HomeMy WebLinkAbout164584 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00350562 Page 1 of 1
ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC CHECK AMOUNT: $384,875.92
CARMEL, INDIANA 46032 7260 SHADELAND STATION
INDIANAPOLIS IN 46256 -3917 CHECK NUMBER: 164584
CHECK DATE: 10/16/2008
DEPA RTMEN T ACCOUNT PO NUMBER INVO ICE NUMBE AMOUN D ESCRIPTION
202 ^T 4340100 18307 35110 2,200.00 ADDLT 54 /MISC PROJECT
202 4462837 19145 35206 8,354.88 OLD MERIDIAN CONST IN
202 R4462837 19145 35206 23,332.62 OLD MERIDIAN CONST IN
1205 4340100 19128 35314 2,500.00 SPRINGMILL -RAB AT DOR
920 4350900 18306 35355 16,599.73 ON CALL PROJECT COORD
920 R4470201 18300 35462 2,750.00 106TH ROW SERVICE
X 920 R4470401 18303 35463 2,000.00 126TH R/W SERVICE
W9�20 4340101 18311 35464 21,375.00 COMMUNICATIONS SERVIC
920 R4470601 18301 35466 97,852.90 136TH DESIGN /ROW SERI
:,920 4470602 18347 35467 3,950.00 ROW SERVICE
920 R4470302 18345 35468 15,000.00 116TH /KEYSTON ROW /ENG
920 4470301 18346 35484 158,431.60 DESIGN SERVICE
920 R4340101 17764 35485 30,529.19 KEYSTONE PROJECT
Z
Remit to:
Q 7260 Shadeland Station
Indianapolis, IN 46256 -3957
0 AMERICAN TEL 317.547.5580
STRUCTUREPOINT FAX 317.543.0270
1 NC. www.structurepoint.com
F
Federal Tax ID: 35- 1127317
Invoice Number: 35467
October 10, 2008
City of Carmel Re: Job IN20030661
Attn: Engineering Department Keystone Ave Expressway
One Civic Square 96th St to 146th Street (Keystone Parkway)
Carmel, IN 46032
11 Due This Invoice (see breakdown below): 3
Consulting Services front September 01, 2008 through September 30, 2008
Billing Group: 033
Additional Services 2007.12 (4470602)
PO #18347
Buying Parcels 85, 86 88
Bitting Fee: $75,590.00
Phase Percent
Phase Fee Complete Fee Earned Prior Billine Current Fee
36th Street Title Updates and Guarantees (9 $600) $5,400.00 2.78 $150.00 $150.00 $0.00
136th Street Title Reports (1 @$340) $340.00 0.00 $0.00 $0.00 $0.00
136th Street R/W Appraising $38,775.00 92.39 $35.825.00 $35,825.00 $0.00
136th Street R/W Buying (I I n $1,750) $19,250.00 10.65 $2,050.00 $0.00 $2,050.00
136th Street R/W Management (1 1 n $1000) $1 1,000.00 27.27 $3,000.00 $1,100.00 $1,900.00
13601 Street Handling and Recording (1 I $75) $825.00 0.00 $0.00 $0.00 $0.0
Phase Total: $3, 950.00
r
TOTAL AMOUNT D UE FOR BILLING GROUP $3,950.00
TOTAL PROJECT INVOICE AMOUNT: $3 ,950.00
Very truly yours
American StructurepoinL Inc.
J. Samuel Balog, l F
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
American Structurepoint, Inc. Invoice: 35467
Project: IN20030661 October 10, 2008
Page 2 of 2
Aged Receivables:
Current 31 -60 Days 61 -90 Days 91 -120 Days >120 Days
246,467.70 0.00 0.00 0.00 0.00
Full payment of this invoice is due within 30 days from the invoice date.
Interest at the rate of I.5% per month ($25.001month minioutin) plus ally/all collection cosWattorney costs mqy be
charged ifpayment is not received within 60 daps from the invoice date.
Prescribed 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
American Structurepoint, Inc. Purchase Order No. 18347
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/10/08 35467 Keystone Reconstruction Project
R/\N Acquisition Services 131st Street
Project 07 -08
Additional Services #2 007.12
Parcels 85,86,88 $2,050.00
Parcels 88,103 $1,900.00
Total $3,950.00
1 hereby certify that the attached invoice(s), or bills(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.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
661' 3,950.00
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
18347 35467 4470602 $3,950.00
I hereby certify that the attched 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
October 13, 20 08
f
Total $3,950.00 t Signature
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title
Remit to:
7260 Shadeland Station
❑F� Indianapolis, IN 46256 -3957
0 AMERICAN TEL 317.547.5580
STRUCTUREPOI NT FAX 317.543.0270
F1 1 1 I N C. www.structurepoint.com
Federal Tax ID: 35- 1127317
Invoice Number: 35484
October 10, 2008
City of Carmel Re: Job tN20030661
Attn: Engineering Department Keystone Ave Expressway
One Civic Square 96th St to 146th Street (Keystone Parkway)
Carmel, IN 46032
Total Due This Invoice (see breakdown be /ow): 158,431.64
Consulting Services from September 01, 2008 through September 30, 2008
Billing Group: 031
Additional Services 42007.11(4470301)
PO #18346
Billing FeeS1,898,060.00
Phase Percent
Phase Fee Complete Fee Earned Prior BilliD Current Fee
Road Design $1,263,060.00 30.00 $378,918.00 $239,981.40 $138,936.60
Lighting Design. $40,000.00 20.00 $8,000.00 $0.00 $8,000.00
r
Bridge Design $271,000.00 27.50 $74,525.00 $67,750.00 $6,775.00
Retaining Wall Design $324,000.00 0.00 $0.00 $0.00 0. 00
b
r
Phase Totok $153,711.60
TOTAL AMOUNT DUCE FOR BILLING GROUP $153,711.60
Bitting Group: 035
Additional Services #2007.11(4470301)
PO #18346
Computer Graphic Renderings
Phase Maximum $50,000.00
Previous Billing Against Max $44 ,497.50
Current Billing Against Max 54,720.00
Under Maximum $782.50
Professional Services
Senior Technician 13.00 hrs. $95.00 /hr. $1,235.00
Technician 41.00 hrs. $85.00 /hr. $3,485.00
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
American Structurepoint, Inc. Invoice: 35484
Project: IN20030661 October 10, 2008
Page 2 of 2
Professional Services Total: S4,720.00
TOTAL COMPUTER GRAPHIC RENDERINGS $4,720.00
TOTAL AMOUNT DUE FOR BILLING GROUP $4,720.00
TOTAL PROJECT ZNVOTCE AMOUNT: $158,431.60
Very truly yours,
American Structurepoint, Inc.
ch i° 'PA r—K
J *Samuel Balog, PE
Aged Receivables:
Current 31 -60 Days 6.1 -90 Days 91 -120 Days 120 Days
S 301,359.50 0.00 0.00 S 0.00 0.00
Full payment of this invoice is due within 30 days front the invoice date.
Interest at the rate of 1.5% per month (525.00 1ninth minimum) plus any /all collection co Wattorney costs may be
charged ifpayment is not received within 60 daysfrom the invoice date.
Prescribed by Slate 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
American Structurepoint, Inc. Purchase Order No. 18346
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/10/08 35484 Keystone Reconstruction Project $158,431.60
Design Services for 116th Street
Project 07 -08
Additional Services #2007.11
Total $158,431.60
1 hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance
'with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
�t
VOUCHER NO, WARRANT NO.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
66' 158,431.60
ON ACCOUNT OF APPROPRIATION FOR
American Structurepnint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
18346 35484 4 470301 $158,431.6
I hereby certify that the attched 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
October 13, 20 08
Total $158,43 Signature
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title
Remit to:
Q 7260 Shadeland Station
Indianapolis, IN 46256 -3957
0 AMERicAN TEL 317.547.5580
0® STRUCTUREPOINT FAX 317.543.0270
F INC. www.structurepoirit.com
Federal Tax ID. 35- 1127317
Invoice Number: 35468
October 10, 2008
City of Carmel Re: Job IN20030661
Attn: Engineering Department Keystone Ave Expressway
One Civic Square 96th St to 146th Street (Keystone Parkway)
Carmel, IN 46032
o aL-ai Due This InVOiee (see breakdown below) 15,000.00
Consulting Services from September 01, 2008 through September 30, 2008
Billing Group: 030
Additional Services No. 2007.10
PO #18345
Billing I $32,500.00
t
P f185 Percent
Phase Fee Complete Fee Eamed Prior Billine Current Fee
r 116th St. Carmel Dr. WW Engineering (10 @$2,500) $25,000.00 100.00 $25,000.00 $10,000.00 $15
4470302
131 sst St. R/W Engineering (3@ $2,500) 4470502 $7,500.00 0.00 $0.00 $0.00 0.00
Phase Total: $15,000.00
TOTAL AMOUNT DUE FOR BILLING GROUP $15,000.00
TOTAL PROJECT INVOICE AMOUNT; $15,000.00
Very truly yours,
American Structurepoint, Inc.
J. Samuel 13a g, PE
Aged Receivables:
Current 31 -60 Days 61 -90 Days 91-120 Days >120 Days
261,467.70 0.00 0.00 0.00 0.00
Frill payment of this invoice is due within 30 days from the invoice date.
Interest at the rate of L 5% per month (525.00 1month minirnutn) plus any /all collection cosWaltorney costs may be
charged ifpayntene is not received within 60 daysfrom the invoice elate.
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
Prescribed 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
American Structurepoint, Inc. Purchase Order No. 18345
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/10/08 35468 Keystone Reconstruction Project
R/W Engineering Services for 116th Street $15,000.00
RIW Engineering Services for 131 st Street
Project 07 -08
Additional Services #2007.10
Parcels 36,54,56,57,110,111
Total
$15,000.00
A
I hereby certify that the attached invoice(s), or bills(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 N0,
American Structurepoint, In ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
4 1 15,000.00
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
18345 35468 4470302 $15,000.00
I hereby certify that the attched 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
October 13, 20 08
Total $15 Signature
Cost distribution ledger classification if Ci En
claim paid motor vehicle highway fund Title
Remit to:
7260 Shadeland Station
Indianapolis, IN 46256 -3957
0 AMERICAN TEL 317.547.5580
F STRUCTUREPOINT FAX 317.543.0270
I N C. www.structurepoint.com
Ff Federal Tax ID: 35- 1127317
Invoice Number: 35464
October 10, 2008
City of Carmel Re: Job IN20030661
Attn: Engineering Department Keystone Ave Expressway
One Civic Square 96th St to 146th Street (Keystone Parkway)
Carmel, M 46032
Total Due This Invoice (see breakdown below): 21,375.00
Consulting Services from September 01, 2008 through September 30, 2008
Billing Croup: 028
Additional Services #.55 (4340101)
PO #18311
Billing Fee: $397,951.00
Ph Percent
Phase Fee Complete Fee Earned Prior Billine Current Fee
Internal Project Coordination $89,951.00 56.02 $50,388.50 $43,488.50 $6,900.00
External Public Communications $158,000.00 45.79 $72,350.00 $64,362.50 $7,987.50
Branding $35,000.00 99.96 $34,987.50 $34,987.50 $0.00
Web Site $100,000.00 61.36 $63,355.00 $58 $2,812.50
Video Coordination and Photography Documentation $15,000.00 69.25 $10,387.50 $6,712.50 $3
Phase Twat: $21 ,375.00
TOTAL AMOUNT DUE FOR BILLING GROUP $21,375.00
TOTAL PROJECT INVOICE AMOUNT $21,375.00
Very truly yours,
American Structurepoint, Inc.
J. Samuel Ba og, PE
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
American Structurepoint Inc. Invoice: 35464
Projects IN20030661 October 10, 2008
Page 2 of 2
Aged Receivables.
Current 31 -60 Dais 61 -90 Days 91 -120 Days >120 Days
26,125.00 0.00 0.00 0.00 0.00
Fall payment of this invoice is due within 30 days from the invoice dale.
Interest at the rate of 1.5% per month (525.00 1umnUr minimum) plas any /all collection cosis/attorney costs matt/ be
charged ifpayntent is not received within 60 days from the invoice dale.
Prescribed 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
American Structurepoint, Inc. Purchase Order No. 18311
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/10/08 35464 Keystone Reconstruction Project $21,375.00
Consulting Services
Project 07 -08
Additional Services #55, 2007.6
Total $21,375.00
I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER N0, WARRANT N0.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
21,375.00
ON ACCOUNT OF APPROPRIATION FOR
American Structurepaint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
18311 35464 4340101 $21,375.00
1 hereby certify that the attched 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
October 13, 20 08
Total $21,375.00 Signature
Cost distribution ledger classification if C ity Engineer
claim paid motor vehicle highway fund Title
Remit to:
7260 Shadeiand Station
Indianapolis, IN 46256 -3957
0 AMERICAN n TEL 317.547.5580
l ]N STRUCTUREPOINT FAX 317.543 -0270
I N C. www.structurepoint.com
Federal Tax ID: 35- 1127317
Invoice Number: 35355
October 08, 2008
City of Carmel Re: Job IN20080147
Attn: Mr. Mike McBride On Call Project Coordinator
One Civic Square City of Carmel, IN 46032
Carmel, IN 46032
Total Due This Invoice (see breakdown below): 16,599.73
Consulting Services from September 01, 2008 through September 30, 2008
Billing Group: 001
Additional Services #53
P.O. 18306
Keystone Parkway Coordinator
i Phase Maximum $168 ,675.00
Previous Billing Against Max $124,502.08
Current Billing Against Max $16,599.73
Under Maximum $27,573.19
Professional Services
Project Engineer 165.50 hrs. S 100.00 /hr. $16,550.00
Professional Services Total: S16,550.00
Reimbursables
Automobile Mileage 524.57
Automobile Mileage $25.16
Reirnbursables Total: $49.73
TOTAL KEYSTONE PARKWAY COORDINATOR $16 ,599.73
TOTAL AMOUNT DUE FOR BILLING GROUP $16,599.73
TOTAL PROJECT INVOICE AMOUNT: $16 ,599.73
Very truly yours..
ican Structurepoint, Inc.
Crai M. Parks, PE
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
American Structurepoint, Inc. Invoice: 35355
Project: IN20080147 October 08, 2008
Page 2 of 2
Aged Receivables:
Current 31-60 Days 61 -90 Days 91 -120 Days >120 Days
21,949.73 0.00 0A0 0.00 0.00
Felt payment of this invoice is due within 30 clays from the invoice date.
Interest at the rate of 1,5% per month ($25.00 1month minimum) plus any /all collection costs /attorney costs may be
charged ifpaymeut is not received within 60 days from tite invoice date.
AMERICAN STRVCTUREPQINT, INC.
AUTO MILEAGE LOO
113: JMK
NAME: Jeremy Kashman Time Period from: 91112008 to 9/1512008
iN0a0
Only
6klling 'WIT
Date Job Number Group Phased Project Name betekled DeeMptlon COMP OUT 1N TOTAL. MILES
04/02108 IN20080147 001 100 Keystone We to Structure point For 136th St. utiltiy Meeting 96544 96555 11
09/03/08 IN20080147 001 100 lKeystone -Tr to Structure oint for 116th St. R1W Meeting 96580 96595 15
09/04108 IN20080147 001 100 Ke st-ne Trip to Structure point for Technical Meed"B 96626 %637 11
I
09/091D8 IN20080I47 001 109 Ke stone Trip to MCL for Business Roundtable Mt 96762 96767 5
p
i
I
t
t
t
01?2 TOTAL "Wfl' COAfP (4 H M.8
RS. +EQUALS 0 PER DA1) TOTAL IMLEACE. 42.0
TRANSACTION# BY DATE g 0 24.57
(N HRS. EQUALS SS.SO PER DAY)
PARKING
ForAccouriing Use Only TOTALDUE 24.57
6—fc Ag
jMV ployee Signat Date
6�Q
Authorization Date
Effective 07101108
Revised by ckb: 07101!08
AMERICAN STRUCTUREPOINT INC.
AUTO MILEAGE LOG
ID: JMK
NAME: Jeremy Kashman Time Period from: 911512008 to 913012008
LJOPL
IN090
Only
Billing WT
Date Job Number Group Phase Project Name Detailed Description COMP OUT IN TOTAL MILES
09/16/08 IN20080147 001 100 Keystone Trip to meet with Homeowner 96911 1 96919 8
09/18/08 Overhead Gen 100 Overhead ]'rip to Vdoodland for Crestcoln Trainaing 96960 96964 4
09119/08 IN20080147 001 100 Keystone Trip to on site to meet at First Baptist 96988 96994 6
09/23/08 IN20080147 001 100 Keystone Trip through project 97229 97244 15
09(25108 TN20080147 001 100 Keystone Trip to Structure pint for Technical Meeting 97289 97303 I4
Do 1Q0 I
TOTAL WITCOMP(4HRS. <EQUALSS5A0PER DAY) TOTAL MlLF.AGF- 47.0
TRANSACTION p J BY DATE <4 HRS. EQUALS 52.50 PFR DAY) t 0.585 27,50
PARKI>fG
For Accounting Use Only TOTAL, DUE 27.50
A/C Amount
wu;u apyeere Date
0,5
Authorization Data
Effective 07/01108
Revised by c1b: 07101108
Prescribed 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
American Structurepoint, Inc. Purchase Order No. 18306
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10(08108 35355 Keystone Reconstruc Project $16,599.73
On -Call Project Coordination
Project 07 -08
Additional Services #53, 2007.4
Total $16,599.73
I hereby certify that the attached invoice(s), or bills(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.
American Structurepoint Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
61� 16, 599.73
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
18306 35355 4350900 $16,599.73
I hereby certify that the attched 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
Octob er 1 3, 20 08
Total $16,599.73 Signatu�e J
Cost distribution ledger classification if City En
claim paid motor vehicle highway fund Title
Remit to:
7260 Shadeland Station
Indianapolis, IN 46256 -3957
AMERICAN TEL 317.547.5580
N STRUCTUREP01 FAX 317.543.0270
i N C. www.structurepoint.com
Federal Tax ID: 35- 1127317
Invoice Number: 35463
October 10, 2008
City of Carmel Re: Job IN20030661
Attn: Engineering Department Keystone Ave Expressway
One Civic Square 96th St to 146th Street (Keystone Parkway)
Carmel, IN 46032
Total Due This Invoice (see breakdown below) 2
Consulting Services from September 01, 2008 through September 30, 2008
Billing Group: 026
Additional Services #51(4470402)
PO #18303
Billing Fee: $39,925.00
Phase Percent
Phase Fee complete Fee Earned Pnor Billine Current Fee
12bth Street WW Appraising $22,300.00 G8.b1 $15,300.00 $15,300.00 $0.00
i 126th Street R/W Buying (6 C $1,750 ea.) $10,500.00 50.00 $5,250.00 $5,250.00 $0.00
Transfer Document Preparation (5 n $75 ca.) $375.00 80.00 $300.00 $300.00 $0.00
126th Street R/W Management (6 a $1,000 ea.) $6,000.00 66.67 $4,000.00 $2,000.00 $2,000.00
126th Street Title Updates (5 $150 ea.) $750.00 20.00 $150.00 $150.00
Phase Total. $2,000,00
TOTAL AMOUNT DUE FOR BILLING GROUP $2,000.00
TOTAL PROJECT INVOICE AMOUNT: $2,000.00
Very truly yours,
American Structurepoint, Inc.
J. Samuel Balog, P;�
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
American Structurepoint, Inc. Invoice: 35463
Project: IN20030661 October 10, 2008
Page 2 of 2
Aged Receivables:
Current 31 -60 Days 61 -90 Days 91 -120 Days 120 Days
4,750.00 0.00 0.00 0.00 0.00
Full payment of this invoice is due within 30 days from the invoice date.
Interest at the rate of 1.5% per month (515.00 1month minimum) plus any lull collection casts /attorney costs may be
charged if payment is not received within 60 days front the invoice date.
Prescribed by Stale 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
American Structurepoint, Inc. Purchase Order No. 18303
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/10/08 35463 Keystone Reconstruction Project
126th Street Engineering R/W Services
Project 07 -08
Parcel 61, 62 $2,000.00
Total $2,000.00
I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
e
VOUCHER NO. WARRANT N0,
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
611, 2,000.00
ON ACCOUNT OF APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
18303 35463 4470402 $2,000.00
1 hereby certify that the attched 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
October 13 20 08
Total $2,000.00 Signature
Cost distribution ledger classification if City Engine
claim paid motor vehicle highway fund Title
Remit to:
7260 Shadeland Station
Indianapolis, IN 46256 -3957
AMERICAN TEL 317.547.5580
0M STRUCTUREPOINT FAX 317.543.0270
INC. www.structurepoint.com
Federal Tax ID: 35- 1127317
Invoice Number: 35466
October 10, 2008
City of Carmel Re: Job IN20030661
Attn: Engineering Department Keystone Ave Expressway
One Civic Square 96th St to 146th Street (Keystone Parkway)
Carmel, IN 46032
Total Due This Invoice (see breakdown below): 97,852.90
Consulting Services from September 01, 2008 through September 30, 2008
Biiiiug Group: 027
Additional Services #52 (4470601)
PO #18301
Billing Fee: $994,520.00
Phase Percent
Phase Fee Complete Fee Earned Prior Billine Current Fee
136th Street Interchange Final Road Design $543,240.00 100.00 $543,240.00 $510,645.60 $32,594.40
136th Street Interchange Final Bridge Design $145,890.00 100.00 $145,890.00 $131,301.00 $14,589.00
Keystone Parkway over Cool Creek Reh Final Design $123,390.00 100.00 $123,390.00 $117,220.50 $6,169.50
136th Street Retaining Wall Design $162,000.00 100.00 $162,000.00 $121,500.00 $40,500.00
136th Street Lighting Design $20,000.00 100.00 $20,000.00 $16,000.00 $4,000.00
Phase Total: $97,852.90
TOTAL AMOUNT DUE FOR BILLING GROUP $97,852.90
TOTAL PROJECT INVOICE AMOUNT. $97,852.90
Very truly yours,
American Struclurepoint, Inc.
J� Samuel Balog G
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
American 5tructurepoint, Inc. Invoice: 35466
Project: IN20030661 October 10, 2008
Page 2 of 2
Aged Receivables:
Current 31 -60 Days 61-90 Days 91 -120 Days 120 Days
242,517.70 0.00 0.00 0.00 0.00
Full payment of this invoice is due within 30 days from the invoice date.
Interest at the rate of 1.5% per nronth (525.00 1month minitnwn) plus any /411 collection cosis/attorney costs may he
charged ifpavtnent is not received within 60 days front the invoice date.
Prescribed by Stale Board of Accounts City Form fro. 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
American Structurepoint, Inc. Purchase Order No. 18301
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/10/08 35466 Keystone Reconstruction Project $97,852.90
136th Street Engineering Design Services
Project 07 -08
Additional Services #52, 2007.2
f Total $97,852.90
1 hereby certify that the attached invoice(s), or bills(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.
American Structurepoint Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
6�11 97,852.90
ON AEONNT OF APPROPRIATION FOR
American Structurepaint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
18301 3 5466 4470601 $97,852.90
hereby certify that the attched 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
October 13 20 08
Total $97,852.90 ignature
Cost distribution ledger classification if G lty Erl
Title
claim paid motor vehicle highway fund
Remit to:
7260 Shadeland Station
Indianapolis, IN 46256 -3957
AMERICAN TEL 317.547.5580
STRUCTUREPOI NT FAX 317.543.0270
N C. www.structurepoint.corn
Federal Tax ID: 35- 1127317
Invoice Number: 35462
October 10, 2008
City of Carmel Re: Job IN20030661
Attn: Engineering Department Keystone Ave Expressway
One Civic Square 96th St to 146th Street (Keystone Parkway)
Carmel, IN 46032
Total Due This Invoice (see breakdown below): 2
Consulting Services from September 01, 2008 through September 30, 2008
Billing Group: 025
Additional Services 050 (4470202)
PO #18300
Buying Parcel 23
Billing Pee: $29,025.00
Phase Percent
Phase Fee Complete Fee Earned Prior Ulina Current Pee
106th Street R/W Appraising $11,000.00 100.00 $11,000.00 $11,000.00 $0.00
106th Street R/W Buying (5 0 $1,750 ea.) $8,750.00 80.00 $7,000.00 $5,250.00 $1,750.00
106th Street R/W Relocations (I rr $3,150 ca.) $3,150.00 40.63 $1,280,00 $1,280.00 $0.00
Transfer Document Preparation (5 $75 ea.) $375.00 40.00 $150.00 $150.00 $0.00
106th Street R/W Management (5 cr $1,000 ea.) $5,000.00 80.00 $4 $3,000,00 $1,000.00
106th Street "title Updates (5 $150 ea.) $750.00 50.00 $375.00 $375.00 0.00
Phase Total. $2,750.00
TOTAL AMOUNT DUE FOR BILLING GROUP $2,750.00
TOTAL PROJECT INVOICE AMOUNT: $2,750.00
Very truly yours,
American Strueturepoint, Inc.
s'A
J. Samuel Balog, PE
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
J
American Structurepoint, Inc. Invoice: 35462
Project: IN20030661 October 10, 2008
Page 2 of 2
Aged Receivables:
Current 31 -60 Days 61 -90 Days 91 -120 Days >120 Days
2,750.00 0.00 0.00 0.00 0.00
Fall payment of this invoice is due within 30 days front the invoice date.
Interest at the rate of 1.5% per month (825.00 1month mininatm) phis anv /all collection costs attorney costs mqp be
charged lfpayment is not received within 60 daysfrom the invoice date.
Prescribed by Slate 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
American Structurepoint, Inc. Purchase Order No. 18300
7260 Shadeland Station Terms
Indianapoiis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/10/08 35462 Keystone Reconstruction Project $2,750.00
R/W Acquisition Services 106th Street
Project 07 -08
Additional Services #50
Parcel 22
r
Total $2,750.00
1 hereby certify that the attached invoice(s), or bills(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.
American Structurepoint Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
4 2,750.00
ON ACCOUNT Of APPROPRIATION FOR
American Structurepoint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
18300 35462 44702 2,750. 00
1 hereby certify that the attched 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
October 13, 20 08
Total $2,750.00 Signature
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title
l
Remit to:
7260 Shadeland Station
Indianapolis, IN 46256 -3957
0 AMERICAN TEL 317.547.5580
0 STRUCTUREPOINT FAX 317.543.0270
I N C. www.structurepoint.com
Federal Tax ID: 35- 1127317
Invoice Number: 35314
September 30, 2008
City of Carmel Re: IN20080273
Attn: Mr. Mike McBride Spring Mill Road Improvements 116th to
One Civic Square 131st St.
Carmel, IN 46032 Carmel, IN
moo,
T otai Due This Invoice (see breakdown $2r5OO.00
Consulting Services from August 01, 2008 through August 31, 2008
Billing Group: 004
Phase 402
Right -of -Way Engineering Plats and Legal Descriptions (1 each)
As Agreed: $2,500.00
TOTAL AMOUNT DUE FOR BILLING GROUP $2,500.00
TOTAL PROJECT INVOICE AMOUNT: $2,500.00
Very truly yours,
A Tm.,cPrE t, Inc.
Aged Receivables:
Current 31 -60 Days 61 -90 Days 91 -120 Days >120 Days
$2,500.00 $0.00 $0.00 $0.00
Full payment of this invoice U due within 30 days from the invoice date.
Interest at the rate of 1.5% per month (825.00 1month minimum) plus any /all collection casts /anorney costs n� �l
charged if payment is not received within 60 days from the invoice date. O
RECEIVED
OCT 20
CARMEL C4
�l ENOINEEq
l
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
Prescribed 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
American $tructurepoint, Inc.
Purchase Order No.
7260 Sl adeland Station
Terms
Indianapolis, IN 46256 -3957
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s))
9130108 35314 Spring Mill Road Improvements 116th -131st ,500.00
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.
ALLOWED 20
llmsrisan�r� IN SUM OF
7260 Shadeland Station
Indianapolis, IN 46256 -3957
$2,500.00
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
19128 35314 1205 -Ql S2,500.00 materials or services itemized thereon for
which charge is made were ordered and
received except
200 ,�f
Signa
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
Remit to:
7260 Shadeland Station
0F� Indianapolis, IN 46256 -3957
0 aMERicAN TEL 317.547.5580
S TRUCTUREPOiNT FAX 317.543.0270
1 N C, www.structu repoi nt. com
0 1-1 Federal Tax ID: 35- 1127317
Invoice Number: 351.1.0
September 23, 2008
Citv of Carmel Re: Job IN20080147
Attn: Mr. Mike McBride On Call Project Coordinator
One Civic Square City of Carmel, IN 46032
Carmel, IN 46032
Total Due This Invoice (see breakdown below): 2,200.00
Consulting Services from August 01, 2008 through August 31, 2008
Billing Group: 002
Additional Services 954
P O. 18300
Miscellaneous City Projects
Phase Maximum $56,225.00
Previous Billing Against Max $10,250.00
Current Billing Against Max $2,200.00
Under Maximum $43,775.00
Professional Services
Project Engineer 22.00 hrs. a $100.00 /hr. $2,200.00
Professional Services Total: $2,200,00
TOTAL MISCELLANEOUS CITY PROJECTS $2,200.00
TOTAL AM DUE FOR BILLING GROUP $2,200.00
TOTAL PROJECT INVOICE AMOUNT. $2,200.00
Very truly yours,
ctican 'tructurepoint, Inc.
Craig 1. Parks, PE
Ln
N
N
G 'ENGINE&q o`
c
91 Sb�tty
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
American Structurepoint, Inc. Invoice: 35110
Project: IN20080147 September 23, 2008
Page 2 of 2
Aged Receivables:
Current 31 -60 Days 61 -90 Days 91 -120 Days >120 Days
18,018.45 0.00 0.00 0.00 0.00
Full payment of this invoice is due within 30 days from the invoice date.
Interest at the rate of 1.5% per month (525.00 1month minimum) plus an} /all collection cosWattorney costs may be
charged ifpaynrent is not received within 60 days from the invoice date.
7 S
Remit to:
7260 Shadeland Station
❑F� Indianapolis, IN 46256 -3957
0 AMERICAN TEL 317.547.5580
F STRUCTUREPOINT FAX 317-543.0270
[11-1 1 N C. www.structurepoint.com
El Invoice Number: 35206 Federal Tax ID: 35- 1127317
September 25, 2008
City of Carmel
Attn: Mr, Mike McBride Project Number: IN20070446
One Civic Square �,�g"�-93t3�1
Carmel, IN 46032 U
r4
Re: Grande Boulevard from Guilford Avenue to RECEIVED 01
131S't Street Construction Inspection o
Carmel, Indiana 4 q(
Additional Services #46, PO 168394 /q/ O"
Dear Mr, Mike McBride, qm�b���
This is an invoice for engineering and/or architectural services for the above referenced project through August 31, 2008. Pull payment
of this invoice is due within 30 days from the invoice date. 4� X'? �I P 2 ',k„ Ca
Zo a 5'YC 3 -7 9, 3 F° IS
Total Due This Invoice (see breakdown below): 31,687.50
TOTAL AMOUNT DUE FOR BILLING GROUP $0.00
Construction Inspection
Professional Services
David P. Machala 2.50 hrs. $85.00 /h $212.50
Jeffery R Reeves 34.50 hrs. u $85.00 /h $2,932.50
Joshua R. Reeves 32.00 hrs. $65.00 /hr, $2,080.00
Karla D. Smith 37.25 hrs. n $85.00 /hr. $3,166.25
Thomas J. Mobley, II 214.00 hrs. $75.00 /hr $16,050.00
Tiffany J. Tesch- Chamberlin 85.25 hrs. cr $85.00 /hr. $7,246.25
$31,687.50
TOTAL CONSTRUCTION INSPECTION $31,6$7.50
TOTAL AMOUNT DUE FOR BILLING GROUP $31,687.50
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
1
American Structurepoint, Inc. Invoice: 35206
Project: IN20070446 September 25, 2008
Page 2 of 2
TOTAL PROJECT INVOICE AMOUNT $31 ,687.50
Very truly yours,
American Structurepoint, Inc.
L A
Todd A. Rutledge,
CONTRACT AMOUNT: 269,000.00
LESS PREVIOUS INVOICES: 205,751.25
LESS THIS INVOICE: $31,687.50
AMoulv'r REMAINING: $31 5 61.25
Y Prescribed 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
American St_ructurepoint, Inc_
Purchase Order No.
7 ?r-n 8hadeland Ctatian
Terms
Indianapolis IN 46256 -3957
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9123108 35110 On Call Project Coordinator $2,200.00
9 Grande Blvd from Uufltond to st Street
Total$3 RR7 5n
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
bk.
VOUCHER NO. WARRANT NO.
rt ALLOWED 20
Arnensan Stm st lreia�int,. a��— IN SUM OF
7260 Shadeland Station
Indianapolis, IN 46256 -.3957
$33,887:50
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
bills) is (are) true and correct and that the
18307 35110 202401 2,200.00 materials or services itemized thereon for
19145 35206 202- 84462837 S 23,332.62 which charge is made were ordered and
1 q1drN A received except
1 01 13 20 J
L- ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Remit to:
7260 Shadeland Station
Indianapolis, IN 46256 -3957
AMERICAN TEL 317.547.55$0
STRUCTUREPOINT FAX 317.543.0270
I N C. www.structurepoint.com
J❑ Federal Tax ID: 35- 1127317
Invoice Number: 35485
October 10, 2008
City of Carmel Re: Job IN20030661
Attn: Engineering Department Keystone Ave Expressway
One Civic Square 96th St to 146th Street (Keystone Parkway)
Carmel, IN 46032
Total Due This Invoice (see breakdown below): 30,529.19
Consulting Services from September 01, 2008 through September 30, 2008
Billing Group: 005
Project Management and Financial Planning (4340101)
PO #17764
Billing Fee: $238,800.00
Phase Percent
Phase Fee Complete Fee Earned Prior Billing Current Fee
Project Management and Financial Planning $238,800.00 86.50 $206,562.00 $195,816.00 $1
Phase Twat $10,746.00
TOTAL AMOUNT DUE FOR BILLING GROUP $10,746.00
Billing Group: 009
Utiiity.Cooruination (4340101)
PO #17764
Billing Fee: $124,800.00
Phase Percent
Phase Fee Complete Fee Earned Prior Billine Current Fee
Utility Coordination $102,000.00 50.00 $51,000.00 $44,880.60 $6,120.00
City of Carmel Utilities Conceptual Relocation Planning $22,800.00 17.00 $3,876.00 $3,192.00
Phase Toral $6,804.00
TOTAL AMOUNT DUE FOR BILLING GROUP $6,80400
Indianapolis, Indiana Columbus, Ohio South Bend, Indiana
American Structurepoint, Inc. Invoice: 35485
Project: IN20030661 October 10, 2008
Page 2 of 3
Billing Group: 011
Traffic (4340101)
PO #17764
Billing Fee: $61,400.00
Phase Percent
Phase Fee Complete Fee Earned Prior Billinc Current Fee
Traffic Counting $24,000.00 100.00 $24,000.00 $24,000.00 $0.00
Corridor Traffic Analysis $37,400.00 90.00 $33,660.00 $31,790.00 $1,870.
Phase Total. $1,870.00
TOTAL AMOUNT DUE FOR BILLING GROUP $1,870.00
Billing Group: 018
Conceptual Landscaping Plans (4340101)
PO #17764
R
Billing Fee: $61,600.00
Phase Percent
Phase Fee Complete Fee Earned Prior Billine Current Fee
Conceptual Landscaping Plans $61,600.00 89.00 $54,824.00 $53,284.00 $1,
Phase Total: $1,540.00
TOTAL AMOUNT DUE FOR BILLING GROUP 1,540.0 0
Billing Group: 020
Conceptual Computer Graphics (4340101)
PO #17764
Conceptual Drive Through Videos (4340101)
Phase Maximum $50,000.00
Previous Billing Against Max $2,095.50
Current Billing Against Max $8,635.00
Under Maximum $39,269.50
Professional Services
Senior Technician 73.00 hrs. $95.00 /hr. $6,935.00
American Structurepoint, Inc. Invoice: 35485
Project: IN20030661 October 10, 2008
Page 3 of 3
Technician 20.00 hrs. $85.00 /hr. $1,700.00
Professional Services Total: $8,635.00
TOTAL CONCEPTUAL DRIVE THROUGH VIDEOS (4340101) $8,635.00
TOTAL AMOUNT DUE FOR BILLING GROUP $8,635.00
Billing Group: 024
On Call Services (4340101)
PO #17764
Billing Fee: $15,000.00
Phase Percent
Phase Fee Complete Fee Eamed Prior Billink Current Fee
On Call Services $10,000.00 27.10 $2,710.19 $1,776.00 $934.19
On Call Signal Timing Adjustments $5,000.00 75.00 $3,750.00 $3,750.00 $0 .0 0
Phase Total: $934.19
1
TOTAL AMOUNT DUE FOR BILLING GROUP $934.19
TOTAL PROJECT INVOICE AMOUNT: $30,529.19
Very truly yours,
America ructurepoint, Inc.
w (L
IJ. Samu I Balog, PE
Aged Receivables:
Current 31 -60 Days 61 -90 Days 91 -120 Days >120 Days
331,888.69 0.00 0.00 0.00 0.00
Full payment of this invoice is rhte within 30 days from the invoice date.
Interest at the rate of 1.5% per month (525.00 1month mininwin) plus anylall collection cosWattorney costs may be
charged if payment is not received within 60 days from the invoice date.
Prescribed 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
American Structurepoint, Inc. Purchase Order No. 17764
7260 Shadeland Station Terms
Indianapolis IN 46256 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/10/08 35485 Keystone Reconstruction Project $30,529.19
Design Services
Project 07 -08
-a
Total $30,529.19
I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
A
VOUCHER NO. WARRANT NO.
American Structurepoint, Inc. ALLOWED 20
7260 Shadeland Station IN THE SUM OF
Indianapolis IN 46256
66 30,529.19
ON ACCOUNT OF APPROPRIATION FOR
American Structurepaint, Inc.
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
DEPT.#
17764 35485 4340101 $30,529.19
447050 1 hereby certify that the attched invoice(s), or
4470301 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
October 13, 20 08
Total $30,52 Signature
Cost distribution ledger classification if City Eng ineer
claim paid motor vehicle highway fund Title