208378 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350775 Page 1 of 1
ONE CIVIC SQUARE MCCOMAS ENGINEERING, INC
CARMEL, INDIANA 46032 1717 E 116TH ST, SUITE 200 CHECK AMOUNT: $375.00
CARMEL IN 46032 CHECK NUMBER: 208378
CHECK DATE: 4125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 11609 375.00 OTHER CONT SERVICES
A& McCOMAS ENGINEERING, INC. Invoice Number 11609
1717 East 116th Street, Suite 200
Carmel, IN 46032 Invoice Date Apr 10, 2012
Structural e` Tel: (317) 580 -0402 Fax: (317) 582 -0766 PM 1 Client Contact Bill Holt
rmccomas @mccomaseng.com g, 3
www.mccomaseng.com Client Number
o -4 4AR 00
Attn: Accounts Payable Co
City of Carmel, Dept. of Comm. Serv 1 o
One Civic Square
Department of Community Services
Carmel, IN 46032 �60
INVOICE
Project No.: 11173:_ Contract Type: Hourly
Pro ame:
Project N 110 W Main Street Precast Investigation
Project Location: Carmel, IN
Project Memo: Investigation of cracking in precast structure
Date Employee Description Hours Rate Amount
Services:
3/12/2012 JAF Field Survey 1.50 $150.00 $225.00
3/27/2012 JAF Field Survey 1.00 $150.00 $150.00
Site visit with Coreslab
Project Manager 2.50 $375.00
Total Service Amount: $375.00
Amount Due This Invoice: $375.00
Fed. ID No. 35- 1837963, This invoice is due upon receipt
Account Summary
Services BTD I Expenses BTD Last Inv Num I Last In Date I Last Inv Amt I Last Pay Amt I Prev Unpaid Amt
3,150.00 I 35.70 I 11509 I 2/16/2012 I 763.20 I 763.20 I 0.00
Total Amount Due Including This Invoice: $375.00
McComas Engineering Standard Report Copyright 2010. Last Modified on: 4/11/2012 Page 1 of 1
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/10/12 11609 Field Survey 110 W. Main Street $375.00
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
McComas Engineering, Inc.
IN SUM OF
1717 East 116th Street, Suite 200
Carmel, IN 46032
$375.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1192 I 11609 I 43- 509.00 I $375.00 1 hereby certify that the attached invoice(s), or
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
Thu day, April 19, 2012
X/ V
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund