204772 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 359715 Page 1 of 1
ONE CIVIC SQUARE EAGLE RIDGE CIVIL ENG SVS LLC
1321 LAUREL OAK DR CHECK AMOUNT: $560.00
CARMEL, INDIANA 46032
o� AVON IN 46123 CHECK NUMBER: 204772
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 R4462200 21821 038 -14 560.00 AUMAN NEWARK PH 2 D
EAGLE RIDGE
Inv ®ice
Civil Engineering Services
LLC �z+ 3 Date Invoice
12 038 -14
1321 Laurel Oak Drive p SOX q
A VOri, IN 46123 P.O. No. Terms
25812- Net 6o
Bill To:
City of Carmel
David Littlejohn Project
Dept. of Community Services
One Civic Square
Carmel, IN 46032 038 Auman &Newark Phase 2
Item Description Quantity Unit Rate Markup Amount
Engineering Services Brock Ridgway, I'.E. 0 110.00 0.00
CADD Services Robert Allen 0 60.00 0.00
Survey Services Topo Survey Topographic Survey 0 5,040.00 0.00
Project Mileage Project Mileage 0 0.50 0.00
Project Misc. Expenses Printing, Photography, Shipping 0 1.300.00 0.00
Reimbursable Expense Permits Permit Application Fees 0 150.00 0.00
Civil Engineer Services Michael Tanis, P.E. I Hour 80.00 80.00
Engineering Services Brock Ridgway, P.E. 0 110.00 0.00
CADD Services Robert Allen 8 Hours 60.00 480.00
Project Misc. Expenses Printing, Photography 0 1 0.00
Total $560.00
INVOICING SUMMARY: Submitted by:
Previously Invoiced: Total To Date:
I t b/4 j j1
$10,146.o1 $10,7o6.o1 i" Broo. gway, Manager
Prescribed by Slate 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
Eagle Ridge Civil Engineering Services, LLC
Purchase Order No.
1321 Laurel Oak Drive
Terms
Avon, IN 46123
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1219111 038 -14 Auman and Newark project design $560.00
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
Eagle Ridge Civil Engineering Services I IN SUM OF
1321 Laurel Oak Drive
Avon, IN 46123
$560.00
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
21821 206-r2 7 03 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
h
Signature
Cost distribution ledger classification if 7 Title
claim paid motor vehicle highway fund