HomeMy WebLinkAbout218561 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 353845 Page 1 of 1
ONE CIVIC SQUARE MYERS CONSTRUCTION MGT INC CHECK AMOUNT: $8,118.00
�to CARMEL,INDIANA 46032 13518 MYRTLE LANE
•,«o�,�o NOBLESVILLE IN 46060 CHECK NUMBER: 218561
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
106 5023990 1516 8, 118 . 00 OTHER EXPENSES
rt'� ,znsn ' ,a7 �11992
tai Wind I 'E.m 9 x.
TG Cth`t'�t : t .r;rft:tt'Ct s r k Ban'O of wR( reao n PROJECT: r r-n..a.n d=rs Pan Sptts Field l s YPPLIt i fCIr
14 t't E_. 11 61h Street
Improvements Projeu PERIOD Tlx: 3i20!13 (')t. IVEr; i
IN 49,303-:
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FROM C='D11TRAC;T OR Myer: Construc;tior, %1grrt_ Inc,"MA ARCHITECT: The Schtneider Corporation CONTRACT DATE:,. 3t1W) '13
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"Purchaser' D2tA"
Approv
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Powd Tu M0111",
Job, FouiWers A& Pie)-' Impr,,wer.-tent, Project
V`Jotp ("ornpleted, i Stloi-ej Total`cornp Per'-CM U.anco
Value F-171—1111111_—il --:�)I—1 '11-711-1i�-IT ("Anteripl I
& Stand Com-plete I �(.)Finish Rammye
1000 LG' PrIgggy t do,twi On,1 1;
1, 1,000 zo 0.00 Goo D.00 000 11,0000 ana
2jenammme& P"nmm Bond Ramoci 000 Wwou nuo amou 00 10,00
31Builders FlisK irsurance 1'020 Oa M00 1120.00 100 112M 10 0 0, ?02 C.C)
4 WMemume 13mid I A00 on OLD oko MCI 000 0% 1 AMDO DAY
G'e. -17 t)0
iera�Condific�r.,, 4 X) ).m 1 OLD 010 Mo 0% 217010 okul
Con Lrigancy AHowanc • 2500000 ano OLD ana aml 0%. 2 5,GO 0.0 0
2000imle V1
q
Surwry, 6,000 00 aoO OLD 0,00 000 oil •mca0a j 101
Y Excavadon 35,000,00 0.00 DID moo ROO 0% MAUD
U 0 0
Erosion Crin!ro� 6,200 00 0.00 (,),Do Ono, 0'G 0 09111' G,2 00,0 0 0,00
4 Wouuko 0 00 Too II 0116 Ono f 0% MC LOO 0 0
Sanitary Sewer I I'Q00,00 0.100 O'C'10 ono O,:3 0% 11,000,00 O,0Ci
&PAeLer Pit 5,J)DO.00 0.00 OTO DID 55,000.100 0,00
7 Concf6te Si(fewafk.�; t0atefaf i 71 DID 0TO uku aoo 000 0% 111ROO DAD
8 Concrete.-S`,idevmJks -Labw 350010 ROD OTC) 0,0(; 3nori'00 0,00i
9 ConrrcJ,;, Cu. igoo.00 010 MID Ono Too 0%) 1,000.00 Ono!
U SUMidi-,;1I St�UMW;-eS- 4500000 060 000 OLD DID DO 45MOO Ono!
1 SUMM SIFLICIIII(IX,- Libor- wo 00 Ono 0MO DID moo 0% 60100.00 0 3 C"!I
12 Foot z:-,ho-vver.. Materfaf 4,00C)'00 oTO 000 0'of) Ono C, 4,000,00 000
"I V'oof sh 410000 ROD ozo a OD moo 0% 4;QMTO I
*Vvef - L.nbw
14 Bench-Mniterinl i,600.00 010 0,DO 0.100 1 0,00 4 0% f'16 0.00
'15 Pench - Lat)of '300,00 OLU 0.00 0100 01,30 0%j 300M
16 londualuNg
t MOO OLD 0400 aoo Too 0% 400 00
17 Spots Field Seedng
i113,300,010 Ono 0,00 0,0 01 0.00 T"•u 1z30(j.00 vu
1181pume Semmg 12"omoc; i 000 000 DID 0.00 0% 12XOO 00 j Day!
19141y6hon 43301CO 000 000 I OLD DID S 0% 43ZOO10 0
3000 Coric
1.nv' DID
of 0,00 0.0 0 01!6 3100-00
2 cwwret�� "I'DOU CO O'CA) 0.00 210000 0 cq
3 Rebar- hAelvdai 800,00 DOD DO 000 DID 0% MOO coal
7000 Ther QjIgn;
1 i t.tikirtC t 1,600 00 0.00 0.117() 0,01 C" 0%
!Total
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AFFIDAVIT AND WAIVER OF LIEN
PARTIAL
S
CouniN, Hamilton, sue-,
Donald R. Myers being duly sworn states that he is the President of IN11yers
Cons-truction Management, Inc. having contracted with Carmel/Clay Board of Parks
and Recreation to furnish certain materials andfor General Construction for a Pro _�,J i,� c t
known as Founders Park Sports Field Improvements Projects located in Carmel, IN,
and does further state on behalf of the aforementioned contractor/supplier:
That.there is due frorn the owner the sum of
4 D o liars S
receipt of which is hereby acknowledged, or
-)1ke payment of which has been promised as the sole consideration of this
A,ffid,av't and Partial VJaiver a" Lien which is given solely "lith respect to said
an,iount, and which waiver shall by effective only upon receipt of payment thereof
by the unders fined.
THEREFORE, the unde-rsigned viaives and releases unto the Owrier of ,,aid prernise,,,s,
any and all lien or claim whatsoever on the, above-described properiy and
irnprovernerits thereon on account of labor or material or both, furnished by the,
undersigned `hereto, Subject to limitations or conditions expressed herein, if any; and
further cerfifi6s that no other party has any clairn or right to a lien on account of any
work, performed or rnaterial furnished to the undersigned for said project, and' Within the
sco ire of 9,ii5afflda.vit and waiver.
I J
Title: President
,NIT NESS MY HAND AND NO TORIAL SEAL This d a Y ,f
J
41
.........._._-
My ..
My Coriinniission Expires, 8-23-17 Printed-, Sandra K. 10yers
County c)f Resi,dence: Hamilton
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Myers Construction Mgmt., Inc. Date Due
13518 Myrtle Lane
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/20/13 1516 Founders Pk Sports field improvement 29569 $ 8,118.00
Total $ 8,118.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
Myers Construction Mgmt., Inc.
13518 Myrtle Lane
Fishers, IN 46038 In Sum of$
$ 8,118.00
ON ACCOUNT OF APPROPRIATION FOR
106 Park Impact Fee Fund
PO#or Board Members
Dept# INVOICE NO. kCCT#FrITL1 AMOUNT
29569 1516 5023990 $ 8,118.00 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
21-Mar 2013
Signature
$ 8,118.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund