173899 06/24/2009 F CITY OF CARMEL, INDIANA VENDOR: 00350060 Page 1 of 1
ONE CIVIC SQUARE KERAMIDA INC
0
CARMEL, INDIANA 46032 401 N COLLEGE AVE CHECK AMOUNT: $3,519.50
oN o INDIANAPOLIS IN 46202 CHECK NUMBER: 173899
CHECK DATE: 6/24/2009
D EPARTMENT ACCO PO NU MBER I NVOICE NU MBER AM DE SCRIPTION
206 4462838 19805 42075 2,509.50 NEPA EVAL /HAZELDELL /G
1205 4340100 19805 42076 1,010.00 NEPA EVAL /HAZELDELL /G
KE AMIDA Inc.
401 N College Avenue
lndianapohs, IN 46202 1711oice Number: 42076
June 04, 2009
I nvoice
I0: City of Carmel
One Civic Square
Carmel, IN 46032
Attention: Michael McBride
Project: 13258 Hazel Dell Parkway NEPA Services
Project #09 -01
P.O. 19805
Project Manager: Christina Haviland
t 4S4
Professional Services for the Period: 5/1/2009 to 5/31/2009
Billing Group: 001 Cost Plus Invoice: 42076
June 04, 2009
Professional Services
AVEPA Services Date Reg Bill flours OT Bill Hours Charge
(2041 Report Writita,Q
Colin Keith 5/6/2009 1.00 0.00 65.00
Colin Keith 5111/2009 4.00 0.00 260.00
Colin Keith 5/13 /2009 2.00 0.00 130.00
Christina Haviland 5/15/2009 3.00 0.00 360.00
Colin Keith 5/15/2009 3.00 0.00 195.00
Report Writing Total: 13.00 0.00 S 1.010.00
NEPA Services Total: 13.00 0.00 S 1,010.00
Professional Services Totals: $1,010.00
Billing Group Subtotal: 1,010.00
Project Totals:
Invoice Amount. $1
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Pc�
RECEIVED
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JUN
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Page 1
KERAMIDA, Inc.
Project Invoicing Summary
Client: City of Carmel, IN
KEI Project No.: 13258
Invoice No.: 42076
Invoice Date: 06/04/09
Hazel Dell Parkway
Project: Improvements
Location: Carmel, IN
INDOT DES.# NA
Previously Current Total Billed Remaining
Task Budget Invoiced Invoice To Date Budget
Environmental
Document $13,630 $8,780 $1,010 $9,790 $3,840
K-ERAMIDA Inc.
401 N College Avenue
Indianapolis IN 46202 Invoice Number. 42075
June 04, 2009
Invoice
I o: City of Carmel
One Civic Square
Carmel, IN 46032
Attention: Michael McBride
Project: 13257 Guilford Road NEPA Services
Project #06 -17
b
Project Manager: Christina Haviland P.O. 19805 eta
Professional Services for the Period: 5/1/2009 to 5/31/2009
Billie, Group: 001 Cost Plus Invoice: 42075
June 04, 2009
Professional Services
NEI'.4 Services Date Reg Bill /-lours OT Bill Hours Cla=
[2011 Protect A4anownent
Douglas Zabonick P.E. 5/18/2009 1.00 0.00 160.00
Protect Mana.Qement Total: 1.00 0.00 S160.00
[203 Data A
Bruce Winningham 5/18/2009 0.50 0.00 49.00
Bruce Winningham 5/19/2009 3.00 0.00 294.00
BRICe Winningham 5/22/2009 7.00 0.00 686.00
Data Allana,Qrnent /Review Total: 10.50 0.00 $1.029.00
1204 Report Hlt
Bruce Winningham 5/27/2009 5.25 0.00 514.50
Bruce Winningham 5/28/2009 7.0 0.00 686.00
Report 14 Total: 12.25 0.00 $1,200.50
[2051 Repoi7 Review
Christina Haviland 5/21/2009 1.00 0.00 120.00
Report Review Total: 1.00 0.00 $120.00
NEPA Services Total: 24.75 0.00 $2,509.50
Professional Services Totals: 52,5119.50
Billing Grout Subtotal: 2.509.50
Project Totals
JUN 200°1 Invoice Amount. $2,509.50
J J` SZ
Page 1
KERAMIDA, Inc.
Project Invoicing Summary
Client: City of Carmel, IN
KEI Project No.: 13257
Invoice No.: 42075
Invoice Date: 06/04/09
Guilford
Project: Improvements
Location: Carmel, IN
INDOT DES.# INA
Previously Current Total Billed Remaining
Task Budget Invoiced Invoice To Date Budget
Environmental
Document $13,063 $7,696 $2,510 $10,206 $2,857
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
Keramida
Purchase Order No.
401 N. College Ave.
Terms
Indianapolis, IN 46202
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
060409 42075 NEPA Guilford 06 -17 $2,509.50
06/04/09 42076 NEPA- Hazel Dell 09 -01 $1,010.00
Total
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
Keiain IN SUM OF
401 N. College Ave.
Indianapolis, IN 46202
$3,519.50
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PD# 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
19805 42075 06- 4462838 $2,509.50 materials or services itemized thereon for
19805 42076 1205 -43401 010.00 which charge is made were ordered and
received except
L 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund