213450 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 365731 Page 1 of 1
ONE CIVIC SQUARE FIRST GROUP ENGINEERING
CHECK AMOUNT: $276.00
CARMEL, INDIANA 46032 5925 LAKESIDE BLVD
INDIANAPOLIS IN 46278 CHECK NUMBER: 213450
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4462300 26542 7560-1 276 . 00 ASA#1-WILLIAMS CREEK
Consulting Engineers
5925 Lakeside Blvd.
tIndianapolis, IN 46278
Phone (317) 290-9549
• , Fax (317) 290-9560
ENGINEERING. INC.
6949 Kennedy Avenue
Unit F
Hammond, IN 46323
Phone (219) 844-6752
September 30, 2012 Fax (219) 844-6795
INVOICE#7560-1
Mr. Michael McBride, P. E.
art City Engineer
One Civil Square
Carmel, IN 46032
RE: Additional Service Amendment#1
Design Services
Structure Replacement over Tributary of
William re at Spring Mill Road, South of 106th Street
P.O. 6542
'Dear Mr; McBride: /�,()lp'" � }00
In accordance with our Amendment #1 dated August 15, 2012, the following is an invoice for services provided on the referenced
project to September 30, 2012.
Amount Due this
Description Contract Amount Percent Complete Amount Completel,ess Prior Billings Billing
Soils Investigation $5,000.00 0.0% $0.00 $0.00 $0.00
Survey $9,000.00 0.0% $0.00 $0.00 $0.00
Design mid Permits $27,600.00 1.0% $276.00 $0.00 $276.00
TOTAL DUE $41,600.00 $276.00 $0.00 $276.00.
Very truly yours,
.ti .�;J %�✓ _� �� 1�1234ss
Randall M.Willing
Executive Vice President ACV 101
RECEIVED
N �
INVOICES\OT12-7560 N OCT 2012
N �
CARMEL �v
,g CITY ENGINEER
STREETS—HIGHWAYS—TRAFFIC—STRUCTURES—WATER—SEWER—SURVEYING—RIGHT-OF-WAY SERVICES
ACTIVE MEMBERSHIPS:
Dmrnrm OF INDIANA SOCI—
it LNGD0r�eSnoN ��S OF J UwD SURSVEYORS.INC. QM)ASSOCIATION AL .
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
First Group Engineering, Inc. Purchase Order No.
5925 Lakeside Blvd. Terms
Indianapolis, IN 46278 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
9/30/2012 7560-1 Williams Creek at Springmill culvert design $ 276.00
Total $ 276.00
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.
First Group Engineering, Inc. ALLOWED 20
5925 Lakeside Blvd. IN SUM OF $
Indianapolis, IN 46278
$ 276.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
26542 7560-1 206-R4462300 276 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
10/8/2012
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund