176194 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00350309 Page 1 of 1
ONE CIVIC SQUARE CRIPE
CHECK AMOUNT: $436.25
CARMEL, INDIANA 46032 PO BOX 2132
INDIANAPOLIS IN 46206 -2132 CHECK NUMBER: 176194
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO NUMBE INV OICE NU MBER AMO UNT DESCRIPTION
206 4340100 19817 2015761 436.25 MT CARMEL DRAINAGE ST
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Architects +Engineers P.O. Box 2132 Indianapolis, Indiana 46206 -2132 Telephone 317 844 6777
City of Carmel July 24, 2009
Attention: Gary Duncan, PE Project No: 0090388 -20000
Invoice No: 2015761
One Civic Square
Carmel IN 46032
Project: 0090388 -20000 Village of Mt Carmel Master Drainage
Engineering design services
Contract accepted July 6, 2009 for a not -to- exceed fee of $22,698.00, which includes reimbursables
Additional Services #29 PO #19817 2O ko q
Professional services from June 12 2009 to July 10, 2009
Task: 200 Data Conversion
Professional Personnel
Hours Amount
Administrative Duties 0.15 12.00
Project Coordination 0.25 46.75
Meetings 2.50 377.50
Totals 2.90 436.25
Total Labor 436.25
Billing Limits Current Prior To -date
Labor 436.25 0.00 436.25
Limit 22,698.00
Remaining 22,261.75
Total this task $436.25
Total this invoice $436.25
Authorized by:
Michael A. Professional Services Director
Please return remittance copy of invoice with your payment.
If you have any questions, please call Telephone 317 844 6777.
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
r Cripe Architects Engineers
Purchase Order No.
P.O. Box 2132
Terms
Indianapolis, IN 46206 -2132
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/24/09 2015761— Village of Mt. Carmel Master Drainage $436.25
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.
s
ALLOWED 20
Gripe Ar-ehiteets Eng IN SUM OF
P.O. Box 2132
Indianapolis, IN 46206 -2132
$436.25
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
materials or services itemized thereon for
19817 2015761 206 -401 S436 5 which charge is made were ordered and
received except
20
Signature Cost distribution ledger classification if Title
claim paid motor vehicle highway fund