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214270 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 00350309 Page 1 of 1 ONE CIVIC SQUARE CRIPE € CHECK AMOUNT: $481.44 CARMEL, INDIANA 46032 Po eox 2132 oM`o INDIANAPOLIS IN 46206-2132 CHECK NUMBER: 214270 CHECK DATE: 11/7/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 R4340100 25802 2019934 481.44 ASA#1 RIVER ROAD CULV Invoice J Cri e p Architects+Engineers P.O. Box 2132 Indianapolis, Indiana 46206-2132 Telephone 317 844 6777 City of Carmel October 16, 2012 Attn: Gary Duncan, PE Project No: 0110382-20000 One Civic Square Invoice No: 2019934 Carmel IN 46032 Project: 0110382-20000 River Road Box Culvert Replacement 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.) K Professional services from September 8, 2012 to October 12, 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 0.00 30% Construction Documents 8,100.00 100.00 8,100.00 0.00 Final Construction Documents 33,200.00 100.00 33,200.00 0.00 Agency Approvals 7,420.00 100.00 7,420.00 0.00 Public Bidding 3,180.00 100.00 3,180.00 0.00 Construction Administration 5,900.00 75.00 4,425.00 472.00 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 78,355.00 Previous Fee Billing 77,883.00 Current Fee Billing 472.00 Total Fee 472.00 Reimbursable Expenses Reproductions 9.44 Total Reimbursables 9.44 9.44 Total this invoice $481.44 Authorized by: Wiseman, Client Service Director Please return remittance copy of invoice with your payment. If you have any questions, please call Telephone 317 844 6777. Cr® =ce (n-vo y e 0 Architects Engineers P.O. Box 2132 Indianapolis, Indiana 46206-2132 Telephone 317 844 6777 City of Carmel October 16, 2012. . Attn. Gary Duncan, PE Project No: 0110382-20000 One Civic Square Invoice No: 2019934 Carmel IN 46032 Project: 0110382-20000 River Road Box Culvert Replacement 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 September 8, 2012 to October 12, 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 0.00 30% Construction Documents 8,100.00 100.00 8,100.00 0.00 Final Construction Documents 33,200.00 100.00 33,200.00 0.00 Agency Approvals 7,420.00 100.00 7,420.00 0.00 Public Bidding 3,180.00 100.00 3,180.00 0.00 Construction Administration 5,900.00 75.00 4,425.00 472.00 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 78,355.00 Previous Fee Billing 77,883.00 Current Fee Billing 472.00 Total Fee 472.00 Reimbursable Expenses Reproductions 9.44 Total Reimbursables 9.44 9.44 Total this invoice $481.44 Authorized by: Chris Wiseman, Client Service Director Please return remittance copy of invoice with your payment. if you have any questiorAEMneTWW+_H d6pyhone 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 10/16/2012 2019934 Ruver Road Box Culvert $ 481.44 Total $ 481.44 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. Cripe ALLOWED 20 POB 2132 IN SUM OF $ Indianapolis, IN 46206-2132 $ 481.44 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 25802 2019934 211-R401 $ 481.44 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 11/5/2012 ignature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund