HomeMy WebLinkAbout168222 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 357225 Page 1 of 1
ONE CIVIC SQUARE TROY RISK INC CHECK AMOUNT: $1,234.75
CARMEL, INDIANA 46032 7466 SHADELAND STATION WAY
INDIANAPOLIS IN 46256 -3925 CHECK NUMBER: 168222
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4462838 19779 109.04.08 -5 1,234.75 GAS SPILL INVESTIGATI
Tray Risk, Inc. I nvoi ce
7466 Shadeland Station Way
Indianapolis, IN 46256 -3925 DATE INVOICE
(317) 570 -6730 12/31/2008 109.04.08 -5
BILL TO PROJECT
City of Carmel City of Cannel
Engineering Department Spill Investigation
I Civic Square
Carmel, IN 46032 Additional Services 1
P.O. 19779
TERMS DUE DATE REP TRIPROJECT
Net 30 1/30/2009 PT 109.04.08 (OZ
DATE ITEM QTY DESCRIPTION RATE AMOUNT
CONSULTING SERVICES
-Hours
12/5/2008 Staff Eng/Scient... 0.5 JS: Review of analytical results 74.00 37.00
12/16/2008 Sr. Draftsperson... 2.5 JO: Soil boring logs 60.00 150.00
12/29/2008 Staff Eng /Scient... 4.75 JS: Prepare spill investigation report 74.00 351.50
12/29/2008 Sr. Draftsperson... 0.5 JO: CADD work 60.00 30.00
12/30/2008 Staff Eng /Scient... 5.5 JS: Prepare spill investigation report 74.00 407.00
12/31/2008 Sr. Draftsperson... 1.5 JS: Provide drafting for analytical site maps 60.00 90.00
12/31/2008 Staff Eng /Scient... 0.5 JS: Prepare spill investigation report 74.00 37.00
Amount due for hours 1,102,50
REIMBURSABLE EXPENSES
12/8/2008 Subcontract Envision Laboratories, Inc. Invoice #10696 115.00 115.00
Reimbursable Expenses Subtotal 115.00
Markup 15% Mark up 15% 101y' i 5.00% 17.25
Amount Due for Reimbursable Expenses 4 w�, 132.25
ry
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JAN 2009
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Thank you for your business.
Troy Risk, Inc. Fed ID #35- 208243 Total $1,234.75
Troy Risk, Inc.
Troy Risk, Inc Statement
7466 Shadeland Station Way
Indianapolis, IN 46256 -3925 DATE 71
(317) 570 -6730 1/8/2009
TO:
City of Carmel
Engineering Department
I Civic Square
Carmel, IN 46032
REP AMOUNT DUE AMOUNT ENC.
PT $12,558.85
DATE TRANSACTION AMOUNT BALANCE
08/30/2008 Balance forward 0.00
109.04.08 Spill Investigation
08/31/2009 IN V 109.04.08 -1. �.IT3 1 1,324.10
09/30/2008 INV 109.04.08 -2. 1 t2Y 12.559.35
10/31/2008 INV 109.04.08 -3. 2.367.45 14.926.80
11/20/2008 PMT #165464. 1,235.25 13.691.55
11/30/2008 INV 109.04.08 -4. 2,680.20'1. 16.371.75
12/03/2008 PM 'f 166416. 2,367.45 14.004.30
12/31/2008 INV #109.04.08 -5. 1,234.75 15.239.05
'49 y�� 8 9 �p''�2v�
RECEIVED JAN 2009 CAPM L IT1' �1l►G111��I tip SZ �Z £ZZ
CURRENT 1 -30 DAYS PAST 31 -60 DAYS PAST 61 -90 DAYS PAST OVER 90 DAYS AMOUNT DUE
DUE DUE DUE PAST DUE
1,234.75 0.00 0.00 0.00 11,324.10 $12.558.85
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
y Disk, Inc.
Purchase Order No.
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))
12/31/08 109.04.08-5 Gas Spillage Investigation Main St. Express Marathon $1,234.75
4:
Total
1 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
Troy R isk inc IN SUM OF
7466 Shadeland Station Way
Indianapolis, IN 46256 -3925
$1,234.75;
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 109.04.08 206- R4462838 $1,234.75 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
�11�11� 20
X
t nature f
Cost distribution ledger classification if Ti e
claim paid motor vehicle highway fund