178610 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00350562 Page 1 of 1
ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC
CARMEL, INDIANA 46032 7260 SHADELAND STATION CHECK AMOUNT: $840.00
INDIANAPOLIS IN 46256 -3957
CHECK NUMBER: 178610
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4340100 19813 40452 840.00 106TH CULVERT REPLACE
f
i
Remit to:
Elm 7260 Shadeland Station
Indianapolis, IN 46256 -3957
O AMERICAN TEL 317.547.5580 FAX 317.543.020
STRUCTUREPOINT www.structure p oint.com
INC. Federal Tax ID: 35-1127317
October 21, 2009
f Invoice No: 40452
Mike McBride
City of Carmel
One Civic Square
Carmel, IN 46032
Total Due This Invoice (see breakdown below): $840.00
Project 0002009.00536.0001 106th Street Culvert Replacement 1400' West of Keystone
Par.kwayPurchase Order No. 19813Carmel, Indiana (IN)
Additional Services 2007.26 (Keystone), P.O. 19813 2D1'o 4 J Qt
Consulting Services from September 1, 2009 throuEh September 30, 2009
Fee
Percent
Phase Fee Complete Earned
Environmental Services 7,000.00 100.00 7,000.00
Field Survey 3,250.00 100.00 3,250.00
Culvert Design Plan 10,500.00 85.00 8.925.00
Preparation
Total Fee 20.750.00 19,175.00
Previous Fee Billing 18
Current Fee Billing 840.00
Total Fee 840.00
TOTAL DUE THIS INVOICE 5840.00
Billings to Date
Current Prior Total
Fee 840.00 18,335.00 19,175.00
Totals 840.00 18,335.00 19,175.00
Very truly yours,
Ellie Stanoch
Fu11 payment of this invoice is due within 30 daps from invoice date.
Interest atthe rate of 1.5% per month ($25- 00fmonth minimum) plus anylall collection
costsrattorney costs maybe charged if payment is not received within 60 days from the invoice date.
s
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
American Structurepoint, Inc.
Purchase Order No.
7` Shadeland Station
Terms
Indianapolis, IN 46256 -3957
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/21109 40452 106th Culvert/ Jordan Woods $840.00
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. :n7
ALLOWED 20
American Structurepoint, Inc. IN SUM OF
7260 Shadeland Station
Indianapolis, IN 46256 -3957
$840.00
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
19813 40452 206 -401 $840.00 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
'<C>SZ�v 20
Signature
Eno' LQ-V
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund