HomeMy WebLinkAbout180542 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 357225 Page 1 of 1
ONE CIVIC SQUARE TROY RISK INC
CHECK AMOUNT: $638.40
CARMEL, INDIANA 46032 7466 SHADELAND STATION WAY
4(roN Lo? INDIANAPOLIS IN 46256 -3925 CHECK NUMBER: 180542
CHECK DATE: 12/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4462838 19779 109.04.08 -8 638.40 GAS SPILL INVESTIGATI
Troy Risk, Inc, Invoice
7466 Shadeland Station Way
Indianapolis, IN 46256 -3925 DATE INVOICE
(317) 570 -6730 1 1/30/2009 109.04.08 -8
BILL TO PROJECT
City of Carmel City of Carmel
I Civic Square Worrell Spill Investigation
Carmel, IN 46032 ELTF Cost Recovery
Additional Services #1
P.O. 19779
TERMS DUE DATE REP TRI PROJECT
Net 30 12/30/2009 PT 109.04.08
DATE ITEM QTY DESCRIPTION RATE AMOUNT
CONSULTING S17RVICES
-Hours
11/24/2009 Principal Geol... 2.5 PT: Prepare response to IAG 133.00 332.50
11/25/200 Principal Geol... 2.3 PT: Prepare response to IAG 133.00 305.90
Amount due for howl 638.40
Thank you for your business.
Troy Risk, Inc. Fed ID 435- 2082435 Total $63840
Troy Risk, Inc.
Plescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
IN 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
Troy Risk, Inc.
Purchase Order No.
1 7466 Shadeland Station Way
Terms
Indianapolis, IN 46256 -3925
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/30/09 109.04.08-8 Gas Spillage Investigation Main St. Express Marathon $638.40
Total $638 4n
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
Trn)j BjYlnc IN SUM OF
7466 Shadeland Station Way
Indianapolis, IN 46256 -3925
$638.40
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
19779 109.04.08 -8 06- R4462838 638.40 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund