Review project status 0.25 120.00 30.00 06/13/2008 Project Manager Russell Schlukebir Site work prep and planning 2.00 100.00 200.00 08101/2008 Project Manager Russell Schlukebir Preparation and Planning 5.50 100.00 550.00 Off -site Remediation Ground Water Sampling Response Letter CAPE Proposal Director of Operations City of Carmel Invoice number: 2008 -396 Invoice date: 0812212008 Page 2 of 10 City of Carmel Invoice number 2008 -396 Date 08122/2008 Project: 3308 CRC -BP Amoco Site (Continued) 12 ORC -A Injection Remediation Professional Fees Billed Hours Rate Amount 08101/2008 Director of Operations Joseph L. Gordon Management Oversight 0.25 120.00 30.00 Discuss with Russell 08/04/2008 Project Manager Carla J. Gill Project Manager- (b) Site work preparation and planning 0.50 100.00 50.00 review of proposal to inject ORC material Director of Operations Joseph L. Gordon Management Oversight 0.25 120.00 30.00 08/05/2008 Project Manager Russell Schlukebir Preparation and Planning 1.50 100.00 150.00 Remediation Proposal Director of Operations Joseph L. Gordon Management Oversight 0.25 120.00 30.00 Discuss with Russell 08/12/2008 Staff Manager Tracey L. Sleek Finalize Budget 0.25 85.00 21.25 Vendors Cost Billed Units Amount Multiplier Amount Regenesis Bioremediation Products Vendor Field Supplies 1.00 2,138.42 1.15 2,459.18 Task subtotal 5,325.43 total 5,325.43 16 IDEM Response Letter Professional Fees Billed Hours Rate Amount 03/03/2008 Senior Project Manager Jesse B. Wright Communicate with IDEM 0.25 120.00 30.00 Discuss w /K. lfekoya City of Carmel Invoice number: 2008 -396 Invoice date: 08122/2008 Page 3 of 10 City of Carmel Invoice number 2008 -396 Date 08122/2008 Project: 3308 CRC -BP Amoco Site (Continued) 16 IDEM Response Letter Professional Fees Billed Hours Rate Amount 03/25/2008 Senior Project Manager Joseph L. Gordon Review project status 0.25 120.00 30.00 04/23/2008 Project Manager Russell Schlukebir Draft report 1.00 100.00 100.00 Communicate with client 0.50 100.00 50.00 06/12/2008 Project Manager Russell Schlukebir Technical document preparation 3.00 100.00 300.00 06113/2008 Senior Project Manager Joseph L. Gordon Technical document preparation 0.50 120.00 60.00 Project Manager Russell Schlukebir Technical document preparation 1.00 100.00 100.00 06/1612008 Project Manager Carla J. Gill Review report 1.00 100.00 100.00 Russell Schlukebir Finalize report 1.00 100.00 100.00 Finalize IDEM Response Letter /Submit to IDEM Communicate with client 0.50 100.00 50.00 Email K lfekoya Drafting Person Keith Gaskill Generate drawings, maps,,boring logs, well logs 1.50 50.00 75.00 Misc CAD 06/17/2008 Project Manager Russell Schlukebir Finalize report 2.00 100.00 200.00 Publish Response Letter /Send to Ciient/Prporty owners 07/1712008 Project Manager Russell Schlukebir Technical document preparation 2.00 100.00 200.00 IDEm Response Letter Reimbursables Billed Date Units Amount photocopies- B &W 8.5X11 City of Carmel Invoice number: 2008 -396 Invoice date 08/22/2006 Page 4 of 10 City of Carmel Invoice number 2008 -396 Date 08/22/2008 Project: 3308 CRC -BP Amoco Site (Continued) 16 IDEM Response Letter Reimbursables Billed Date Units Amount photocopies- B &W 8.5X11 08/01/2008 368.00 55.20 CD's -per CD 06117/2008 1.00 15.00 photocopies Color 8.5 X11 08/01/2008 411.00 102.75 Task subtotal 1,567.95 total 1,567.95 Invoice total 6,89 3.38 City of Carmel Invoice number 2008 -396 Invoice date: 08/22/2008 Page 5 of 10 City of Carmel Invoice number 2008 -396 Date 08/22/2008 Project: 3308 CRC -BP Amoco Site Carla J. Gill Timesheet date: 0811012008 Project Task Activity Employee Type Mon -04 Tue-05 Wed -06 Thu -07 Fri -08 Sat -09 Sun -1D Total CRC -BP Amaco Site 12 -ORC -A Injection Remediation Project Manager- (b) Project Manager 0.50 0.60 Site work preparation and planning 3308 Direct Total 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.50 RegulartotaE 0.50 0.00 1 0.60 0.00 0.00 0.00 o.00 0.50 Timesheet Total 0.50 0.00 0.00 0.00 0.00 0.00 0.00 0.50 Timesheet date: 0612212008 Project Task Activity Employee Type Mon -16 Tue -17 Wed -18 Thu -19 Fri -20 Sat-21 Sun -22 Total CRC -BP Amoco She 16 IDEM Response Letter Review report Project Manager 1.00 1.00 3308 Direct Total 1.00 0100 D.00 0.00 0.00 0.00 0.00 1.00 Regular total 1.00 0.00 0.00 0.00 0.00 0.00 0.00 i.00 Timesheet Total 700 0.00 0.00 0.00 0.00 0.00 0.00 1.00 Jason Novotny Timesheet date: 050412008 Project Task Activity Employee Type Mon -28 Tue -29 Wed -30 Thu -01 Fri -02 Sat -03 Sun -04 Total CRC -BP Amoco S'le 12 ORC•A Injection Remediation Site Visit Staff Manager 2.00 2.00 3308 Direct Total 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 Regular total 1 2.00 0.00 1 0.00 0.00 1 0.00 1 0.00 0.00 2.00 Timesheet Total 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 Jesse B. Wright Timesheet date: 0310912008 Project Task Activity Employee Type Man -03 Tue -04 Wed -05 Thu -06 Fri -07 Sal -08 Sun -09 Total CRC -BP Amoco She 16 IDEM Response Letter Communicate with Senior Project Manager 0.25 0.25 IDEM 3308 Direct Total 0.25 0.00 0.00 0.00 0.00 0.00 0.00 0.25 Regulartotal 1 0.25 0.00 0.00 0.00 0.00 0.00 0.00 11.25 Timesheet Total 0.25 0.00 0.00 0.00 0.00 0.00 0.00 0.25 Joseph L. Gordon Timesheet date: 0811012008 Project Task Activity Employee Type I Mon -04 Tue 11 Wed -06 1 Thu -07 Fri -08 1 Sa1-09 1 Sun -10 Total City of Carmel Invoice number: 2008 -396 Invoice date: 06/22/2008 Page 6 of 10 City of Carmel Invoice number 2008 -396 Date 08/2212008 Project: 3308 CRC -BP Amoco Site Joseph L. Gordon Timesheet date: 08/10 /2008 Project Task Activity Employee Type Mon -04 Tun -05 Wed -06 Thu -07 Fri -06 Sat -09 Sun -10 Total CRC -BP Amoco Site 12 .ORC -A Injection Remediation Management Director of Operations 0.25 0.25 Oversight 3308 CRC -BP Amoco Site 12 ORG -A Injection Remediation Management Director of Operations 0.25 0.25 Oversight 3308 Direct Total 0.25 0.25 OAO 0.00 0.00 0.00 0.00 0.50 Regulartotal 0.25 0.25 0.00 0.00 0.00 0.00 0.00 0150 Timesheet Total 0.25 0.25 0.00 0.00 0.00 0.00 0.00 0.50 Timesheet date: 0810312008 Project Task Activity Employee Type Mon -28 Tue -29 Wed -30 Thu-3i Fri -01 Sat -02 S­03 Total CRC -BP Amoco Site 12 ORC -A Injection Remediation Management Director of Operations 0.25 0.25 Oversight 3308 Direct Total 0.00 0100 0.00 0.00 0.25 0.00 0.00 0.25 Regulartotal 1 0.00 0.00 0.00 1 0.00 0.25 0.00 0,001 0.25 Timesheet Total 0.00 0.00 0.00 0.00 0.25 0.00 0.00 0.25 Timesheet date: 0611512008 Project Task Activity Employee Type Mon479 Tue -10 Wed -11 Thu -12 Fri -13 Sat -14 Sun -15 Total CRC -BP Amoco Site 16 IDEM Response Letter Technical document Senior Project Manager 0.50 0.50 preparation 3308 Direct Total 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 Regular total 1 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 Timesheet Total 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 Timesheet date: 0610812008 Project Task Activity Employee Type Mon -02 Tue -03 Wed -04 Thu -05 Fri -06 Sad -07 5un48 Total CRC -BP Amoco Site 12 ORC -A Injection Remediation Review project status Senior Project Manager 0.25 0.25 3308 Direct Total 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.25 Regular total 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.25 Timesheet Total 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.25 Timesheet date: 0313012008 Project T ask Activity Employee Type Mon -24 T­25 Wed -26 Thu -27 Fri -28 Sat -29 Su6a0 Total CRC -BP Amoco Site 16 IDEM Response Letter Review project status Senior Project Manager 0.25 025 3308 Direct Total 0.00 0.25 0.00 0.00 0.00 0.00 00 0.25 City of Carmel Invoice number: 2008 -396 Invoice date: 08/22/2008 Page 7 of 10 City of Carmel Invoice number 2008 -396 Date 08/22/2008 Project: 3308 CRC -BP Amoco Site Joseph L. Gordon Timesheet date: 0313012008 Regulertotal 0.00 0,25 0.00 0.00 0.00 0.00 0.00 0.25 Timesheet Total 0.00 025 0.00 0.00 0.00 0.00 0.00 0.25 Timesheet date: 0310212008 Project Task Activity Employee Type Mon -25 Tue -26 Wed -27 Thu -28 Fri -29 Sat -01 Sun.02 Total CRC -BP Amoco Site 12 ORC -A Injection Remediation Review project status Senior Project Manager 0.25 0.25 3308 Direct Total 0.00 0.00 0.25 0.00 0.00 0.00 0,00 0.25 Regular total 1 0.00 0.00 0.26 0.00 0.00 0.00 0.00 0.25 Timesheet Total 0 0.00 0.25 0.00 0.00 0.00 0.00 0.25 Keith Gaskill Timesheet date: 06/2212008 Project Task Activity Employee Type Mon -16 Tue -17 Wed -18 Thu -19 Fri -20 Sat -21 Sun -22 Total CRC -BP Amoco Site 16 IDEM Response Letter Generate drawings, Drafting Person 150 1.5D maps, boring 1095, well logs 3308 Direct Total 1.50 0.00 0.00 0.00 0.00 0.00 0.00 1.50 Regulertotal 1.50 0.00 0.00 0.00 0.00 0.00 0.00 1.50 Timesheet Total 1.50 0.00 0.00 0.00 0.00 0.00 0.00 1.50 Russell Schlukebir Timesheet date: 0811012008 Project Task Activity Employee Type Mon-04 Tue -05 Wed -06 Thu -07 Fri -08 Sat -09 Sun -10 Total CRC -BP Amoco Site 12 ORC -A Injection Remediation Preparation and Project Manager 1.50 1.50 Planning 3308 Direct Total 0.00 1.50 0.00 0.00 0.00 0.00 0.00 1.50 Regular total 0.00 1.50 0.00 0.00 0.00 0.00 0.00 1.50 Timesheet Total 0.00 1.50 0.00 0.00 0.00 0.00 0.00 1.50 Timesheet date: 08103/2008 Project Task Activity Employee Type Mon -28 Tue -29 Wed -30 Thu -31 Fri -01 Sat -02 Sun 03 Total CRC -BP Amoco Site 12 -ORC -A Injection Remediation Preparation and Project Manager 5.50 5.50 Planning 3308 Direct Total 0.00 0100 0.00 0.00 5.50 0.09 0,00 5.50 Regulertotal 0.00 0.00 0.00 0.00 5.50 0.00 0.00 5.50 Timesheet Total 0.00 0.00 0.00 0.00 5.50 0.00 0.00 5.50 City of Carmel Invoice number: 2008 -396 Invoice date: 08/22/2008 Page 8 of 10 City of Carmel Invoice number 2008 -396 Date 0812212008 Project: 3308 CRC -BP Amoco Site Russell Schlukehir Timesheet date: 0712012008 Project Task Activity Employee Type Mon -14 Tue -15 Wed -16 Thu -17 Fri -16 Sat -19 Sun -20 Total CRC -BP Amoco Site 15 IDEM Response Letter Technical document Project Manager 2.00 2,00 preparation 3308 Direct Total 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 Regular total 0.00 0.00 0.00 1 2.00 1 0.00 0.00 0.00 2.00 Timesheet Total 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 Timesheet date: 0612212006 Project Task Activity Employee Type Mon -16 Tue -17 Wed -18 Thu -19 Fri -20 Sat -21 Sun -22 Total CRC -BP Amoco Site 16 IDEM Response Letter Finalize report Project Manager 1.00 2.00 3.00 3308 CRC -BP Amoco Site 16- IDEM Response Letter Communicate wish Project Manager 0.50 0.50 client 3308 Direct Total 1.50 2.00 0.00 0.00 0.00 0.00 1 0.00 3.50 Regulartotal 1.50 2.00 0.00 0.00 0.00 0.00 0.00 3.50 Timesheet Total 1.50 2.00 0.00 0.00 0.00 0.00 0.00 3.50 Timesheet date: 08115 12008 Project Task Activity Employee Type Mon -09 Tue -10 Wed -11 Thu -12. Fri -13 Sat -14 Sun 45 Total CRC -BP Amoco Site 16 IDEM Response Letter Technical document Project Manager 3 O 1.00 4.00 Preparation 3308 CRC -BP Amoco Site 12 ORC -A Injection Remediation Site work prep and Project Manager 2.00 2.00 planning 3308 Direct Total 0.00 0.00 0.00 3.00 100 0.00 0.00 1660 Regular total 0.00 0.00 0.00 3.00 3.00 0.00 0.00 Timesheet Total 0.00 0.00 0.00 3.00 3.00 0.00 0.00 Timesheet date: 0511112008 Project Task Activity Employee Type Mon -05 Tue -06 Wed -07 Thu -08 Fri -09 6m -10 Sun -11 Total CRC -BP Amoco Site 12 ORC -A Injection Remediation Technical document Project Manager 0.50 0.50 preparation 3308 Direct Total 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.50 Regular total 0.00 0.00 0.50 0.00 0.00 1 0.00 1 0.00 0.50 Timesheet Total 0.00 0.00 1 0.50 1 0.00 0.00 0.00 0.00 0.50 Timesheet date: 0510412008 City of Carmel Invoice number: 2008 -396 Invoice date: 08/22/2006 Page 9 of 10 City of Carmel Invoice number 2008 -396 Date 08/22/2008 Project: 3308 CRC -BP Amoco Site Russell Schlukebir Timesheet date: 0510412008 Project Task Activity Employee Type Mon -28 Tue -29 Wed -30 Thu -01 Fri -02 Sat -03 Sun 04 Total CRC -BP Amoco Site 12 ORC -A Injection Remediation Technical document Project Manager 4,00 2.00 6.00 preparation 3308 Direct Total 4.00 0.00 0.00 0.00 2.00 0.00 0.00 6.00 Regulartotal 4.00 0.00 0.00 0.00 2.00 0.00 0.00 6.00 Timesheet Total 4.00 0.00 0.00 0.00 2.00 0.00 0.00 6.00 Timesheet date: 0412712008 Project Task Activity Employee Type Mon -21 Tue -22 Wed -23 Thu -24 Fri -25 Sat -26 Sun -27 Total CRC -BP Amoco Site 12 ORC -A Injection Remediation Draft report Project Manager 4.50 4.50 3308 CRC -BP Amoco Site 12 ORC -A Injection Remediation I Work plan development Project Manager 1.50 1.50 3306 CRC -BP Amoco Sae 16 IDEM Response Letter Oraft report Project Manager 1.00 1.00 3308 CRC -BP Amoco Site 16 IDEM Response Letter Communicate wah Project Manager 0.50 0.50 client 3308 Direct Total 0,00 0.00 1.50 0.00 6.00 6,00 0.00 7.50 Regular total 0.00 0.00 1.50 0.00 6.00 0.00 0.00 7.50 Timesheet Total 0.00 OAO 1.50 0.00 6.00 0.00 O.trO 7.50 Timesheet date: 0412012008 Project Task Activity Employee Type Mon -14 Tue -15 Wed -16 Thu -17 Fri -18 Sat -16 Sun -20 Total CRC -BP Amoco Site 12 ORC -A Injection Remediation Site Visit Project Manager 3.00 3.00 3308 CRC -BP Amoco Sde 12 ORC -A Injection Remediallon Site access Project Manager '0.25 0.25 3308 Direct TataE 0.00 0.00 0.00 3.00 0.2i 0,00 0.00 1.25 Regular total 0.00 0.00 0.00 3.00 0.25 0.00 0.00 3.25 Timesheet Total 0.00 0.00 0.00 3.00 015 0.00 DAD 3.25 Tracey L. Sleek Timesheet date: 0811712008 Project Task Activity Employee Type Mon -11 Tua -12 Wed -13 Thu -14 Fri -I 5 Sat -16 Sun47 Total CRC -BP Amoco Site 12- ORC -A Injection Remediation Finalize Budget Staff Manager 0.25 0.25 3308 Direct Total 0.00 0.26 0.00 0.00 0.00 0.00 0.00 025 Regulartotal 0.00 0.25 0.00 0100 0.00 0.00 0.00 0.25 Timesheet Total 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.25 City of Carmel Invoice number 2008 -396 Invoice date 08/22/2008 Page 10 of 10 I NV OICE Page: 1 R EG E N E S I S Invoice Number: 0115798 IN 1013. Cal le Sombra Invoice Date: 8!2412008 San Clemente, CA 92673 -6244 Tel: 949,366.8000 Fax 949.366.8090 Order Number: 80765 Order Date 6/24/2008 Salesperson: 2SM Customer Number. 00- SESC142 Sold To: Ship To: SESCO GROUP SESCO GROUP 1426 W. 29TH ST. 1426 W. 29TH ST. Confirm To: INDIANAPOLIS, IN 46208 INDIANAPOLIS, IN 46208 RUSS SCHLUKEBIR VAT /EXMIT Customer P.O. Ship VIA F.O.B. Terms OW -21 R WELL FEDEXS APCO NET 30 Item Number Unit Ordered Shipped Back Ordered Price Amount 250 LBS 200.00 200.00 0.00 8.95 1 ORC ADVANCED POWDER 25d BKT Whse: 030 LO'T# 8007- 101010 8 BUCKETS DELIVER ON OR BEFORE 06125 SITE CONTACT RUSS SCHLUKEBIR 317- 347 -9590 ENT'D J U L 1 DDB Project: 5 Task: Dr-F-6d6 Approved By: Comments: 2DOg Ito Net Invoice: 1,790.00 Less Discount: 0.00 Remittance Address: Freight. 223.12 Regenesis Bioremediation Products Sales Tax: 125.30 Department 8873 PAYABLE IN US DOLLARS InvoiceTotal(USD): 2 ,138.42 Los Angeles, CA 90084 -8873 i Sharp 04381 Sharp 4501 N Map Printing Carryover Carryover Carryover from from from Map Printing previous Prints previous 8 112 X Map Total color Total bfvw Project Task of Copies previous month(s) (color) Copies month(s) less month(s) 1 11 X17 Plotter copies to be copies to (less than than 20 less than billed be billed 20) Prints (color) 20 Copies 3003 6 3 7 5 13 8 3101 174 79 60 79 234. 3107 3 57 39 57 42 3175 CAP Im l 143 815 1049 1 23 815 1192 3230 1 606 98 606 99 3251 100 31 63 31 163 3258 2 273 114 1 273 117 3262 334 30 133 30 467 3266 214 24 214 24 3308 102 411 266 411 3619 D 3312 1 1 71 126 12 71 0 3316 6 63 23 63 29 3327 149 1 237 34 237 183 3337 139 137 100 137 239 3348 14 26 128 26 142 3351 87 262 49 262 136 3381 FSI 11 64 14 20 64 14 3411 26 4 6 4 32 3417 1 42 236 42 237 3459 1 68 206 26 1 2 06 94 3465 79 66 109 66 188 3480 4 638 155 638 159 .-3496 67 348 350 348 417 3518 114 25 114 25 3527 238 115 26 115 264 3528 231 80 88 80 319 3529 167 100 46 100 213 3530 4 13 13 13 17 3531 1 8 244 1 41 244 49 3532 1 46 0 47 3533 36 6 234 6 270 3542 CAP Revised 141 128 52 7 1 128 193 3550 Feasibility 230 226 422 12 226 652 3557 61 392 27 392 88 3560 11 3 89 3 100 3585 1 628 1 407 628 408 NT'Q 811 r 18 2008 PrescritTed by 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 5 e5co (�n rou Purchase Order No. lu2tp w. Z Terms „0I11 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 2 1 3. 3 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