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216345 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 00350562 Page 1 of 1 ONE CIVIC SQUARE AMERICAN STRUCTURE POINT,INC CARMEL, INDIANA 46032 7260 SHADELAND STATION CHECK AMOUNT: $2,417.74 INDIANAPOLIS IN 46256-3957 CHECK NUMBER: 216345 CHECK DATE: 1/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 R4350900 26555 59406 2, 417 . 74 ASA #12-CONSTRUCTION Remit 4o: 7260 Shadeland Station Indianapolis, IN 46256-3957 O AMERICAN TEL 317.547.5580 FAX 317.543.0270 F�■ STRUCTUREPOINT www.structurepoint.com -1-1 INC. Federal Tax ID: 35-1127317 FJ December 13, 2012 Invoice No: 59406 Mr. Mike McBride City of Carmel One Civic Square Carmel,IN 46032 Total Due This Invoice (see breakdown below): $2,417.74 Project 0002012.01734.0001 On-Call C� n Inspection-City of Carmel -Additional Services Amendment 912, PC(A 55 Services from November 01,2012 through November 3 204 Phase 00100 City of Carmel, On-Call Cl Professional Services Hours Rate Amount Resident Project Representative Boone,Tiffany 18.00 95.00 .1.710.00 Machala, David 7.00 95.00 665.00 Totals 25.00 2.375.00 Professional Services Total 2,375.00 Reimbursable Expenses Mileage 42.74 Reimbursables Total 42.74 42.74 TOTAL THIS PHASE $2,417.74 Billing Limits Current Previous Total Total Billings 2,417.74 47366.90 6.784.64 Maximum 15.000.00 Under Maximum 8.215.36 TOTAL DUE THIS INVOICE $2,417.74 Outstanding Invoices: Number Date Balance 59029 11/20/2012 4.224.40 Full payment of this invoice is due within 30 days from invoice date. Interest at the rate of 1.5%per month($25.00/month minimum)plus any/all collection costs/attorney costs may be charged if payment is not received within 60 days from the invoice date. Proiect 0002012.01734.0001 Invoice 59406 Very truly yours, "Dodd Rutledge Full payment of this invoice is due within 30 days from invoice date. Interest at the rate of 1.5%per month($25.00/month minimum)plus any/all collection costclattorney costs maybe charged if payment is not received within 60 days from the invoice date. Page 2 TimeSheet for the Period Ending 11/15/2012 Wednesday,December 9:511:: 20 25 A M M ; American Structurepoint, Inc. Employee TBOONE Boone,Tiffany Signed Boone,Tiffany p��t n Approved llff �l��lJl Reeves,Jeffery Project Phase Task Labor otal Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Code Hr 11/1 11/2 11/3 11/4 11/5 11/6 11/7 11/8 11/9 11/10 11/11 11/12:11/13 11/14 11/15 0000000.00000.0010 00300 00 Reg 5.5 5.5 Labor Category: Construction Inspector OVT 0.0 0002012.00175.0001 00100 IN090 00 Reg 35.5 3.5 3.5 1.0 8.5 7.5 11.5 Labor Category:Construction Inspector OVT 0.0 0002012.00300.0001 00100 IN090 00 Reg 13.5 3.0 4.0 4.0 2.5 Labor Category:Construction Inspector I OVT 1 0.0 0002012.01734.0001 00100 IN090 00 1 Reg 18.0 6.5 6.5 2.5 2.0 0.5 Labor Category:Construction Inspector OVT 0.0 0002012.01982.0001 00100 IN090 00 Reg 13.0 5.0 4.0 4.0 Labor Category:Construction Inspector I OVT 1 0.0 Daily Totals Reg 85.5 1 10.0 10.0 3.5 1 1 1 10.5 8.0 11.5 1 1 8.0 8.0 8.0 8.0 OVT 0.0 TirneSheet for the Period Ending 11/15/2012 Wednesday,Decembe51:25 A 9::51:25 M M American Structurepoint, Inc. Employee DMACHALA Machala, David Signed Machala,David Approved Hatted Reeves,Jeffery Project Phase Task Labor otal Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Code Hr 11/1 11/2 11/3 11/4 11/5 11/6 11/7 1118 11/9 11/10 11/11 11/12 11/13 11/14 11/15 0002009.01768.0003 00100 IN090 00 Reg 0.0 Labor Category: Resident Proj. Rep.(Overtime) OVT 17.5 1.0 1.0 1.0 2.0 0.5 0.5 2.0 3.0 2.5 2.0 2.0 0002009.01768.0003 00100 IN090 00 Reg 85.5 1 8,0 8.0 1 1 6.0 7.5 8.0 8.0 8.0 1 8.0 8.0 8.0 8.0 Labor Category: Resident Project Representative OVT 0.0 0002012.01734.0001 00100 IN090 00 Reg 2.5 1 1 1 1 1 1 2.0 0.5 Labor Category: Resident Project Representative I OVT 1 2.0 1 1 1 1 1 1 1 1 1 1 2.01 Daily Totals Reg 88.0 8.0 8.0 1 1 8.0 8.0 8.0 8.0 8.0 1 1 8.0 8.0 8.0 8.0 OVT I 19.5 1 1.0 1-01 1 1 1.01 2.0 0.5 0.5 2.01 5.01 1 1 2.51 2.0 2.0 T'im 3::39:27 39:27 eSheet for the Period Ending 11/30/2012 Wednesday, 12 PM American Structurepoint, Inc. Employee DMACHALA Machala, David Signed Machala,David � Approved �`=�s�v(� Reeves,Jeffery Project Phase Task Labor otal Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Code Hr 11/16 11/17111/18 11/19 11/20 11/21 11/22 11/23 11/24 11/25 11/26 11/27 11/28 11/29 11/30 0000000.00000.0020 00300 00 Reg 8.0 g 0 Labor Category: OVT 0.0 0000000.00000.0030 00300 00 Reg 8.0 1 g 0 Labor Category: OVT 0.0 0002009.01768.0003 00100 IN090 00 Reg 0.0 Labor Category: Resident Proj.Rep.(Overtime) I OVT 1 9.0 1.5 1-51 1.51 2.01 2.5 0002009.01768.0003 00100 IN090 00 Reg 72.0 g.0 8.0 8.0 8.0 1 1 1 8.0 8.0 8.0 8.0 8.0 Labor Category: Resident Project Representative I OVT I 2.Oq I 1 1.01 1.0 0002012.01734.0001 00100 IN090 00 1 Reg 1 0.0 Labor Category: Resident Project Representative I OVT 1 2-59 1 1 2.5 Daily Totals Reg 88.0 g.0 8.0 8.0 8.0 8.0 8.0 1 1 8.0 8.0 8.0 8.0 8.0 OVT 1 13.59 1 1 4.01 1 1.01 1.01 1 1 1 1 1 1.51 1.51 2.01 2.5 Expense Report for 0002012.01734.0001 - On-Call Construction Inspection - City o Wednesday,December 05,2012 9:54:52 AM American Structurepoint,Inc. Machala,Dave Expense Report Date:11115/2012 Signed By: Machala,David Approved By:Alexander,Sarah Date Description Description2 Project Phase Task 11/5/2012 20 miles @$0.555/mile Miles to/on/from site: 68414-68434=20 0002012.01734.0001 00100 IN090 11/6/2012 20 miles @$0.555/mile Miles to/on/from site: 68476-68496=20 0002012.01734.0001 00100 IN090 11/10/2012 20 miles @$0.555/mile Miles to/on/from site: 68658-68678=20 0002012.01734.0001 00100 IN090 (ACE\BOBrien) Expense Report for 0002012.01734.0001 - On-Call Construction Inspection - City o Wednesday,December 05,2012 2:03:32 PM American Structurepoint,Inc. Machala,Dave Expense Report Date:11/30/2012 Signed By: Machala,David Approved By:Alexander,Sarah Date Description Description2 Project Phase Task 11/17/2012117 miles @$0.44/mile Miles to/on/from site: 68933-68950=17 0002012.01734.0001 00100 IN090 (ACE\BOBrien) 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 American Structurepoint Purchase Order No. 4260 Shadeland Station Terms Indianapolis, IN 46256-3957 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 12/13/2012 2418 On Call Construction Inspection $ 2,417.74 Total $ 2,417.74 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 NC WARRANT NO. American Structurepoint ALLOWED 20 4260 Shadeland Station IN SUM OF $ Indianapolis, IN 46256-3957 $ 2,417.74 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 26555 2417.74 211-R509 s 2,417.74 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 r 7 /2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund