177620 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 068025 Page 1 of 1
0 s ONE CIVIC SQUARE CROSSROAD ENGINEERS, PC CHECK AMOUNT: $5,400.00
CARMEL, INDIANA 46032 3417 S SHERMAN DR
BEECH GROVE IN 46107 CHECK NUMBER: 177620
CHECK DATE: 9/29/2009
DE PARTM ENT ACCOUN PO NUM INVOICE NUMBER AMOUNT DESCRI
1205 4340100 19787 9517 5,400.00 HAZEL DELL IMPROV 501
c
CrossRoad Engineers, PC
3417 Sherman Drive
Beech Grove, IN 46107
317- 780 -1555
City of Carmel Invoice number 9517
Michael McBride, City Engineer Date 09/02/2009
1 Civic Square Page number 1
Carmel, IN 46032 Project: HAZEL DELL PARKWAY IMPROVEMENTS
For services performed August 1 through August 28, 2009
PROMPT PAYMENT OF INVOICE IS APPRECIATED!!
These services were provided in accordance with our contract #0319.97.02 approved March 19, 1997 including
the Additional Services #121 #121 -B and P.O. #19787:
Survey
Amount
Contract Amount 30,000.00
Percent Complete 100.00
Total Billed 30,000.00
Current Billed 0.00
Road Design
Amount
Contract Amount 146,000.00
Percent Complete 100.00
Total Billed 146,000.00
Current Billed 0.00
Permit Applications
Amount
Contract Amount 4,000.00
Percent Complete 0.00
Total Billed 0.00
Current Billed 0.00
Bid Documents
Amount
Contract Amount 6,000.00
Percent Complete 90.00
Total Billed 5,400.00
Current Billed 5,400.00
Total 5,400.00
Invoice total 5,400.00
Th Y u!
Chip Charle
President
City of Carmel Invoice number: 9517 Invoice date: 09/02/2009
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
Crossroad Engineers
Purchase Order No.
3417 S. Sherman Dr.
Terms
Beech Grove, IN 46107
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/02/09 9517 Hazel Dell Improvements $5,400.00
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
V OUCHR NO. WARRANT NO.
ALLOWED 20
Crossroad Engineers IN SUM OF
3417 S. Sherman Dr
Beech Grove, IN 46107
$5,400.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
9517 205-40
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
�2 20
Signature
E,(\� (\s2 LV'
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund