212688 09/12/2012 - 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
„o CHECK NUMBER: 212688
CHECK DATE: 9/1212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 11957 225 . 00 OTHER CONT SERVICES
®MMcCOMAS.ENGINEERING, INC. Invoice Number F 11957
IL 1717 East 116th Street, Suite 200 Aug 1 2012
Carmel, IN 46032 Invoice Date g
S«��t�° �°e`, Tel: (317) 580-0402 Fax: (317) 582-0766 1 Client Contactl I Bill Holt
rmccomas @mccomaseng.com
www.mccomaseng.com Client Number
Attn: Accounts Payable
City-of Carmel, Dept. of Comm. Serv '
One Civic Square d
Department of Community Services ` 4 2012
Carmel, IN 46032
INVOICE
Project No.: 11173: Contract Type: Hourly
Project Name: 110 W. Main Street (Sofia Bldg.) Investigation
Project Location: Carmel, IN _
Project Memo: Investigation of cracking in precast structure
Date Employee Description Hours Rate Amount
Services:
8/10/2012 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 BTD I Last Inv Num Last Inv Date I Last Inv Amt I Last Pay Amt I Prev Unpaid Amt
$ 3,600.00 I I$ 35.70 I 11656 4/27/2012 $ 225.00 I $ 225.00 I $ 0.00
Total Amount Due Including This Invoice: $225.00
McComas Engineering Standard Report Copyright 2010. Last Modified on:8/31/2012 Page 1 of 1
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. I ACCT#/TITLE AMOUNT Board Members
1192 I 11957 I 43-509.00 , $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
Monday, September 10, 2012
0
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
08/31/12 11957 Report-Sofia Square $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