206398 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 357892 Page 1 of 1
ONE CIVIC SQUARE PROFORM PIPE LINING CO INC
CARMEL, INDIANA 46032 226 S ELDER CHECK AMOUNT: $9,350.00
MISHAWAKA IN 46544 CHECK NUMBER: 206398
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 PF1576 9,350.00 CONT SVS -OTHER
ProF'orlrr>I Pipe Lining Co., Invoice
226 S. Elder
Mishawaka, IN 46544 Date Invoice
1/25/2012 PF -1576
Bill To Ship To
Carmel Waste Water Treatment US 31
9609 Hazel Dell Parkway Carmel, IN
Indianapolis, IN 46280
P.O. No. Terms Due Date
Net 10 days 1/25/2012
Description Serviced Amount
Mobilized men and equipment to job site. (Vactor, Televising 1/23/2012
Unit, Lining Trailer and rig with equipment)
Completed televised inspection-of 8" line in both directions.
Line was very dirty in both directions an unable to get camera
through.
High pressure jet washed line with vactor.
Found large hole in the side and bottom of pipe.
Swabbed line with plug for 1st patch. Vactor was pulling to
nnuch rock and debris into the line.
Marked location of 1 st 4' patch water flowing into the pipe
from the creek.
Wet out liner on site and installed in 8" sewer line.
Cured liner and removed packer.
installed camera and jet washed line to patch area.
Thank you for your business. T'ota 0
Phone Fax
574- 259 0903 574- 257 -0992
Page 1
ProForm Pipe Lining Co., Invoice
226 S. Elder
Mishawaka, fN 46544 Date Invoice
1/25/2012 PF -1576
Bill To Ship To
Carmel Waste Water Treatment US 31
9609 Hazel Dell Parkway Carmel, IN
Indianapolis, IN 46280
P.O. No. Terms Due Date
Net 10 days 1/25/2012
Description Serviced Amount
Installed camera to assure patch was complete. Patch was set
in the correct position to cover large hole in pipe but we found
the pipe was cracked an additional 2` which was allowing
water infiltration from creek.
Obtained approval to install a second patch from Aaron.
Jet washed line to remove dirt and debris for installation of
second patch.
Marked location of second patch.
Wet out patch on site and installed into 8" sewer.
Pulled packer in 2 hours (Calvin on site.)
Re- cleaned line and completed final video inspection of sewer
line.
Found hole and crack in pipe to be sealed and no evidence of
water intrusion.
Thank you for your business. Total
Phone Fax
574- 259 -0903 574- 257 -0992
Page 2
ProForm Pipe Lining Co., Invoice
226 S. Elder
Date Invoice
Mishawaka, IN 46544
1/25/2012 PF -1576
Bill To Ship To
Carmel Waste Water Treatment US 31
9609 Hazel Dell Parkway Carmel, IN
Indianapolis, IN 46280
P.O. No. Terms Due Date
Net 10 days 1/25/2012
Description Serviced Amount
Cleaned work site and demobilized men and equipment to our
site.
Mobilization fee. 1/23/2012 250.00
Jet Vactor Service: minimum charge 51875.00 discounted 1,200.00
Televising unit (Included)
2 8" x T patches installed 7,600.00
Overnight shipping charges. 300.00
Thank you for your business. Total
$9,350.00
Phone Fax
574- 259 -0903 574 -257 -0992
Page 3
ProForrn Pipe Lining Co., Invoice
226 S. Elder
Date Invoice
Mishawaka, IN 46544
1/25/2012 PF -1576
Bill To Ship To
Carmel Waste Water Treatment US 31
9609 Hazel Dell Parkway Carmel, IN
Indianapolis, IN 46280
P.O. No. Terms Due Date
Net 10 days 1/25/2012
Description Serviced Amount
Mobilized men and equipment to job site. (Vactor, Televising 1/23/2012
Unit, Lining Trailer and rig with equipment)
Completed televised inspection of 8" line in both directions.
Line was very dirty in both directions an unable to get camera
tlu-ough.
High pressure jet washed line with vactor.
Found large hole in the side and bottom of pipe.
Swabbed line with plug for 1 st patch. Vactor was pulling to
much rock and debris into the lire.
Marked location of 1 st 4' patch water flowing into the pipe
from the creek.
Wet out liner on site and installed in 8" sewer line.
Cured liner and removed packer.
Installed camera and jet washed line to patch area.
Thank you for Your business. Total
Phone Fax
574- 259 -0903 574- 257 -0992
Page 1
VOUCHER 116768 WARRANT ALLOWED
357892 IN SUM OF
i PROFORM PIPE LINING CO INC
226 S ELDER
MISHAWAKA, IN 46544
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
PF1576 01- 7360 -02 $9,350.00
Voucher Total $9,350.00
Cor- ledger classification if
baid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357892
PROFORM PIPE LINING CO INC Purchase Order No.
226 S ELDER Terms
MISHAWAKA, IN 46544 Due Date 2/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/2012 PF1576 $9,350.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer