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215211 12/04/2012 *F CITY OF CARMEL, INDIANA VENDOR: 00351256 Page 1 of 1 ONE CIVIC SQUARE UNITED CONSULTING ENGINEERS CARMEL, INDIANA 46032 1625 N POST ROAD CHECK AMOUNT: $36,500.00 INDIANAPOLIS IN 46219 CHECK NUMBER: 215211 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 206 R4462300 12203-01 36, 500 . 00 DRAINAGE IMPROVEMENTS t 1625 North Post Road ` Indianapolis, IN 46219 Bus. (317)895-2585 .� Consulting= Fax (317)895-2596 Carmel, City of Invoice number 12203-01 Mike McBride Date 11/12/2012 One Civic Square Carmel, IN 46032 Project 12-203 East 96th Street and College Avenue For Professional Services Rendered Through: October 31,2012 Invoice Summary Contract Total Current Description Amount Billed Billed Emergency Inspection Report 3,000.00 3,000.00 3,000.00 Geotechnical Recommendations 6,000.00 6,000.00 6,000.00 Preparation of RFP Document and Coordination 25,000.00 25,000.00 25,000.00 Permits 2,500.00 2,500.00 2,500.00 Post Bid Activities 10,000.00 0.00 0.00 Total 46,500.00 36,500.00 36,500.00 Invoice total 36,500.00 Aging Summary Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120 12203-01 11/12/2012 36,500.00 36,500.00 Total 36,500.00 36,500.00 0.00 0.00 0.00 0.00 Approved by: 1718192O2 Christopher R. Pope Vice President G n� � N RECEIVEp wN� c NOV 2012 N CAR N �, CINENG 5M tiV Ale Carmel,City of Invoice number 12203-01 Page 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 United Consulting Purchase Order No. 1625 North Post Road Terms Indianapolis, IN 46219 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 11/12/2012 12203-01 96th and College Emergency Culvert; Design $ 36,500.00 Total $ 36,500.00 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. United Consulting ALLOWED 20 1625 North Post Road IN SUM OF $ Indianapolis, IN 46219 $ 36,500.00 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 26561 12203-01 206-R4462300 s 36,50000 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 12/3/2012 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund