218758 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00350562 Page 1 of 1
ONE CIVIC SQUARE AMERICAN STRUCTURE POINT, INC
CHECK AMOUNT: $11,221.00
CARMEL, INDIANA 46032 7260 SHADELAND STATION
INDIANAPOLIS IN 46256-3957 CHECK NUMBER: 218758
CHECK DATE: 419/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462300 26574 60904 11, 221 . 00 RANGE LINE RD DESIGN
Remit to:
on 7260 Shadeland Station
Indianapolis,IN 46256-3957
O AMERICAN TEL 317.547.5580 FAX 317.543.0270
® STRUCTUREPOINT www.structurepoint.com
I N C. Federal Tax ID:35-1127317
■ March 15,2013
Invoice No: 60904
Mr.Mike McBride
City of Carmel
One Civic Square
Carmel.IN 46032 /1/
n�\
Total Due This Invoice (see breakdown below)(:: $11,221.00
Project 0002013.00233.0001 Relocation of Existing Utilities-Parcel 5,Nash Bldg
Services from February 01.2013 through February 28,2013
Fee
Percent Fee Prior Current
Phase Fee Complete Earned Billing Fee
Construction 16.130.00 70.00 1L29 1.00 70.00 11.221.00
Documents
Total Fee 16.130.00 11,291.00 70.00 11.221.00
Total Fee 11,221.00
TOTAL DUE"PHIS INVOICE $11,221.00
Very truly yours,
Robert Olson
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.
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
3/15/2013 60904 Nash Building Utility Relocation Design $ 11,221.00
Total $ 11,221.00
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 NC WARRANT NO.
American Structurepoint ALLOWED 20
4260 Shadeland Station IN SUM OF $
Indianapolis, IN 46256-3957
$ 11,221.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITI- AMOUNT
DEPT# I hereby certify that the attached invoice(s),
26574 60904 211-4462300 s 11,221.00 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
4/8/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund