208798 05/10/2012 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: $225.00
CARMEL IN 46032
CHECK NUMBER: 208798
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 11656 225.00 OTHER CONT SERVICES
A& MCCOMAS ENGINEERING, INC. Invoice Number F 1165
1717 East 116th Street, Suite 200
Nsc a cxll Carmel, IN 46032 Invoice Date Apr 27, 2012
Str��t� n Tel: (317) 580 -0402 Fax: (317) 582 -0766 Client Contact Bill Holt
rmccomas @mccomaseng.com
www.mccomaseng.com Client Number
Attn: Accounts Payable
City of Carmel, Dept. of Comm. Sery r_ P
One Civic Square
Department of Community Services
Carmel, IN 46032
INVOICE
Project N o.: 1 1173,_ .ContracTyae Hourly
Project Name: 110 W. Main Street Precast Investigation
Project Location: Carmel, IN
Project Memo: Investigation of cracking in precast structure
Date Employee Descriptio Hours Rate Amount
Services:
4/13/2012 JAF Report Preparation 1.50 $150.00 $225.00
Project Manager 1.50 $225.00
Total Service Amount: $225.00
Amount Due This Invoice: $225.00
Fed. ID No. 35- 1837963, This invoice is due upon receipt
Account Summary
Services BTD I Expenses B TD I Last Inv Num 1 Last Inv Date I Last Inv Amt I Last Pay A I Prev Unpaid Am
3,375.00 I 35.70 I 11609 I 4/10/2012 I 375.00 I 763.20 I 375.00
Total Amount Due Including This Invoice: $600.00
McComas Engineering Standard Report Copyright 2010. Last Modified on: 4/27/2012 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))
04/27/12 11656 110 W. Main Street $225.00
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
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 I 11656 I 43- 509.00 I $225.00 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
Thurs y 0 012
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund