214371 11/07/2012 a CITY OF CARMEL, INDIANA VENDOR: 204045 Page 1 of 1
ONE CIVIC SQUARE MILESTONE CONTRACTORS, L P CHECK AMOUNT: $33,548.30
CARMEL, INDIANA 46032 PO BOX 635464
4 p�is r CINCINNATI OH 45263-5464 CHECK NUMBER: 214371
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350200 121019-05 33 , 548 . 30 STREET REPAVING
Progress Billing Invoice
From: Milestone Contractors,L.P. Invoice#: 121019-05
P.O. Box 635464 Date: 10/24/2012
Cincinnati, 01-145263-5464
Project:CITY OF CARMEL 2012 PAVING
Our Contract No, 121019-
1 To: CITY OF CARMEL-ENG DEPT.
j 1 CIVIC SQUARE Payment Terms NET 30
CARMEL,IN 46032 From:
,In1,Ilulln,„Il,nl,l,llullnnill,ul,l 10/2/2012
To: 10/24/2012
Customer No: 225
Customer Ref: For Billing Inquiries,Please Call:
Andrea Miller 317-616-4895:
Amount
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Bill Number: 5 Project: CITY OF CARMEL 2012 PAVING
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ORIGINAL CONTRACT 2,902,758.77
CHANGE ORDERS 0.00
CURRENT CONTRACT 2,902,758.77
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CURRENT
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BILLING THIS ESTIMATE 33,548.30
LESS RETAINAGE WITHHELD 0.00
ADD RETAINAGE RELEASED 0.00 I1
DUE THIS ESTIMATE 33,548.30 1
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VALUE OF WORK TO DATE 3,076,514.45
LESS RETAINAGE WITHHELD 0.00
TOTAL 3,076,514.45
LESS PREVIOUS INVOICE 3,042,966.15
SUB TOTAL DUE THIS ESTIMATE 33,548.30
Please Pay From This Invoice j
No Statement Issued
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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))
10/30/12 121019-05 $33,548.30
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
Milestone Contractors, L.P.
IN SUM OF $
P. O. Box 635464
Cincinnati, OH 45263-5464
$33,548.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 121019-05 ( 43-502.001 $33,548.30 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
>� w Thursday, November 01, 2012
Street Commis/ ner
Street COmrTitle:ICrer
Cost distribution ledger classification if
claim paid motor vehicle highway fund