205393 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350562 Page 1 of 1
f ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC CHECK AMOUNT: $1,146.50
CARMEL, INDIANA 46032 7260 SHADELAND STATION
INDIANAPOLIS IN 46256 -3957 CHECK NUMBER: 205393
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4350900 53422 1,146.50 OTHER CONT SERVICES
Remit to:
ON 7260 Shadeland Station
Indianapolis, IN 46256 -3957
O
AMERICAN TEL 317.547.5580 FAX 317.543.0270
F]® STRUCTUREPOINT www.structurepoint.com
I N C. Federal Tax ID: 35- 1127317
January 9, 2012
Invoice No: 53422
Mr. Mike McBride
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This Invoice (see breakdown below): $1,146.50
ni,,,�;� Qtreet NnrthFxtension. Wetland Mitig at the Bra y
Prescribed by State 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
American Structurepoint, Inc.
Purchase Order No.
7260 Shadeland Station
Terms
Indianapolis, IN 46256 -3957
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01 Illinois St Wetland i iga ion Bray Homestead $1,146.50
Design
Total
1 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
American Structurepoint, Inc. IN SUM OF
7260 Shadeland Station
Indianapolis, IN 46256 -39
$1,146.50
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
h� 5 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
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
1