214746 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 204045 Page 1 of 1
4� ONE CIVIC SQUARE MILESTONE CONTRACTORS,L P
+. CARMEL, INDIANA 46032 PO BOX 635464 CHECK AMOUNT: $24,699.90
CINCINNATI OH 45263-5464 CHECK NUMBER: 214746
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350200 121019-06 24, 530 . 78 STREET REPAVING
2201 4236300 79147 169 . 12 BITUMINOUS MATERIALS
BEST
PLACES Invoice
TO WORK IN
INDIANA
'
Invoice#: 79147
Milestone Contractors, L.P.
5950 S. Belmont Ave. Date: 10/31/12
Indianapolis, IN 46217 Cust PO#:
1
CITY OF CARMEL - STREET DEPT.
3400 W. 131 ST STREET P.O. Box 635464
Please Remit to:
WESTFIELD, IN 46074 Cincinnati, OH 45263-5464
Plant 12 Customer No 1,936 For Billing questions, please call: 317-616-4876 Page 1 of 1
Date Ticket Description Quantity UM Unit Material Haul Tax Total
Price Amount Amount
10/29/12 22360H/ -9.5 SURFACE
486159 3.02 TON 56.00 169.12 0.00 169.12
*Subtotal* 3.02 TON 169.12 0.00 0.00 169.12
TOTAL 3.02 169.12 0.00 0.0 169.1
Payment Due By: November 30, 2012 Total: $ 169,12
Payment l's due NET/v07.However, we reserve the tight to file a 1111echanics Lien ifpayment is not received within 45 calendaz•days
from the last daymatezial waspurchased. Customeragrees topayintevestat the rate of 2%pez•month on allpastdue balances.
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Progress Billing Invoice 1
2ik a
From: Milestone Contractors,L.P. Invoice#: 121019-06
P. O. Box 635464 Date: 11!912012 j
Cincinnati,01-145263-5464
Project:CITY OF CARMFL 2012 PAVING
To: CITY OF CARMFL-ENG DEPT. Our Contract No. 121019-
1 CIVIC SQUARE Payment Terms NET 30
CARMEL,IN 46032
,I,,I,�Inllni.ul�u,l,l,l�nl�nn,lln,l�l From
To:
Customer No: 225
Customer Ref: For Billing Inquiries,Please Call:
Andrea Miller 317-616-4895:
Amount
Bill Number: 6 . Project: CITY OF CARMFL 2012 PAVING j
ORIGINAL CONTRACT 2,902,758.77
CHANGE ORDERS 0.00
CURRENT CONTRACT 2,902,758.77
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CURRENT i
BILLING THIS ESTIMATE 24,530.78
LESS RETAINAGE WITHHELD 0.00
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ADD RETAINAGE RELEASED 0.00
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DUE THIS ESTIMATE 24,530.78 j
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VALUE OF WORK TO DATE 3,101,045.23
LESS RETAINAGE WITHHELD 0.00
TOTAL 3,101,045.23
LESS PREVIOUS INVOICE 3,076,514.45
SUB TOTAL DUE THIS ESTIMATE 24,530.78
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Please Pay From This Invoice
No Statement Issued
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Progress Billing Detail
From: Milestone Contractors,L.P. Invoice#: 121019-06
P.O. Box 635464 Date: 11/9/2012
Cincinnati, OH 45263-5464
Customer No: 225
To: CITY Or CARMEL-ENG DEPT. i
1 CIVIC SQUARE
From:
CARMEL,IN 46032
To: 1
Payment Terms NET 30 1
Customer Ref: Contract: 121019-
UnitsB filled AmtBilled
Cent Description Contract Contract Quantity Quantity Ulm Unit Amount Amount
Item Amount Quantity This Period JTD Price This Period To-Date
1 AET OR AE 150 TAC 32,000.00 32,000.000 0.000 19,925.000 GAL 1.000 0.00 19,925.00
2 9.5 TYPE B SURFACE 2,311,729.50 41,466.000 4.000 41,463.781 TON 55.750 223.00,311,605.77
3 BAD SPOTS CUT/REMOVED 37,500.00 500.000 0.000 0.000 SY 75.000 0.00 0.00
4 MILLING 262,458.00 262,458.000 0.000 276,516.730 SY 1.000 0.00 276,516.73
5 BUTT JOINTS 0.00 0.000 0.000 0.000 SF 10.000 0.00 0.00
6 BLUE REFLECTORS 9,984.00 192.000 0.000 252.166 EA 52.000 0.00 13,112.65
7 4 IN.DOUBLE YELLOW SOLID 44,291.52 52,728.000 12,939.000 22,077.000 LF 0.840 10,868.76 18,544.68
8 8IN.SOLID YELLOW 1,811.04 2,156.000 1,578.000 5,026.000 LF 0.840 1,325.52 4,221.84
9 4 IN,SOLID YELLOW&4 IN.SKIP YELLOW 1,449.00 3,450.000 156.000 265.000 LF 0.420 65.52 111.30
10 4 IN.SKIP YELLOW 141.70 218.000 01000 0.000 LF 0.650 0.00 0.00
11 12 IN.YELLOW CROSSHATCH 2,231.04 448.000 0.000 592.000 LF 4.980 0.00 2,948.16
12 4 IN,SOLID WHITE 21,597.24 51,422.000 26,540.000 46,691.000 LF 0.420 11,146.80 19,610.22
13 4 IN.SKIP WHITE 1,543.92 3,676.000 44,000 544.000 LF 0.420 18.48 228.48
14 6 IN.WHITE CROSSHATCH 520.00 208.000 0.000 151.000 LF 2.500 0.00 377.50
15 12 IN.WHITE CROSSHATCH 383.46 77.000 O.ODO 0.000 LF 4.980 0.00 0.00
16 6 IN.WHITE CROSSHATCH 3,702.50 1,481.000 0.000 0.000 LF 2.500 0.00 0.00
17 24 IN.WHITE STOPBARS 6,616.75 665.000 46,000 262.000 LF 9.950 457.70 2,606.90
18 LANE INDICATOR ARROWS 4,940.00 38.000 2.000 31,000 EA 130.000 260.00 4,030.00
19 ONLY'S 3,465.00 21.000 1.000 27.000 EA 165.000 165.00 4,455.00
20 24 IN.WHITE PIANO KEYS 776.10 13.000 0.000 0.000 EA 59.700 0.00 0.00
21 COMBINATION ARROWS 660.00 2.000 MOO 0.000 EA 330.000 0.00 0.00
22 SCHOOL 750.00 2.000 0.000 0.000 EA 375.000 0.00 0.00
100 CONCRETE CURB REPLACEMENT 152,588.00 4,124.000 0.000 11,293.000 LF 37.000 0.00 417,841.00
200 4 Fr.MEDIAN 720.00 12.000 0.000 0,000 LF 60.000 0.00 0.00
300 SIDEWALK 900.00 9.000 0,000 49.100 SY 100.000 0.00 4,910.00
400 CALCIUM(1%PER CU.YD,) 0.00 0.000 0.000 0.000 CY 4.000 0.00 0.00
500 HIGH EARLY(1%PER CU.YD.) 0.00 0.000 0.000 0.000 CY 5.000 0.00 0.00
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Page 1 of 2
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Progress Billing Detail j
r
From: Milestone Contractors,L.P. Invoice#: 121019-06
P. O. Box$35464 Date: 11/9/2012
Cincinnati, OH 45263-5464
Customer No: 225
To: CITY OR CARMEL-LNG DEPT.
�
1 CIVIC SQUARE
From:
CARMEL,IN 46032
IIIIIIIIIIIII11ItI1111I1IlIl1I�I11111��111�1�
To:
Payment Terms NET 30
Customer Ref: Contract: 121019-
UnitsBilled AmtBilled
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Original Contract 2,902,758.77 Total Billed This Period To Date: 24,530.78 3,101,045.23
Change Orders to Date: 0.D0 Less Retainage:
0.00 0.00
Current Contract 2,902,758.77 Less Previous Applications:
0.00 3,0761514.45
Percent Complete: 106.83% Total Due This Invoice: 24,530.78 24,530.78
Page 2 of 2
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PARTIAL
� Payment to Follow
AFFIDAVIT AND WAIVER OF LIEN
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STATE OF INDIANA }
SS:
COUNTY OF MARION )
1
being duly sworn states that he is the Protect Control of MILESTONE CONTRACTORS, L.P. having contracted with 1
CITY OF CARMEL- ENG DEPT. to furnish certain materials and/or labor as follows: ASPHALT PAVING for a project
known as SST OF CARMEL 2012-PAVING, MCLP Job# 121019, located at CARMEL, IN and owned by CITY OF j
CAUM i
and does further state: I
PARTIAL WAIVER: that the balance due from the owner is the sum of t}i'entL four thausanditvehundred thir(y and 78/100
Dollars$24.530.78
the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien
which is given to and for said amount,effective upon receipt of such payment.
THEREFORE,the undersigned waives and releases unto the Owner of said premises any and all lien or claim whatsoever on the {
above-described property and Improvements thereon on account of labor or material or both,furnished by the undersigned thereto, and
further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the
undersigned for said project,and within the scope of this affidavit and waiver.
MILESTONE CQNTRACTORS, L.P.
Project Control
Subscribed and sworn to before me this: 9th day of November. 2012
Notary Public:
Kfmberly A Oiler
M y Commission T;
Commi i n +
n xQires:January 02,2020
County of Residence:MARION
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Milestone Contractors, L.P.
IN SUM OF $
P. O. Box 635464
Cincinnati, OH 45263-5464
$24,699.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 79147 42-363.00 $169.12 1 hereby certify that the attached invoice(s), or
2201 121019-06 43-502.00 $24,530.78 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
Thursday,`November 15, 2012
;
Street Commissioner
S reT ,.:.7-7,1 U
itle
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))
10/31/12 79147 $169.12
11/09/12 121019-06 $24,530.78
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