178037 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 361133 I+p�
ONE CIVIC SQUARE ARSEE ENGINEERS, INC
CH ECK AMOUNT: $3, 300.00
CARMEL, INDIANA 46032 9715 KINCAID DRIVE SUITE 100 CH
FISHERS IN 46037 -9470 CHECK NUMBER: 178037
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 21072 6616 3,300.00 BRICK INSPECTION
r�
Frederick A. Herget, PE Scott A. Jones, PE
Leland E. Modlin Victoria A. Emery, PE
A R S E E E N G I N E E R S
INC. Kenneth L. Pensinger, PE Albert C. Kovacs, PE
CLLENT ORIENTED —$Y DESIGN Allen R. Pulley Craig R. Riley, PE
John A. Seest, PE Laura E. Metzger, PE
Tim Green Invoice October 5, 2009
Carmel Police Department Project No: 009237.00•
3 Civic Square Invoice No; 6616
Carmel., IN 46032
FID 35- 1611580
Project 009237.00 Masonry Study Carmel Police
Professional Services from August 29, 2009 to September 25, 2009
Fee
Total Fee 3,300.00
Percent Complete 100.00 Total Earned 3,300.00
Previous Fee Billing 0.00
Current Fee Billing 3,300.00
Total Fee 3,300.00'
Total this Invoice $3,300.00
9715 KINCAID DRIVE SUITE 100 FISHERS, INDIANA 46037 -9470 PHONE 317/594 -5152 FAX 317/594 -9590 www.arsee- engineers.com
0 INDIANA ETAIL TAX EXEMPT PAGE
i X11 "o
of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 211)7?
C R NE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
L, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Au ust 6 2009 brick inspection
VENDOR Arsee Engineers, Inca SHIP City off Carmel Police Department
9715 Kincaid Drive, Suite 100 TO 3 Civic Square
Fishers, IN 46038 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
exterior brick inspection 3,300,00
1
t j!
City of Carmel Po c �e 'mK't rs
Send Invoice To: ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
1110 501 bui6ding repairs and hinte PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. t
ORDERED BY -7 r4 t _fr J) r Jr
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of P
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 .L I CLERK- TREASURER
DOCUMENT CONTROL NO. A. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO._ WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
I
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
materials or services itemized thereon for
which charge is made were ordered and
received except_
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Pr,NAribed 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
Arsee Engineers Inc. Purchase Order No. 21072F
9715 Kincaid Drive, Suite 100 Terms
Fishers, IN 46037 -9470 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/5/09 6616 payment for brick inspection 3,300.00
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.
2p
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Arsee Engineers, Inc.
IN SUM OF
9715 Kincaid Drive, Suite 100
Fishers, IN 46037-9470
3,300.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21072F 6616 501 3,300.00 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 8 20 09
YN A4
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund