HomeMy WebLinkAbout170823 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 360299 Page 1 of 1
ONE CIVIC SQUARE DUNCAN ROBERTSON INC
CARMEL, INDIANA 46032 PO B0X 457 CHECK AMOUNT: $39,240.92
FRANKLIN IN 46131
CHECK NUMBER: 170823
CHECK DATE: 4/1612009
DEPARTMENT ACCOUNT PO NUM BER INV NUMBER AMOUNT DESCRIPTION
206 R4462834 19135 5 39,240.92 RANGELINE ROAD BRIDGE
CONSTRUCTION PROJECT INVOICE
DATE: 412109
COMPANY NAME: Duncan Robertson Inc.
AND ADDRESS PO Box 457
Franklin, IN 46131
TELEPHONE NO.: 317 -736 -6024
FAX NO.: 317- 736 -9121
PROJECT NAME: Rangeline Rd. over Little Cool Creek
PROJECT NO.: 08 -05
Iqw3S 1 20 6
INVOICE NO.: 5
Construction pay items as per Progress Pay Estimate No. 5 as shown on the attached
invoice for work completed between the dates of January 1, 2009 to Aril 2, 2009.
TOTAL PAY THIS ESTIMATE: $13,577.60
RELEASE OF COMPLETED RETAINAGE $25,663.32
RETAINAGE FOR INCOMPLETE ITEMS $5,000.00
TOTAL NOW DUE: $39,240.92
Submitted by: United Consulting
Project epre ntative signe name Date
Christopher J Miller
Project Representative printed name
DATE: 4j02/2009 INDIANA DEPARTMENT OF TRANSPORTATION Page I
CONTRACT: Z -06406 PROGRESS ESTIMATE CRAWFORDSVTLLF DISTRICT
PCN; 9906406
ESTIMATE: 0005 CHRISTOPHER MILLER
PROJECT; LPA 0049(001) I� 13AMS CRA UNITED CONSULTING
PERIOD: 1/01/2009 THRU 4./02/2009 1625 N POST RD
PO NO.: 00000000 INDIANAPOLIS, IN 46219
CONTRACTOR.: DUNCAN ROBERTSON 317.695.2585 (SUB: 3891)
DAYS CHARGEDr 0
PLN QTY THIS EST UNIT ITEM DESCRIPTION UNIT PRICE EXTENSION
CLN QTY TO DATE ITEM CODE
QTY ORIGINAL
0028 1.81.700 SYS SIDEWALK, CONCRETE, 4 IN. 45.00000 8,176.50
(002H) 201.700 604 -91531
i66.000
0035 1.000 EACH MOBILIZATION AND DEMOBILIZATION FOR SEEDING 1 1,000.00
(0035) 1.000 621 -01004
1.000
0036 .112 TON FERTILIZER 1,200.00000 134.40
(0036) .112 621 -06545
.100
0037 3.,359.000 SYS MULCHED SEEDING, R 1.30000 1, 7436.7C
(0037` 1,259.000 621 -06559
353.000
0056 1.000 LS MASONRY COATING 1,500.00000 1,500.00
(0056) 1.000 726 -98377
3.000
0061 .250 LS MAINTAINING TRAFFIC 4,000.00000 1, OOn:0o
(0061" 1.000 920 -06775
1.000
DATE: 4./02/2009 INDIANA DEPARTMENT OF TRANSPORTATION
Page 2
CONTRACT; Z -06406 PROGRESS ESTIMATE CRAWFORDSVILLE DISTRICT
PON: 9906406
ESTIMATE: 0005 CHRISTOPHER MILLER
PROJECT: LPA 0049(001) HAMS CRA UNITED CONSULTING
PERIOD: 1 /01/2009 THRU 4 /02/2009 1625 N POST RD
PO NO- 00000000
INDIANAPOLIS, IN 46219
CONTRACTOR: DUNC:AN ROBERTSON
DAYS CHARGED: 0 317,895.2505 (SUB: 3891)
PIN QTY THIS EST UNIT ITEM DESCRIPTION UNIT PRICE EXTENSION
CLN QTY TO DATE ITEM CODE
QTY ORIGINAL
TOTAL THIS ESTIMATE 13,577.60
LIQUIDATED DAMAGES_ OTHER DEDUCTIONS
PURSUANT TO THE PROVISION AND PENALTIES OF IC 1971 5 -11 -10 I HERESY CERTIFY THAT THE FOREGOING ACCOUNT IS JUST AND CORRECT, THAT
THE AMOUNT CLAIMED IS LEGALLY DUE, AFTE ALIOWING ALL JUST CREDITS, AND THAT NO PART OF THE SAME HAS BEEN PAID.
CONTRACTOR DATE
PER PLANS, SPECIFICATIONS, AND /OR SPECIAL PROVISIONS, THE FOLLOWING CONDITIONS APPLY ON THIS ESTIMATE. ERECTION OF sAR.RI:CADES
YES NO ERECTION OF DETOUR SIGNS YES NO CURING OF CONRETE YES NO MAINTENANcE OF TEMPORARY RUNAROUNDS YES NO
PREPARATION OF PAYROLLS YES NO BASED ON FOREGOING CONDITIONS OF THIS ESTIMATE (SHOULD) (SHOULD NOT) BE DELAYED,
ell
PROD R' ENGINEER DATE DISTRICT
DATE
OPP:RATIONS SUPPORT DATE
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
Duncan Robertson
Purchase Order No,
785 S. State Street
Terms
Franklin, IN 46131
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/02/09 Inv. No. 5 Rangeline Road Over Little Cool Creek $13,577.60
Release Completed Retainage $25,663.32
Total Due. 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
nu nc-an Rcibertson IN SUM OF
785 S. State Street
Franklin, IN 46131
$39,240.92
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
I nv. o. 92 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
CA, r1c���_
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund