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Home My WebLink AboutYARDBERRY LANDSCAPE & EXCAVATION -002576 -12/22/2011 `';ARMEL REDEVELOPMENT COMMISSION 002576 Yardberry Landscape& Excavati Check: 2576 9940 S 1000 W Date: 12/22/2011 Anderson, IN 46017 Vendor: YARDBER1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pak 4 13,482.30 13,482.30 0.00 0.00 13,482.3( P47 storm drainage 13,482.30 13,482.30 0.00 0.00 13,482.3( 1 : - 1 g•JS' i .? . • TV 't...;•..% '- .., '1- ' - A.' Document G702 — 1992 ..: I - A '--.-;.41.:.'. :.-....%l•t•i:.'"-'-'.••7'.4. ----;=_Z.•_•., • - ..:1•17••••;.;--41•;;F:::::".I-II,;-.:'-••■•.--7:".::::-.:_;., Application and Certificate for Payment :. . . •.•.• . . -.,:i...i::.=.;..r .:•,41.,::-,•:.,: ..• ., .. - - - • .-..-;,:,::::,.:::.- ...--:- .:-,..., -. RovintER: /-I PROJECT: J.000,4*I1 ii 0: 4 . 4,-Vittsb—tiice.:-,:-- -.- U-11-1. i,.i _-P'?-rne4..._ .(44e,LEA___ 1.4-1 5T-0 it_o, 1:1/2=-43,1,10.4. .PERibt46: II-al-vi : aitiato -,-. ,,,,,,,,,,- 5 rcC k .-a LA--Cs es •CONTRACT FOR l'-',4--:'TikiiiiOrirk:,' FROM VIA .CONTRACT;DATE: ,.--;-:-.....a.-•:;:-.2_,.-: -..,.-.:-F,.„. .: • - --i':-U.ItitIUCTOktr,:,- , := • . C9HTTI•A!*CTOR: ( _Ailt1-1TrECT: 'TiRtlitti NOS. , . ._ _..,_ .., •.*:•-•.•A:-'-;-7-0,,,,,,,.,..:;":C77-er--171,.:_-5.-1',:.__--7'-'-•••••• - •....?••.:7Tf--:T..i•i.4771041:1,64:- ..:.-.:F:" . • . Jivp>se-iiys) Lb Sr—fq e; e<A__ _v, ......,.4--*.,::-1‘1:77,Yk.r•r:--st -.....•:..7-71..:--•-•..■..-F-..:....: '..,..ti-•-•-4-'-'.1,r-t.:-,'.i.f.-•-"--- —. ''-'-•:,'-•- -.,,r•-':','-::i•; cO S L000 ,3 .-....5.-:,-441;;;!---;•.-_-4w44,12 1.-:1:-.1-.-2,--,:- ••, 'C'DfitRIVCTOg!S APPUCATION'FOli,PAYMENT 4Lif-4:2'ull-7.424.fgnicliites.':11121444. 3..•.4.iiiiiil4TH4-..,::23121037-1g. :andjlelirif.,ttie;VOiVcoYcziXI:iii.',.,iiiii*Oli**,-a-i-1.4.1*i14-,tiiien,iiiiiiiictigizi:i,;,-•-,:-:-.,-_,...:: :Appli•e*m'ii.rriviit...frirwynic iis.jleoriibeltisri.4irOO:ttliiiire°anima_ 'i•O`ii)jkItiikir'z':1fDO:iii*:6•11■'•tb-i-f:'21172:1111ii*.'-ba*Oldfiy.:-.tbilrii;VilOciiii .'.' 'Cantitin*Ion Sbeet;ALAticeuroczil,070-3`.•iSatt2.40. -iiiiIiii P=Fyi.o..s:.Ogd4s:ta.r'i*?;. r=:i*ca'ajAE,*t =oiiiiii4.-OiP".*.P._#**C 1.OFOG/NAL CONTRACT SUM :S 110;-,tF,A3-.,-- •*:-.4.;:ra:ix. ---Y.Silili4:44y.ailbidi•ii kioedee, ,••_,---'i:„-t-;_,-::-'-,---,;•-.1.t.,:•.:•, •••:- ' ' . . , . . . . . . . . . 2.Net change by Change Orders - - - ' • CO -• -• 1-•••. „ . . . . • \ •i, :• 1 CONTRACT SUM TO DATE(Line 1±2)-.-....,„___________.... S 1 l'av'; '-i"-7°. By •'-,:-,'•• Dale:- A 1.-..r1...`l i, - --.- . 4.TOTAL COMPLETED 6 STORED TO DATE(Oakum Gan G7133),_,_ ,Iii-1101.:3a-5'.•:— Stile af: ' :•:'. tr011?!1_,)Ft • . : ••• ,: .-~.2t.:.:.:`.; , .. . . . ,. .. 5.RETA21ADE: .:Cti,OE 1 • • POCIDJSo.r.1 ,. S6,of Comples.6:1‘iVoec SivEsers:14ancla-worn to before . . •,(0c4mm D 4,'Eon..(37113) S. '0 cbeizis:"','. 16T day of •IN-104err.t.gag-, - 01-1 sG,cf.S.bar .f/slitc.ri.iil . • J. &it" . -• - . . .:(COlnino.Fori:(3713) S 0 Nota4'3i,P,Olir.: 1.}....04.,) ---) -,---- • • • • Toc.i,R.u.Ea.,,,F.(14.5?.+5b ar Total in Column 1 of(5705)-., :S• 0-.. 0 MY:Cciii° 917'... 93-41=`: 1:7,,,I3fr-aoi 1. -,• . 6.TOTAL EART123 LE SS a-TAINA GE - ,._ 5 Vk a,.,-3,91 ;,cf.) ARCHITECT'S CERTIFICATE FOR PAYMEtir . - ''.c.•-:'......,:-.::'' - . ..,- .).. • _ ..--_••-•., __ _. (Luz 4 Less Lin 5 Taal) 1:64cCaviineeNits•thepia#:picalUiseil'Cia 011,43.0,abiaedt ithalliCt140Z19g0±4g. 7.LESS PREVIOUS"tEFtTIFIdAT F6R PAYtiarr ____ •t. t.4.0:19 .eligriikiiii:..f.se•k*:iei thitifi=iiiiOwThrt:thatiaitiebcsi iiirAirgiatica't-..700 .:•• -..• 7 • _ . _ • '- I- ' - niformtical..,_. ,and.6.4r-f._ 'il2e4-iF91123'.F9gFP6.344. aS:i41:404::Of/414147:01t:iiii'xiwfie.:4::.., (Lire 6 from cairar.'Ccate) 'E96°L-;;rctal•"cc:*Iiitik.the'..'.Ctiii# '1?01r*..,arii:Vilie' :;.C.traiiiiiiiii,:iiennitlett,,ti'.iiiguitieiitItie---- FL CURRENT PAYMENT Da- , .js. l,3,419;.•3q i. "A40024totairEtsp. •, ---;,-',•---:::,;:s-t-:..:;:•.-i..;,,,:::: • ....:., _ ...• S.BALANCE TO PUSH,INCLUDNG RETAKAGE 46110..CcitrEFP, ,s0/4612.6*rp::':.:.-. .L':i.:-..-. : • - (Line 3 less lire 6) S (?1.-12.0..- .-* ....'IV. . . #4:aF.100ahe'ailiquiti.O.kier-1410000-401.6-g?-3V--'-:. .. '4P.O.Lif ....'- cizille'Ar."'•• "'''....',„. .. .,422r4PP.V4Pcii.4:r05.2.44*.i.**Eital.k-If.:-...:'''•..:1"z• .. . 'CHANGE ORDER SUMMARY ADDMONS 7:DEDUCTIONS ' • '' - AI , ,•:=-'.:•-•-•:.=-•-f•---:•.,.:',7--i• -•7•'•4"---- . , .1 - -.. •-• - Total cinoszcs approval in provious ovortlis oy Owner S O'7 S'. -0•%' llr_ ,,, •' pat .'../(10/1/'-•---------•.- - - • Totzl eporcrv-al this Mouth • .,5 -0 ,• S 0 CERTKE _._,,-- -^-" --,•*'-'—''"••••' 'Ma Cemiiikatelsliort_Hreg ."lbe:A/40137.7,- L -4ispiAle:qaurtif4*.rAiiiiiieliii ; TOTALS S. :0'-,S- CI•• 6zidedlieifMaiiOeriayoreivt andaieeiiiithiei•Olpaisiient irri. irlio grejiiirsOe.Okat41*Ot - NET CHANGES by Chan=Onici IS 0' 1: •6e:Oinies arCaiiiirrazirinicleitbii OiriMairi . , . ...,_ .-... ..-., •••. . . . a.la.prociirrieriii.tircm-.1.41i2..Ci:upyi-M*.0 1 9 S2Lani:lese pypip a—aseriaIrrissiraiai AO -Tkrzi .Aa'Otiripo'rreari•sztix,qattiNdi.This..r.le.Dixtrnerni Os Es-o-..6ted.by,LLS.,copyriiil La:grant ::. - , • ' lt:471-xi:Oriornrirt ies:.,iii •T* -0J-,..:r.on.ize'eti,Es.:i'irraff at viii;Alei,pCriiirniFit:cs:&-ii,0404.a.ii.iniiY7.nisal.,01 emr=a'clin.irrid'cc412#a1 PF=rval*:s.'arid,ull Pa Pla MZUIDIS tq t5I2 1113=3:2' '.. .''21 -. - exionfix :Et., :tie.law:minc'ecasnxs"Is liiier.**pi AL4s.paiszlie,i.ti 019,tin',05:2321105 0:4i.ir ex*ea 6;sareeos:20•=1137ea refzesiii:- -• - ' ' ' .-.. • - -.'.. ' . Llier.Plats. . . . . .—. . t r - PARTIAL PAYMENT ESTIMATE PROJECT: Page_1__of_3_ City:of:Carmel-Parcel:47Storm Drainage and Site Utilities CONTRACTOR: ENGINEER: Project Nc.: Yardberry,Landscape.Excavati ng 9940South 1000 West Estimate No._4_ Anderson,:iN 46017 For Period to 11121/2011 (SECTION 1) (1) (2) (3) (4) (5) (6): (7). (8). .(9)' .(j0) (11) (12) 'Unit Total. --Previous.'Payments Current . ,Payments. Total To-Date Description Unit-: Quantity; .Prick Cost `Quantity,- Amount __ Quantity -,Amount_ Quantity Amount Main Street�South�Side-of:Building- : .5: - $0:00 0 0 :0 '$' - - •',.. 0 ;$ - -r1st:Streetand:MairrStreet $ $0:00 • 0. 0 - 0 .:$ - 0 .3 - 1- Aqua Swirl'BMP Unit 1 _EA ._:$;1.0;500:00 : '$10500100 1 $ 10;500100? i0':$: - 1 '.$ 10500:00 2: ' New.Storm:Manhole i " EA. - '$. -400.0:00ri. I $4;000:00 . 1 15 4000:00;: :0 .$, - 1 $ 4,000:00 -3'•.- -Connect-BMP<Storm':Manhole:together" 1 ' LS $: ::3;000;00: i $3;000100 I S _3;000:00: :0 1, - .1 •_$. 3;000:00 4 Install:eleanouts&'$"sariiterysewer 310 LF• ° $ 1:10:00;,$ 34'000:00 310 :$: 34,000.00,! 0.:$ - 310 '•$ 34,000.00 5.. Reconnect?existing:lines 1 :L:S. $, 1 09300] $1.,093.00 1'$ 1093100; 0 :$ - 1, $ 1093.00 6 Traffrc:Control 1 :LS.• .1$ :2;000:00:. $2000:00 1 1$. 2;000100: :0 .5: - 1 '$ 2,000.00 $ .- " $0:00 0:. 0 _ :0 `$- - 0 $ - $0-00 • :0 1-.) : :0 4. •0 :$ - $ - • :$0:00,- 0: 0 -- . .,$ - 0 .4 - $ - so:00 i0 :0 ! $. - 0 ':$ - $ $0:00 0 : 1:0 $• - 0 $. :$ -. $0.00 0 : '0 - 0 ::5 - ,$ - :$000 .:0 .0 . :$ - '0 •:$ - .$ - -$0.00 - 0 ` 0 . S. - 0 :$ - 1$ - . $0:00, :0 : :0 5: - :0_'$ - - . .$ - 50.00 - :0 I 0 . '$;. - 0 $ - $ $0:00. 0 0 S. 0 '.5 - $ -- $0:00 0 . .0 .- $ - 0 '.3 - 1$ - :$000 . 0 '0 • ..$ - : • 0 :5 - `$ - `$0:00 : 0• .0 , $ - 0 :5-' - $ - `$0:00 : 0 .. :0• 1 .g - 0 $. - $ - $0.00 0 0 $ - 0 •:$ - $: - - 150:00 0 .0 $ - 0 $ - ::$ - "$0:00 0 0 •$. - . •0 .$ - $ $0.00 : 0 0. $ -0 $ - TOTALS: $54;593:00. "$ 554;59300: • . s - $ 54,593:00 PARTIAL PAYMENT ESTIMATE PROJECT: Page_2__of_3_ City.of.Carmel-Parcel 47 Storm Drainage and Site Utilities CONTRACTOR: ENGINEER: Project No.: Yardberry Landscape Excavating Estimate No 4 9940'South•1000 West For Period to 111;2112011 Anderson;IN 46017 i (SECTION 1) (1) .(2) (3) (4) (5) (6) (7) (8) (9) (t0) (11) (12) Unit Total Previous .Payments `Current Payments. Total ' To-Date: Description Unit Quantity Price: Cost Quantity., Amount Quantity i Amount. Quantity— Amount Main Street.SOUth`Sid&of;BUildin. $' - .' $0100 0 . :0 `. .0:.5 - 0 $: - $ . - $0:00 :0 ;0 : 0 $ - '0 $ 1 Traffic:Cbntroi 1 LS $ 2;000:00` $2;000:00 1 2000 0.$ - i :$ 2;00000 2 Storm:Manhole_ "3' .EA $ 4000:00` .$12;000':00 3 12000 0 :$ - "3 "$ 12;000':00. 3 150'•18'.ILCP`Pipe" 150 'LE $ 85:00 $13:430.00 " 150 . 13430 0 $ - 150 $ 13,430:00' 4 126'I2''RCP:Pipe 126 _ .LF $ 75:00 $9;450:00 126 9450 0 $ - 126 $. 9;450:00 5 Tie-f i Roof:Drain 1 LS . $ 2;500:00_ $2;500:00: 1: 2500 0 $ - 9' 5. 2,500:00. $ -. $0:00 :0' 0 0 $ . - 0 . - $ _ .. 50:00 :0 0 0 $ - 0 $ 50:00 '0 0 0 _5 - 0 $ - $ - $0.00 0 .0 $ - 0 $ - 8 - $0:00 .0_. 0 $ - 0 $ - $ - $0:00 0 0 $ - 0 $ - $ - soloo 0 a :s - :0 $ - $ '$0:00 0 . 0 <$ - 0. $ - $ - , $0:00 0 0 :$ - o: $ - g - $0:00 0 0 s - of:$ - $ - $0.00 0 . 0 '$ - 01 $ - $0;00 0 . 0 :$ - : 01 $ - - $, - $$0:00 0 0 :5 - 0 $ - $ - '$0.00 0 0 .$ - o: $ - $ - .$0:00 0 0 $. - .0 $ - $ - 50:0.0 . 0 0 $ - 0 .:$ - $ - :$0:00 _.. 0 0 $` - 0 '5 - $. - 50:00 0 0 $ 0 '$ - $ - '$o.a0 0 • 0 $ - - 0 $ - 5 $0.00 0 0 $ - : 0 >$ - TOTALS: $39;380.00 :$ - _ "$ 39;380.00 PARTIAL PAYMENT ESTIMATE PROJECT: Page_3_ of 3 City of:Carmel-Parcel 47 Storm Drainage and Site Utilities CONTRACTOR: ENGINEER: Project No: Yardberry Landscape Excavating Estimate No. 4 9940 South 1000 West For Period to 11!(112011 Anderson,IN 46017 (SECTION 1) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) Unit Total. Previous_Payments: Current Payments Total 1 To-Date Description Unit Quantity Price Cost. Quantity Amount Quantity Amount QU-antity, Amount East Side,of Building $ - $0,00A :0:L - ,0 0'$-- - :0 $ - $ - $0.00 .0 0 0 $ r ol$ - 1 Large Storm Manhole . $ 5;00000 $5,000100 1 5000 ' 0 $ - 1 1$ 5,00000•2 134,HOPE Storrn:Pipe©$65D0/ft $ :.8;710:00.: . $8710.00 1 8710 0 $ - 1 $ 8,71000 -3 8'18,RCP g$80D0/ft 5 '64000: 1640.00 1 640 0 -$ - 1 $ 640.00 4 1:smalfstorM manhole ' S 4,000,00 $4D00.00 ti 1500 0 .$ 3,000.00 0 $ 4,000.00 $ $0.00, 0 I 0 0 $ - 0 $ - $ - $0:00 b 0 0 '$ - :0 $ - , $0.00 0 o 0 :$ - :0, s - moo :0 0 0 $ - 0 $ - _ $ - $0100 :0 0 $ - D - 5 - $0:00 .0 0 S - 0 $ - 5 - $0':oo 0 0 _,,:$ - 0 $ - :8 - $6,06 6: 0 -$ - 0 $ - • $ - $6:00 :di 0 :5 - 0 :$ - -$ - $6.00 o : o $ - 0 $ - $ moo 0 ' o 25 - I 0 $ - . $0:00 0, 0 '5 - 0 $ - .$ _ $0:00. '0 o $ - o 's - $ 40,00 .0 : 0 .:$ 7 0 $ - ....$ - :$0100 0 0 r$ - 0 $ - -5 - $0100 0 0 :- - o $ - 5 - $o::00 0 0 - , 0 $ - $' - woo o 0_ , 0 $ - $: - - moo" 0 0-- -- ..,:$' - 0 :$ - - io:06 0 0 1 - o :$ - ;$ - $0.00 0 0 ',$• - 0 $ . ._ TOTALS: $18,350:06 5 3,00000 '$ 18,350.00 ! el t t k I/A k i v i o s k ',A t m 1„Ikip. viroklatimmghay.a1P/411M11i41‘thatm1ti,,..,At114althili,/49,4■111,6111_•all'M yaninuiriam, !al 1 ifiligiflipl t '1 t 'Pi AA )..% /;i • *II t 1 r 1' LIEN P• ,f1 st ok. State of Indiana, (1-7)AbiSorsi • • Whereas, the undersigned—J11"131"-L) FINAL (4 bsc.Ike, bc._ C County, as: ha sa ft• 'sa A . ai A been h e reto I ore em. i 13-^, r a, played by . 11 OF argrile--.1._ to furnish certain material and labor. 5.%:, Ito_wit: (AC _ ill S1rog-rn .012-A IN-1Pc itC--- 4 • 11. - Lt-ri(4 r,es 1,:e i- , 4 .1; /or the building owned by C111) 1:1(. -CI,e1.2.4. ..... . ;g* and located on................................ ,eg de ri)A lf.) Sr-r -r 1r ,.... . 4... Dem./ Irk) :i5 ..„---. .—__,! ■ Now, TherefOre., Know Ye, That the undersigned, Or a good and valuable consideration, the receipt of which is 4.4 ......,._., . hereby acknowledged; hereby and now waives and releases unto the said . ....2.. (-4 --emizzl frod. the oucser of said premiies, any and all lien, right of lien.or claim of whatsoever•kind or character on the above described. building and real estate, on account of any and all labor or material; or both, furnished for or incorporated into said building vsi the undersigned; and • further certify that the consideration moving to the undersigned for executing this 4 u atrer of ben )104 been mutually given and accepted al absolute cash.payment and not as a conditional or part payment or ,A,.. • ,..• csreas2 .ii.ly •a• lasTmaaj el as security.1 or payment. :i.'... ee — 6): Signed, sealed and delivered this C.. ilr day of i\JO ti eh"ii3.7(z-- _ . . 122,,..7-0l( a .'' Signed.-----YFICW .--°.- LPt, 054TH. A f3.. (..-;.-47.0 r.._ C•I' •.-: •,r.si.' k.: rN . --. ON 15-1- -Id of •• 01..)tiO'Cr-"c".` /4 .;-°i i Personall eglpeore before me this '• • • • 64 1\rk Py , who being ofuli'aso?rst on oath, says: That he $.41 ao IF: u .00,..)e.0.- of the.. 4v-4g-eV+ 4.1.14DS e 4c•-- 1/4--`/-1 and that he hereby .... acknowledges tht eecution of the loregoing instrument for and on_ ehelf of said ...,921!?•.-P.:1*-7:R-gAl L .0.f.":. t...,1 ...--- .• ... . . ri - • --- •14.' .° . . . and as ...TitatIr-4---- special instance a?d re3r4est„: '14 My•Commission Expires 1..7..f3... "-X.1-? )LE-4-6A) kl., -- .4427' IS - • Notary'Public. . ..... ....•................. A eicten t'of.....n.AAIP-i-AQ-:---.--.-__----.-.....--County I ' FttifiiinfaiWkiitilaittIPAS461614,tmihWeriViliaii‘ViSWAIVi;fliir'.!gqiillliViii"AllititiVtiiiiirai,lit'sWiNiiillriiliWigiiiiiiVoilViibli■ifili'ittiqiiiiriSliVi Foam No. 154 ailment t.tos.‘Foam INC.P.O.Vox 30.P001,040 Cum FL 33141 r • ilk • MONTHLY CERTIFICATION(SECTION 5) 5. CERTIFICATION OF CONTRACTOR According to the best of my knowledge and belief,I certify-that.all.items and amounts on the face of this.Periodic Estimate-for Partial Payment are correct;that all work has been material supplied in full accordance with the requirements of the referenced Contract,and/or duly authorized deviations,-substitutions,alterations,and/or additions;that the foregoing correct statement of the contract account up to and including the last.day,=of the period covered by this Periodic Estimate;that no part of the"Balance Due This Payment"has been and that the undersigned and his.sribcontractors have-(check applicable line): a.(x) Complied with-all labor provisions of said Contract. b.( ) Complied with all labor provisions of said Contract except in those instances where an honest dispute exists with respect to said labor provis (if[b]is checked,describe briefly nature of dispute). Yardberry Landscape Co., Inc. BY: (Contractor) Signature of Authorized Representative) DATE: 11/21/11 TITLE: Owner 6. CERTIFICATION OF ENGINEER I certify that I have checked and verified the above and foregoing Periodic Estimate for Partial Payment;that to the best of my knowledge and belief it Is.a true.and.corrsct statement of and/or material supplied by the:Contractor;thatthe work and/or.material included in-this-Periodic Estimate has-been observed by me and/or by-my duly authorized reprasentative or as accordance with.generally accepted Resident Project Representative.practices,and that.ithas been performed and/or supplied in accordance with requirements.of the referenced Corti possible testing requirements;and that Partial Payment claimed and requested by the Contractor-is correctly computed on the-basis of work performed and/or material supplied to date our approval of this Periodic Pay Estimate-does not constitute FINAL approval or acceptance of the labor performed or materials supplied by the Contractor. This final approval will be conditions of the-General Conditions and other Specifications. SIGNED: SIGNED: (Engineer) (Construction Coordinator) DATE: DATE: 7. APPROVAL BY THE OWNER BY: TITLE: DATE: Yardberry Landscape Excavating Invoice 9940 South 1000 West Date Invoice# Anderson, IN 46017 11/21/2011 6732-AA Bill To CITY OF CARMEL-PARCEL 47 STORM DRAINAGE Description Amount PAY Es Ti MATE#4-RI TAFNAGE 13,482.30 Total $13,482.30 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 y`rr'�b�rrp Zcrlx�jc*Ar Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) //-2(---// / /7 �� Pr'Q/:4GJ 3,5/e2.30 • :r w: Total /3,1/872 --go 9 I hereby certify that the attached invoice(s), or bill(s), is (are) true and corr- _ .n. I hay: .udite in accordance with IC 5-11-10-1.6. 1Z--- (cj , 20J ( �_ . easurer VOUCHER NO. WARRANT NO. —' ALLOWED 20 Wn�d"7-y �Giad�i/�r IN SUM OF $ $ /3z/g2 .30 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify invoice(s),DEPT.# I hereb certi that the attached invoices , or 90z 4f '/S/&e417 13/a23o 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 /Z —/ 20 I/ Exe fi '®irector Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund