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HomeMy WebLinkAbout178533 10/26/2009 CITY OF CARMEN, INDIANA VENDOR: 358569 Page 1 of 1 ONE CIVIC SQUARE KEYSTONE CONSTRUCTION CARMEL, INDIANA 46032 47 S PENNSYLVANIA -10TH FLOOR CHECK AMOUNT: $431,250.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 178533 CHECK DATE: 10/26/2009 DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460847 912 -02 143,750.00 SHELL OF BLDG -LOFTS 902 4460847 912 -03 143,750.00 BASE INTERIOR WORK -LO 902 4460847 912-04 143,750.00 INTERIOR FINISH -LOFTS f P! 4 t P -CE i O C L7 CORP TO Carmel Redevelopment Commission 306 Carmel Lofts, LLC Invoice 912 -02 111 W. Main Street 47 S Pennsylvania Street 10th Fl Invoice Date 15- Sep -09 Carmel, IN 46032 Indianapolis IN 46204 Project No: 912 Attn: Matt Worthley Due upon Receipt Mr. Matt Worthely 9/15/2009 `7� o C�� jam.. o a o Foundations of Building $143,750.00 100% $143,750.00 $0.00 $143,750.00 Shell of Building $143 ,750.00 0% $0.00 $143,750.00 $143,750.00 Base Interterior Work $143,750.00 0% $0.00 Interior Finish $143,750.00 0% $0.00 Completion of "Punch List' $50,000.00 0% $0.00 `/Y& off y7 GRAND TOTALS $625,000.00 Total completed $287,500.00 Less Previous -$143,750.00 TOTAL. DUE $143,750.00 A late fee payment charge of 1 /z% per month or an annual percentage rate of 18% will be imposed monthly on past due balances. If oollecLions or attorney fees are needed, they are recoverable GENERAL, CONTRACTORS 47 S Pennsylvania St PHONE: (317) 636 -2000 M a 10th Floor FAX: (317) 635 -1100 ca CONSTRUCTION MANAGERS Indianapolis, IN 46204 E -MAIL: AR @keystone- corp.com Thank you for your business!!! AFFIDAVIT AND WAIVER OF LIEN Final [i] Partial 7x Payment to Fallow State of Indiana, County of Marion. 55: Bob Crowder being duly sworn states that he is the Project Director of Keystone Construction Corporation (Contractor) having contracted with Carmel Redevelopment Commission to furnish certain materials and /or labor as follows for a project known as Carmel Lofts/ VFW— Old Meridian located in Carmel, Indiana and does hereby further state on behalf of the aforementioned contractor (PARTIAL. WAIVER) that there is due from the owner the sum of On Hundred Forty Three Thousan Seven Hundred Fifty 00 /100 Dollars 143,750.00 J receipt of which is hereby acknowledged; or x the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned (FINAL WAIVER) that the final balance due from the owner is the sum of Dollars receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above described property and improvements thereon on account of LABOR or MATERIAL or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Keystone Construction Corporation By Title Pro Director (Company) (Authorized RepresenlaLive) WITNESS MY HAND ND OTARIA L, this 15 day of Se #ember 2009. Signed. ANGELA HALDEMAN Notary Public, State of Indiana Johnson county 4' My Commission Expires February 19, 2015 Preschb6d bywState 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. �f7S 4 7& fi" Ssf /l/ 7goor Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 911:51A2 9 1 qV v2 S'�� a c /rte X5'3 7_ I `p k u ,k r� Total /Y9 750.6V 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. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR NO Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoices or 9o2- -zqz 'Y4�OS�417 ly 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 /U--S 20C� ga re nil or erations Title Cost distribution ledger classification if claim paid motor vehicle highway fund KEYSTONE C ON S T R U CT I ON CO R D TO Carmel Redevelopment Commission 30B Carmel Lofts, LLC Invoice 912 -04 111 W. Main Street 47 S Pennsylvania Street 10th Fl Invoice Date 24- Sep -09 Carmel, IN 46032 Indianapolis IN 46204 Project No; 912 Attn: Matt Worthley tb Due upon ReceiptMr. Matt Worthely 9/24/2009 p �'�'�y (Tj (yy}�fl(�y'[� 6 ,.'�i �.�.-;y� y� '�`��'�77 �J'� LSldljJ41 GJ 4 d 1..1r'.1A+M1�lnY1J, =.t7 l> L'.LLY�AA.J p p cJVLL'.2 Foundations of Building $143,750.00 100% $143,750.00 $143,750.00 Shell of Building $143,750.00 100% $143,750.00 $143,750.00 Base Interterior Work $143,750.00 100% $143,750.00 $143,750.00 Interior Finish $143,750.00 100% $0.00 $143,750.00 $143,750.00 Completion of "Punch List" $50,000.00 0% $0.00 GRAND TOTALS $625,000.00 Total completed�� $575,000.00 Less Previous -$431,250.00 TOTAUDUE 0 A late fee payment charge of 1 1 /2% per month or an annual percentage rate of 18% will be imposed monthly on past due balances. If collections or attorney fees are needed, they are recoverable. GENERAL CONTRACTORS 47 S Pennsylvania St PHONE: (317) 636 -2000 n 0 10th Floor FAX: (317) 635 -1100 CONSTRUCTION MANAGERS Indianapolis, IN 46204 E -MAIL: AR@keystone-corp.com Thank you for your business!!! AFFIDAVITAND WAIVER OF LIEN 7 Final F_X] Partial 0 Pay to Follow State of Indiana, County of Marion. SS: Bob Crowder being duly sworn states that he is the Project Director of Keystone Construction Corporation (Contractor) having contracted with Carmel Redevelopment Commission to furnish certain materials and /or labor as follows for a project known as Carmel Lofts/ VFW Old Meridian located in Carmel, Indiana and does hereby further state on behalf of the aforementioned contractor (PARTIAL WAIVER) that there is due from the owner the sum of One H u n dred Forty Thr ee Thousan Se v e n Hundred Fifty 0 0/100 Dollars 143,750.00 receipt of which is hereby acknowledged; or x the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the owner is the sum of Dollars J receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above described property and improvements thereon on account of LABOR or MATERIAL or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersig d for sai 0.1 ct, and within the scope of this affidavit and waiver. Keystone Construction Corporation By Title Project Director (Company) th (Ad ese tative) WITNESS MY HAND AND NOTARIAL SEAL, this 24` day of eptember, 2009 Signed: At�IDREA M. ROELL NOTARY PUBLIC SEAL MARION COWM W COMMISSION EXPIRE& (NOVEMBER a, 2016 ICEYFrONE. C ON S T R U CT I ON C OR P TO Carmel Redevelopment Commission JOB Carmel Lofts, LLC Invoice 912 -03 111 W. Main Street 47 S Pennsylvania Street 10th A Invoice Date 24- Sep -09 Carmel, IN 46032 Indianapolis IN 46204 Project No: 912 Attn: Matt Worthley C Tea j,° r�.. Due upon Receipt Mr. Matt Worthely 9/24/2009 6 P t'gg?� W M Im Foundations of Building $143,750.00 100% $143,750.00 $143,750.00 Shell of Building $143,750.00 100% $143,750.00 $143,750,00 Base Interterior Work $143,750.00 100% $0.00 $143,750.00 $143,750.00 Interior Finish $143,750.00 0% $0.00 Completion of "Punch List" $50,000.00 0% $0.00 GRAND TOTALS $625,400,00 Total completed $431,250.00 Less Previous $287,500.00 TOTAL -DUE $1I ,750.00 A late fee payment charge of 1 '/z% per month or an annual peroentage rate of 18% will be imposed monthly on past due balances. If collations or attorney fees are needed, they are recoverable. GENERAL CONTRACTORS 47 S Pennsylvania St PHONE: (317) 636 -2000 C3 0 10th Floor FAX: (317) 635 -1100 Cz M CONSTRUCTION MANAGERS I Indianapolis, IN 46204 E -MAIL: AR @keystone- corp.com Thank you for your business!!! AFFIDAVIT AND WAIVER OF LIEN Final Ex Partial ❑x Payment to Follow State of Indiana, County of Marion. SS: 1 Bob Crowder being duly sworn states that he is the Project Director of Keystone Construction Corporation (Contractor) having contracted with Carmel Redevelopment Commission to furnish certain' materials and /or labor as follows for a project known as Carmel Lofts/ VFW Old Meridian located in Carmel, Indiana and does hereby further state on behalf of the aforementioned contractor (PARTIAL WAIVER) that there is due from the owner the sum of One Hundred Forty Th Thousand Seven Hundred Fifty 00 /100 Dollars 143,750.00 ]receipt of which is hereby acknowledged; or x j the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned (FINAL WAIVER) that the final balance due from the owner is the sum of Dollars receipt of which is hereby acknowledged; or 7 the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above- described property and improvements thereon on account of LABOR or MATERIAL or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the under 'gn for i pr ject, and within the scope of this affidavit and waiver. Keystone Construction Corporation By Title Project. Director (Company) (A i o Re resentdtive) WITNESS MY HAND AND INICILTARIAL SEAL, this 24 day of September, 2009 Signed: F7 ANDREA M. ROELL TARY PUBLIC SEAL MATE of 11 rotANA RION C MMISSION EXPIRE VEMBER S. 2016 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 t /C ems, .2 t o�s���r7 ��'r1 Purchase Order No. Terms /�"L Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) r t Total Cb I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in acco dance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO, WARRANT NO. ALLOWED 20 Sr� IN SUM OF 2a 7 Z sa�,cx� ON ACC F AP FOR 111D Board Members Po #.or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 7�2 x 1 2 -Q7 /Z�3 bill(s) is (are) true and correct and that the Y'y�O FV7 /Y3 materials or services itemized thereon for which charge is made were ordered and received except 5 20 Sign ure ©Irector o Cost distribution ledger classification if Title claim paid motor vehicle highway fund