HomeMy WebLinkAbout170358 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 068025 Page 1 of 1
ONE CIVIC SQUARE CROSSROAD ENGINEERS, PC
CARMEL, INDIANA 46032 3417 S SHERMAN DR CHECK AMOUNT: $73,000.00
BEECH GROVE IN 46107 CHECK NUMBER: 170358
CHECK DATE: 4/1/2009
_DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPT
1205 4340100 19787 9114 41,049.42 HAZEL DELL IMPROV 500
1. 1205 R4340100 19787 9114 31,950.58 HAZEL DELL IMPROV 500
�Z- i m,
CrossRoad Engineers, PC
3417 Sherman Drive
Beech Grove, IN 46107
317- 780 -1555
City of Carmel Invoice number 9114
Michael McBride, City Engineer Date 03/17/2009
1 Civic Square Page number 1
Carmel, IN 46032 Project: HAZEL DELL PARKWAY IMPROVEMENTS
For services performed January 31 through March 6, 2009
PROMPT PAYMENT O IN I S APPRE
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 50.00
Total Billed 73,000.00
Current Billed 73,000.00
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 0.00
Total Billed 0.00
Current Billed 0.00
Total 73,000.00
Invoice total 73,000.00
Than ou!
Chip Cha s
President
City of Carmel Invoice number: 9114 Invoice date: 03/17/2009
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
4 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))
03/17/09 9114 Hazel Dell Parkway Improvements $73,000.00
Tota
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.
f
ALLOWED 20
Crossroad Engineers IN SUM OF
3417 S. Sherman Dr
Beech Grove, IN 46107
$73,000.00
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
191V 91 14 1205 -R401 8
bill(s) is (are) true and correct and that the
191bi 91 14 1205-401 L/ materials or services itemized thereon for
which charge is made were ordered and
received except
j J 0 20
J
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund