175763 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00350060 Page 1 of 1
ONE CIVIC SQUARE KERAMIDA INC CHECK AMOUNT: $1,757.50
CARMEL, INDIANA 46032 401 N COLLEGE AVE
INDIANAPOLIS IN 46202 CHECK NUMBER: 175763
CHECK DATE: 8/6/2009
DEPARTMENT ACCOUN PO NUMB INVOICE N A DESC RIPTIO N
1205 4340100 19805 42344 1,757.50 NEPA EVAL /HAZELDELL /G
KERAMIDA Inc.
N College Avenue
lndianap6lis, IN 46202 Invoice Number: 42344
July 07, 2009
1nV is
To; City of Carmel
One Civic Square
Carmel, IN 46032
Attention: Michael McBride
Project: 13258 Hazel Dell Parkway NEPA Services
Project #09 -0
P.O. 19805
Project Manager: Christina Haviland 6 C>
Professional Services for the Period: 6/1/2009 to 6/30/2009
Billing Group: 001 Cost Plus Invoice: 42344
July 07, 2009
Professional Services
NEPA Services Date Rea Bill flours 07' Bill Hours Charze
[201 Project Management
Christina Haviland 6/11/2009 3.00 0.00 360.00
Christina Haviland 6/24/2009 1.00 0.00 120.00
Christina Haviland 6/25/2009 0.50 0.00 60.00
Christina Haviland 6/29/2009 1.00 0.00 120.00
Project Management Total: 5.50 0.00 $660.00
[2041 Report Writing
Colin Keith 6/4/2009 6.00 0.00 390.00
Colin Keith 6/8/2009 3.50 0.00 227.50
Report Writing Total: 9.50 0.00 $617.50
[2051 Report Review
Christina Haviland 6/3/2009 0.50 0.00 60.00
Christina Haviland 6/4/2009 3.50 0.00 420.00
Report Review Total: 4.00 0.00 $480.00
NEPA Services Total: 19.00 0.00 $1,757.54
Professional Services Totals: $1,757.50
rurl7� Billing Group Subtotal: 1,757.50
Project Totals:
RECEIVED o Invoice Amount;
AL 2M 757.50
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Page 1
KERAMIDA, Inc.
Project Invoicing Summary
Client: City of Carmel, IN
KEI Project No.: 13258
Invoice No.: 42344
Invoice Date: 07/15/09
Hazel Dell Parkway
Project: Improvements
Location: Carmel, IN
INDOT DES.# NA T
.i
Previously Current Total Billed Remaining
Task Budget Invoiced Invoice To Date Budget
Environmental
Document $13,630 $9,790 $1,758 $11,548 $2,082
S
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
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))
07/07/09 42075 NEPA- Hazel Dell 09 -01 $1,757.50
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
KeFam*da IN SUM OF
401 N. College Ave.
Indianapolis, IN 46202
$1,757.50
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
19805 42344 205 -43401 $1,757.50 materials or services itemized thereon for
which charge is made were ordered and
received except
20
.1 P050
Signature
C ihn Xlc',
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund