220683 06/04/2013 �M4 CITY OF CARMEL, INDIANA VENDOR: 355815 Page 1 of 1
ONE CIVIC SQUARE L'ACQUIS CONSULTING ENGINEERS
CHECK AMOUNT: $2,000.00
9229 DELEGATES ROW CARMEL, INDIANA 46032
a�`o SUITE 550 CHECK NUMBER: 220683
INDIANAPOLIS IN 46240
CHECK DATE: 6/412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 R4350100 24410 2, 000 . 00 GENERATOR ENGINEERING
UACQUIS
CONSULTING ENGINEERS
P.O. Box 6069-Dept. 191
Indianapolis, Indiana 46206-6069
INVOICE May 6, 2013
Invoice No: 012217.000 - 7435
Jon Dobosiewicz
City of Carmel
Department of Community Services
One Civic Square
Carmel, IN 46032
Project 012217.000 Carmel Fire Department Headquarters Generator Replacement
Engineering Services Billinq Period April 1, 2013 to April 30, 2013
Fee
% Fee Prior Current
Fee Complete Earned Billing Fee
Schematic Design 5,000.00 40.00 2,000.00 0.00 2,000.00
Construction Documents 5,500.00 0.00 0.00 0.00 0.00
Total Fee 10,500.00 2,000.00 0.00 2,000.00
Total Fee 2,000.00
Total this Invoice $2,000.00
TERMS NET 10 DAYS A FINANCE CHARGE IS COMPUTED ON A PERIODIC RATE OF 1 5% PER MONTH WHICH IS AN
ANNUAL PERCENTAGE RATE OF 18%ON ANY PREVIOUS BALANCE NOT PAID WITHIN 30 DAYS
VOUCHER NO. WARRANT NO.
ALLOWED 20
L'Acquis Consulting Engineers
IN SUM OF $
9229 Delgates Rew South
Indianapolis, IN e— ql�z06-6069
$2,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
24410 1 012217.000-74351 43-501.00 I $2,000.00 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
013
2d ',
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
012217.000-7435 Partial Payment of Generator Project $2,000.00
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