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208652 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00350309 Page 1 of 1 0 ONE CIVIC SQUARE CRIPE CHECK AMOUNT: $18,675.76 CARMEL, INDIANA 46032 PO BOX 2132 INDIANAPOLIS IN 46206 -2132 CHECK NUMBER: 208652 CHECK DATE: 5/1012012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 R4340100 25802 2019331 18,675.76 ASA #1 RIVER ROAD CULV Invoice J CD Cri pe o Architects +Engineers P.O. Box 2132 Indianapolis, Indiana 46206 -2132 Telephone 317 844 6777 City of Carmel April 16, 2012 Attm Gary Duncan, PE Project No: 0110382 -20000 One Civic Square Invoice No: 2019331 Carmel IN 46032 Project: 0110382 -20000 River Road Box Culvert Replacement 1 F Replacement of existing box culvert. Contract accepted for fees not to exceed $67,640 reimbursables. PO #25802 Additional services for geotechnical subconsultant for a fixed fee of $12,190.00 PO #25821 (Additional services should be on separate invoice.) Professional services from March 10, 2012 to April 13, 2012 Fee Percent Phase Fee Complete Earned Current Schematic Design 2,900.00 100.00 2,900.00 0.00 Rendered Presentation Board 1,040.00 100.00 1,040.00 1,040.00 30% Construction Documents 8,100.00 100.00 8,100.00 0.00 Final Construction Documents 33,200.00 95.00 31,540.00 11,620.00 Agency Approvals 7,420.00 75.00 5,565.00 5,565.00 Public Bidding 3,180.00 0.00 0.00 0.00 Construction Administration 5,900.00 0.00 0.00 0.00 Topographic Survey 5,900.00 100.00 5,900.00 0.00 Geotechnical 12,190.00 100.00 12,190.00 0.00 Total Fee 79,830.00 Total Earned 67,235.00 Previous Fee Billing 49,010.00 Current Fee Billing 18,225.00 Total Fee 18,225.00 Reimbursable Expenses Travel 52.80 Reproductions 297.96 Rec. /Rev. /Filing Fees 100.00 Total Reimbursables 450.76 450.76 Total this invoice $18,675.76 Please return remittance copy of invoice with your payment. If you have any questions, please call Telephone 317 844 6777. Cripe o Architects +Engineers P.O. Box 2132 Indianapolis, Indiana 46206 -2132 Telephone 317 844 6777 Project: 0110382 -20000 River Road Box Culvert Replacement Invoice No: 2019331 Outstanding Invoices Number Date Balance 2019239 3/20/12 3,351.48 Total 3,351.48 Authorized by: Chris Wiseman, Client Service Director Page 2 Please return remittance copy of invoice with your payment. If you have any questions, please call Telephone 317 844 6777. 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 Cripe Purchase Order No. POB 2132 Terms Indianapolis, IN 46206 -2132 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 4/16/2012 2019331 River Road Box Culvert Rep. Design 18,675.76 Total 18,675.76 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. Cripe ALLOWED 20 IN SUM OF POB 2132 Indianapolis, IN 46206 -2132 18,675.76 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or bill(s) is 25802 2019331 211 -r509 18675.76 (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 5/7/2012 Signature City Engineer Cost Distribution ledger classification if claim paid motor vehicle Title highway fund