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214007 10/23/2012 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: $640.00 CARMEL IN 46032 CHECK NUMBER: 214007 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4350900 12040 640 . 00 OTHER CONT SERVICES McCOMAS ENGINEERING, INC. ���� Invoice Number 12040 ANAL 1717 East 116th Street, Suite 200 Invoice Date Oct 15, 2012 Carmel, IN 46032 ENCUNEEM Structural Engine�ers� Tel: (317) 580-0402 Fax: (317) 582-0766 Client Contact Brent Liggett rmccomas @mccomaseng.com www.mccomaseng.com I Client Number PIG� Attn: Accounts Payable City of Carmel, Dept. of Comm. Sery One Civic Square d� !' Department of Community Services / Carmel, IN 46032 , 1 INVOICE Project No.: 12207: Contract Type: Hourly Project-Name: .Guilford Road Cond6minium-E351c6nies Project Location: Carmel, IN Date Employee Description Hours Rate Amount Services: 9/11/2012 TMM Report Preparation 2.00 $160.00 $320.00 9/11/2012 TMM Field Survey 1.00 $160.00 $160.00 9/12/2012 TMM Report Preparation 1.00 $160.00 $160.00 Engineering Manager 4.00 $640.00 Total Service Amount: $640.00 Amount Due This Invoice: $640.00 Fed. ID No. 35-1837963, This invoice is due upon receipt -- -- - - - ---- -- - Accoumit-Sru min-,ary - - -- - -- —-- -- -- Services BTD I Expenses BTD I Last Inv Num I Last Inv Date I Last Inv Amt I Last Pay Amt I Prev Unpaid Amt $ 640.00 ! $ 0.00 I I I $ 0.00 I $ 0.00 I $ 0.00 ! Total Amount Due Including This Invoice: $640.00 McComas Engineering Standard Report Copyright 2010. Last Modified on: 10/15/2012 _- 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)) 10/15/12 12040 Guilford Rd. Conco Balconies $640.00 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. ALLOWED 20 McComas Engineering, Inc. IN SUM OF $ 1717 East 116th Street, Suite 200 Carmel, IN 46032 $640.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 I 12040 I 43-509.00 I $640.00 I 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 Friday, October 19, 2012 Direc r Ti Cost distribution ledger classification if claim paid motor vehicle highway fund