168728 02/04/2009 "e CITY OF CARMEL, INDIANA VENDOR: 353598 Page 1 of 1
ONE CIVIC SQUARE U S I CONSULTANTS INC CHECK AMOUNT: $350.00
CARMEL, INDIANA 46032 8415 E 56TH ST
aa"2� INDIANAPOLIS IN 46216 -2200 CHECK NUMBER: 168728
CHECK DATE: 2/4/2009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
202 4340100 7042 350.00 ENGINEERING FEES
i
g 5
f
A Invoice Number.' 7042
Monday, January 19, 2009
CONSULTANTS, INC.
Engineers Land Surveyors
8415 East 56th Street
Indianapolis, Indiana 46216
Phone: 317- 544 -4996
Fax: 317- 5444997
Invoice
To: City of Cannel
Dept. of Engineering
One Civic Square
Carmel, IN 46032
Attention: Mr. Mike McBride, P.E., City Engineer
Project. 2008040 West Road and City Center Drive
Contract #1005.05.06, dated 10105105
Additional Services #5 (P.O. 1 9319 LRS 401)
Invoice for providing professional design and surveying services for the above
referenced project. Work performed in accordance with our Agreement dated
October 5, 2005.
Project Manager: Michael J. Obergfell
Professional Services for the Period: 8/l/2008 to 12/31/2008
Billing Group: A -1 Fixes! Fee
West Road Guardrail
Contract Amount: $4,800.00
Percent Complete: 75.00%
Fee Earned: $3,600.00
Prior Fee Billings: 3,600.00
Current Fee Total: $0.00
Billing Group Total: $0.00
C
JAA1 2009
c? CARMED. w
i
Page
lIS1,Consuliants, Inc.
Project: 2008040
j
Billing Group: A -2 Fired Fee
City Center Drive
Contract Amount: $7,000.00
Percent Complete: 100.00%
Fee Earned: $7,000.00
Prior Fee Billings 6 650.00
Current Fee Total: $350.00
Billing Group Subtotal: 350.00
Project Totals:
Total Project Invoice Amount: $354.00
Azerl.Receivables:
Current 31 -60 Duns 61 -90 Days 91 -120 Days 120 Days
$350.00 $0.00 $0.00 $0.00 $0.00
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Page 2
Prescribed by State Board of Accounts Cky 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
USI Consultants, Inc.
Purchase Order No.
8415 E. 56th Street
Terms
Indianapolis, IN 46216
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/19/09 7042 West Road Gaurdrail $350.00
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
1 Consultants, 1AG, IN SUM OF
8415 E. 56th Street
Indianapolis, IN 46216
$350.00
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
n/a 7042 202 43401 350.00 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
Signature
C114;
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund