180832 12/30/2009 (2) CITY OF CARMEL, INDIANA VENDOR: 360628 Page 1 of 1
1 ONE CIVIC SQUARE HIGHWAY TECHNOLOGIES
CARMEL INDIANA 46032 3867 N COMMERCIAL PARKWAY CHECK AMOUNT: $16,448.92
oN `o`tc GREENFIEL❑ IN 47140 CHECK NUMBER: 180832
CHECK DATE: 12130/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.2201 4350300 18801 349039 -001 16,446.92 PAINT AND THERMO
w HIGHWAY
TECHNOLOGIE Con tract Invoice
Page: 1 of 2
3867 N. COMMERCIAL PARKWAY Customer....: 7611142
GREENFIELD, IN 46140 Inv oice.....: 349039 -001
UJ
t Invoice Date: 12/10/09
Project CARMEL 2009
Phone: 317 -891 -8065 Fax: 317 891 -8248 Project Name: CITY OF CARMEL 2009
i PO 18801
Contact.....: DAVE HUFFMAN
Estimator...: HTT20LH
Created by..: HTT20MM
CITY OF CARMEL salesperson..:
w 3400 W. 131ST Terms.......: Net 30 Days
WESTFIELD, IN 46074 PLEASE REMIT PAYMENT TO:
Ln
HIGHWAY TECHNOLOGIES, INC
33946 TREASURY CENTER
CHICAGO, IL 60694 -6300
Jobsite Address: CARMEL, CARMEL, IN 46032
Certrac Quantities Earned Amount Earned
Item Number Unit
Description UM Qty Price Amount To Date Current To Date Current
1 LF 115677.00 .070 8097.39 115677.00 115677.00 8097.39 8097.39
DOUBLE YELLOW, 4 IN
2 LF 5206.00 .160 832.96 3939.00 3939.00 630.24 630.24
LINE, PAINT, DOUBLE YELLOW
8 IN.
3 LF 17896.00 .070 1252.72 10995.00 10995.00 769.65 769.65
LINER SOLED, YELLOW W /SKIP
4 IN
4 LF 4616.00 .070 323.12 4616.00 4616.00 323.12 323.12
LINE, PAINT, BROKEN,YEL,4 IN
5 LF 142.00 1.000 142.00
TM,PAINT,S,Y,X.HATCH, 8 IN
6 LF 1768.00 1.000 1768.00
TM, PAINT, X- HATCH, 4 IN
7 LF 185.00 2.000 370.00
TM,PAINT,S,Y,CROSSHATCH, 24 IN
8A -8 LF 500.00 2.000 1000.00
TM,PAINT,SOLID YELLOW,
CROSSHATCH LINE, 24 IN
8 LF 2945.00 2.000 5890.00
TM,PAINT,S,Y,CROSSHATCH, 12 IN
9 LF 173455.00 .070 12141.85 93351.00 93351.00 6534.57 6534.57
LINE,PAINT,S, W, 4 IN
1D LF 1400.00 .160 224.00
WHITE LINE 8 IN
�11 SKIP WHITE 4 IN LF 20443.00 .050 1022.15 1839.00 1839.00 91.95 91.95
12 L F 2075.00 2.000 4150.
TM,PAINT,STOPLINE
13 LF 4502.00 1.000 4502.00
TM, PAINT, CROSSWALK, 6 IN
14 LF 414.00 1.000 414.00
TM, PAINT, X -WALK, 4 IN
15 LF 270.00 1.500 405.00
TM, PAINT, X- HATCH, 4 IN
16 LF 674.00 1.500 1011.00
TM, PAINT, S,W,XHATCH 12 IN
8A -16 EA 6.00 10.000 60.00
PAINTING MOBILIZATION
17 LF 112.00 2.000 224.00
TM,PAINT,S,W,XHATCH 24 IN
18 EA 37.00 50.000 1850.00
TM, PAINT, RIGHT TURN ARROW
19 EA 110.00 50.000 5500.00
PMM' PAINT, LEFT TURN ARROW
20 EA. 6.00 40.000 240.00
PMM, PAINT, STRAIGHT ARROW
21 EA 17.00 60.000 1020.00
PMM, PAINT, COMBINATION ARROW
O R, HIGHWAY
TECHNOLOGIES Contract Invoice
Page: 2 of 2
3867 N. COMMERCIAL PARKWAY Customer 7611142
GREENFIELD, IN 46140 Invoice.... 349039 -001
LU
Invoice Date: 12/10/09
Project CARMEL 2009
Phone: 317 891 -8065 Fax: 317 891 -8248 Project Name: CITY OF CARMEL 2009
PO 18801
Contact.....: DAVE HUFFMAN
Estimator...: HTT20LH
Created by..: HTT20MM
CITY OF CARMEL salesperson..:
3400 W. 131ST Terms.......: Net 30 Days
WESTFIELD, IN 46074 PLEASE REMIT PAYMENT TO:
HIGHWAY TECHNOLOGIES, INC
33946 TREASURY CENTER
CHICAGO, IL 60694 -6300
Contract Quantities Earned Amount Earned---
item Number_ knit.
Description UM Qty Price Amount To Date Current To Date Current
22 EA 96.00 60.000 5760.00
PMM, PAINT. WORD (ONLY)
23 LF 116.00 10.000 1160.00
TM,PAINT,PIANO KEYS, 8'X 24 IN
24 LF 80.00 10.000 800.00
TM,PAINT,SHARKS TEETH
Total Contract Value 60160.19
Summary To Date Current
Total Contract Work 16446.92 16446.92
Tax .00 .00
Less Retention .00 .00
Net Earned 16446.92 16446.92
I
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
s Date Number (or note attached invoice(s) or bill(s))
12/10/09 349039 -001 $16,446.92
6
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 OUC HE R NO. W NO.
ALLOWED 20
Highway Technologies
IN SUM OF
33946 Treasury Center
Chicago, IL 60694 -300
$16,446.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
18801 349039 -001 43- 503.00 $16,446.92 1 hereby certify that the attached invoice(s), or
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
Tuesday, December�22, 200
NO
V v —ice -7
Street Commissioner
StreTdteCommissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund