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HomeMy WebLinkAboutCIRCLE B CONSTRUCTION SYSTEMS- 002674- 2/16/2012 CARMEL REDEVELOPMENT COMMISSION 002674 Circle B Construction Systems Check: 2674 5636 S Meridian St Date: 2/16/2012 Indianapolis, IN 46217 Vendor: CIRCLEB1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paic 36 39 1,003.84 1,003.84 0.00 0.00 1,003.81 App 36 1,003.84 1,003.84 0.00 0.00 1,003.84 • • THE KEY TO DOCUMENT SECURITY DO : -- 'f Q ADDITIONAL SECURITY FEATURES'INCLUDED tSEE?BA6K FOR DETAILS• `,, • AlAt Carmel Redevelopment Commission 0 0 2 6 7 4 30 West Main Street A REGIONS Suite 220 20-1421/740 -C�c'� Carmel, IN 46032 ��sra - .. 2674 DATE' AMOUNT 2/16/2012 ***********1,003:84 PAY THE SUM OF ONE THOUSAND THREE DOLLARS AND 84 CENTS *************************************** TO THE ORDER OF Circle B Construction Systems 5636 S Meridian St Indianapolis, IN 46217 SENSir'n PIP P 0 0 2 6 7 4 0 i' I:0 7 4 0 2 31: 0 0 8 7 SO 4 Ll L i,. CARMEL REDEVELOPMENT COMMISSION 002674 Circle B Construction Systems Check: 2674 5636 S Meridian St Date: 2/16/2012 Indianapolis, IN 46217 Vendor: CIRCLEB1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 36 39 1,003.84 1,003.84 0.00 0.00 1,003.84 App 36 1,003.84 1,003.84 0.00 0.00 1,003.84 -11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-37228r S1 t ■g ADocument 6102/C aTM - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition ,�,�4� TO OWNER: ,',,t, PROJECT: APPLICATION N0. ll Distribution to: CARMEL REDEVELOPMENT COMMISSION CARMEL;REDEVELOPMENT ARTS CENTER 111, 36 ' ONE CIVIC SQUARE PERIOD TO 21/8/2012 OWNER ❑ CARMEL, IN 46032 "CONSTRUCTION MANAGER ❑ FROM CONTRACTOR: ".VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ CIRCLE B CONSTRUCTION SYSTEMS 5636 S: MERIDIAN ST. SHIEL SEXTON COMPANY PROJECT NOS: / l CONTRACTOR :❑ INDIANAPOLIS, IN 46217 . VIA ARCHITECT: 2595-4090 FIELD ❑ CONTRACT FOR: CSO ARCHITECTS INTERIOR FINISHES ❑. CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,information and Application is made for payment;as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet,AIA:Do payment a shown is attached. Contract Documents,that all amounts have been paid by the Contractor for Work for which previous Certificates,for .. m-. ere issued and payments received from.the Owner, and that current 1,ORIGINAL CONTRACT SUM , ' $ 6,394,500.00 payment.shown h: ip'' ' •w due.„,,.._ �lj1enrrd 9 Y 9 2.Net change 6 Change Orders $ 129,850.15 CON •.; + `� f B CONSTRUCTIONu SY5 S J O Ti 3.CONTRACT SUM TO DATE(Line!1 t 2) $ :6,524,350_: i SBy: j rdb f 00"'",,,-'1', 18/2012 Dal , 6,524. 1 1 jy,•.ti) `'4%"0V 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) $ ,350. 15 State of 'DI ■ , 1.4i 44), 1 G 5.RETAINAGE County MAR 3N a a• %of 1' ompleted Work er =':�E (Colutnn D+Eon G703) Subsc .ed and orn.to b ore • NDER $ me this $ ' da 50� ,,� E B 012 } `T d .•-ATE OF INDIANA b '1'1." 1,%of Stored Material Notary Public: " c" Se, COUNTY 1 2017 (Column F on G703) $ MY Commssio - � I ^ EXP.FEB. Total Retainage(Lines 5a+5b or Total in Column I of G703). $ —0 .` CERTIFICATE FOR AYMENT 6.TOTAL EARNED LESS:.RETAINAGE $ In accordance with the Contract Documents, based on.on-site observations and the data comprising '6,524 350.15 this application,the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) knowledge,;information and belief the Work has progressed as indicated,the quality of the Work is in 7:LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 6,523 3.46,31 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT \ORS S. (Line 6 from prior Certificate) CERTIFIED. g >.8.CURRENT PAYMENT DUE $ 1,003 84,; AMOUNT CERTIFIED $ . 9.BALANCE TO FINISH,INCLUDING RETAINAGE I (Attach explanation i amount certified differs 'om the.mount.applied.Initial all figures on this '1,, —0— Application " .g conform with the amount certified) A lication and the Conti uation She t are c nged to co (Line 3 less Line 6) li, $ 0— CONS CTION M NA J. .4....,,\.,_,A��/� to _ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHI -r'`". ' .7 � - Total changes approved in previous months by Owner $ $ By: Date: 10 ,frail Z Total approved this Month $ $ This Ce.'ficat is n. negotiable. The AMOUNT CERTIFIED is payable onl to the Contractor TOTALS $ $ name. : ere'•. ssu. e"'"payme and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ the 0 . -r or Contractor un•'er this Contract. CAUTION:You should Si•n an on a Inal AIA Contract Document,on which this text a••ears to RED.An orl•Inat assures that than a es will not be obscured. AIA Document G702JCMan"—1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA Document Is protected by U.S.Copyright Law and International Trestles. Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @ala.org. /! A 1t.i 42 � Or Document G703TM 1992 ., Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 36 PERIOD TO: Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 02/08/2012 A B - C D E F G 02/08H2O12 I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED PRESENTLY COMPLETED % TO RETAINAGE FROM PREVIOUS NO. STORED AND STORED (IF VARIABLE VALUE APPLICATION THIS PERIOD (CT+C) FINISH (NOT IN TO DATE C G) RATE) i (D+E) D ORE) (D+E+F) 100 BASEMENT FRAME MATL 107,259.00 107,259.00 107,259.00 100.00 101 BASEMENT FRAME LABOR 85,992.00 85,992.00 85,992.00 100.00 102 BASEMENT HANG MATL 125,006.00 125,006.00 125,006.00 100.00 103 BASEMENT HANG LABOR 133,158.00 133,158.00 133,158.00 100.00 104 ORCHESTRA FRAME MATL 118,670.00 118,670.00 118,670.00 100.00 105 ORCHESTRA FRAME LAB 100,713.00 100,713.00 100,713.00 100.00 106 ORCHESTRA HANG MATL 124,796.00 124,796.00 124,796.00 100.00 107 ORCHESTRA HANG LAB 141,631.00 141,631.00 141,631.00 100.00 108 . BALCONY FRAME MATL 108,051.00 108,051.00 108,051.00 100.00 109 BALCONY FRAME LABOR 92,419.00 92,419.00 92,419.00 100.00 110 BALCONY HANG MATL 115,731.00 115,731.00 115,731.00 100.00 111 BALCONY HANG LABOR 129,223.00 129,223.00 129,223.00 100.00 112. BOX TIER FRAME MATL 135,171.00 135,171.00 135,171.00 100.00 113 BOX TIER FRAME LABOR 113,521.00 113,521.00 113,521.00 100.00 114 BOX TIER HANG MATL 140,350.00 140,350.00 140,350.00 100.00 115 BOX TIER HANG LABOR 178,584.00 178,584.00 178,584.00 100.00 116 ATTIC FRAME MATL 102,176.00 102,176.00 102,176.00 100.00 117 ATTIC FRAME LABOR 87,922.00 87,922.00 87,922.00 100.00 1.18 ATTIC HANG MATL . 90,226.00 .. . 90,226.0.0 . . 90,226.00. _ 1.00.00 119 ATTIC HANG LABOR 110,889.00 110,889.00 110,889.00 100.00 120 ACOUS CEILING MATL 52,941.00 52,941.00 . 52,941.00 100.00 PAGE TOTALS ' 2,394,429.00 2,394,429.00 .00 .00 2,394,429.00 .00 .00 CAUTION: You should sign an original AIA Contract Document,on which this text appears In RED. An original assures that changes will not be obscured. AIA Document G7037"—1992.Copyright 01963,1965,1966 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. 4 • Document G703TM - 1.992 . . Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 36 PERIOD TO: Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 02/08/2012 02/08/2012 A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED PRESENTLY COMPLETED % TO RETAINAGE FROM PREVIOUS NO. STORED AND STORED (IF VARIABLE VALUE APPLICATION THIS PERIOD (G+C) FINISH (NOT IN TO DATE G) RATE) (D+E) D ORE) (D+E+F) (C 121 ACOUS CEILING LABOR 40,759.00 40,759.00 40,759.00 100.00 122 INSULATION MATL 82,670.00 82,670.00 82,670.00 100.00 123 INSULATION'LABOR 117,330.00 117,330.00 117,330.00 100.00 200 N/S ELIP CLG METAL M . 51,331.00 51,331.00 51,331.00 100.00 201 N/S ELIP CLG METAL L 201,384.00 201,384.00 201,384.00 100.00 202 N/S ELIP CLG PLAS M 74,360.00 74,360.00 74,360.00 100.00 203 N/S ELIP CLG PLAS L 438,153.00 438,153.00 438,153.00 100.00 204 ' MAIN ELIP CLG METL M 52,412.00 52,412.00 52,412.00 100.00 205 MAIN ELIP CLG METL L : 168,703.00 168,703.00 168,703.00 100.00 206 MAIN ELIP CLG PLASM 71,273.00 71,273.00 71,273.00 100.00 207 MAIN ELIP CLG PLAS L 430,314.00 430,314.00 430,314.00 100.00 208 UP/LOW BALCNY METL M 15,304.00 15,304.00 15,304.00 100.00 209 UP/LOW BALCNY METL L 143,518.00 143,518.00 143,518.00 100.00 210 UP/LOW BALCNY PLAS M 37,975.00 37,975.00 37,975.00 100.00 211 UP/LOW BALCNY PLAS L 633,522.00 633,522.00 633,522.00 100.00 212 BOX TIER/COL METAL M 10,245.00 10,245.00 10,245.00 100.00 213 BOX TIER/COL METAL L 118,363.00 ,118,363.00 118,363.00 100.00 214 .BOX TIER/COL PLASM 70,300.00 70,300.00 70,300.00 100.00 215 BOX TIER/COL PLAS L 319,455.00 319,455.00 319,455.00 100.00 216. ORCH H/L METAL-NI 5,317.00 . .5,317.00. . . ... 5,317,00_ . 100.00. - .. .. 217 ; ORCH H/L METAL L 112,967.00 112,967.00 112,967.00 100.00 218 ORCH H/L PLASM 15,260.00 15,260.00 . 15,260.00 100.00 „PAGE TOTALS : 3,210,915.00 3,210,915.00 .00. .00 3,210,915.00 .00 .00• CAUTION: You should sign an original AIA Contract Document,on which this text appears In RED. An original assures that changes will not be obscured. AIA Document G703TM—1992.Copyright®1963,1965,1966 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and international Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies-of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. Ow Alli. Document G703 TM - 1992 Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. PERIOD T0: 36 Use Column Ion Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 02/08/2012 A B C D E F G 02/08H2O12 I WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED PRESENTLY COMPLETED RETAINAGE NO. FROM PREVIOUS TO VALUE STORED(NOT IN TO DATE AND STORED _C) FINISH (IF APPLICATION THIS PERIOD (C, RATE) (D+E) D ORE) (D+E+F) (C-G) 219 ORCH H/L PLAS L 315,844.00 315,844.00 315,844.00 100.00 220 4090A GEN.ALLOWANCE 225,000.00 225,000.00 225,000.00 100.00 221 4090B CAD ALLOWANCE 5,000.00 5,000.00 5,000.00 100.00 222 4100A GEN ALLOWANCE 175,000.00 175,000.00 175,000.00 100.00 223 4100B CAD ALLOWANCE 5,000.00 5,000.00 5,000.00 100.00 224 ADDITONAL 4090 ALLOW 29,000.00 29,000.00 29,000.00 100.00 224A DELETE LINE 224 -29,000.00 -29,000.00 -29,000.00 100.00 300 BOND PREMIUM 63,312.00 63,312.00 63,312.00 100.00 301 C.O.#1/CCR#1008 60,100.00 60,100.00 60,100.00 100.00 302 C.O.#2/CCR#1011 27,970.00 27,970.00 27,970.00 100.00 303 C.O.#3/CCR#1012 1,200.00 1,200.00 1,200.00 100.00 304 C.O.#4/CCR#1014 19,800.00 19,800.00 19,800.00 100.00 305 C.O.#5/CCR#1015 31,680.00 31,680.00 31,680.00 100.00 306 C.O.#6/CCR#1016 27,720.00 27,720.00. 27,720.00 100.00 308 CO#8/PAC006(C07 0) 20,490.00 20,490.00 20,490.00 100.00 309 CO 9/ALLOWANCE ADJ -226,269.00 -226,269.00 -226,269.00 100.00 310 CO#11/HIGH RAILING 17,740.00 17,740.00 17,740.00 100.00 311 C.O.#12'DOME STEEL' 48,000.00 48,000.00 48,000.00 100.00 312 CO#13 -RCP "030" 2,296.00 2,296.00 2,296.00 100.00 313. .CO#14 ALLOW 4100A - 30,000.00 30,000.00 30,000:00 100.00 - - 314 C.O.#15 ALLOW 4100A 30,000.00 30,000.00 30,000.00 100.00 315 C.O. #16/ALLOW 4100A 30,000.00 21,454.31 8,545.69 30,000.00 100.00 PAGE TOTALS : 909,883.00 901,337.31 8,545.69 .00 909,883.00 .00 .00 CAUTION: You should sign an original AIA Contract Document,on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G703TM—1992.Copyright o 1963,1965, 1966 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright Iaia.org. t ... A Document G703TM - 1992 . Continuation Sheet AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: containing Contractor's signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 36 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: 02/08/2012 A B C D 1 E F G 02/08/H012 I WORK COMPLETED MATERIALS TOTAL ITEM PRESENTLY COMPLETED BALANCE RETAINAGE NO. DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS `7o TO STORED AND STORED VALUE APPLICATION THIS PERIOD (G'C) FINISH (IF VARIABLE (NOT IN TO DATE RATE) (D+E) D OR E) (D+E+F) (C-G) 316 CO#17B0X TIERS 16,665.00 16,665.00 16,665.00 100.00 317 CO#17/GJRO ALLOW -7,541.85 -7,541.85 -7,541.85 100.00 JOB TOTALS : 6,524,350.15 6,523,346.31 1,003.84 .00 6,524,350.15 .00 .00 CAUTION: You should sign an original AIA Contract Document,on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G703TM-1992.Copyright®1963,1965,1966 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA°Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright 0 aia.org. AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL PAYMENT TO FOLLOW STATE OF INDIANA COUNTY OF MARION SS: JOHN M.ABBOTT BEING DULY SWORN THAT HE IS THE PRESIDENT OF CIRCLE B CONSTR.SYSTEMS,LLC HAVING CONTRACTED WITH CARMEL REDEVELOPMENT COMMISSION TO FURNISH CERTAIN MATERIALS AND/OR LABOR AS FOLLOWS: INTERIOR FINISHES FOR A PROJECT KNOWN AS: CARMEL PERFORMING ARTS AND OWNED BY: CARMEL REDEVELOPMENT COMMISSION DOES HEREBY FURTHER STATE OF BEHALF OF THE AFOREMENTIONED SUBCONTRACTOR/SUPPLIER: PARTIAL WAIVER)THAT THE BALANCE DUE FROM THE CONTRACTOR IS THE SUM OF ONE THOUSAND THREE DOLLARS AND 84/100 ($1003.84) RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED: OR XX THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND PARTIAL WAIVER OF LIEN,WHICH IS GIVEN TO AND FOR SAID AMOUNT,EFFECTIVE UPON RECEIPT OF PAYMENT; (FINAL WAIVER)THAT THE FINAL BALANCE DUE IS THE SUM OF: RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED: OR THE PAYMENT OF WHICH HAS BEEN PROMISED AS THE SOLE CONSIDERATION FOR THIS AFFIDAVIT AND WAIVER OF LIEN WHICH SHALL BECOME EFFECTIVE UPON RECEIPT OF SUCH PAYMENT. THEREFORE THE UNDERSIGNED WANES AND RELEASES UNTO THE OWNER OF SAID PREMISED,ANY AND ALL LIEN OF CLAIM WHATSOEVER ON THE ABOVE DESCRIBED PROPERTY AND IMPROVEMENTS ON ACCOUNT OF LABOR OR MATERIAL OR BOTH, FURNISHED BY THE UNDERSIGNED THERETO,AND FURTHER THAT NO OTHER PARTY HAS ANY CLAIM OR RIGHT TO A LIEN ON ACCOUNT OF WORK PERFORMED OR MATERIAL FURNISHED TO THE UNDERSIGNED FOR SAID PRO ,ND WIT HIN THE SCOPE OF THIS AFFIDAVIT AND WAIVER. d CIRCLE B CONSTR SYSTEMS,LLC BY: ill TITLE: PRESIDENT N►. :� N e T• '. • EAL Uti„ingiiTH DAY OF FEBRUARY,2012 r % it s 8INRY per'% C . ' b+1 1 f R,N O ARY PUBLIC '' �..•••'~•••...•�/� MY CO I I SSION EXPIRES: 02/01/201r ti�� RESIDENT OF JOHNSON COUNTY If,.14.x, ' t y I ND Check: 1875 Show: Current Register To: 1875 1 Checking Account: 1011000 Check Register Page 1 Carmel Redevelopment Comm 5/2311111:25 5/23/201 1 Company:LO Payable/ Workers Check Check Date Vendor Number and Name Voucher Invoice Payroll Retention Cash Discount Come. 1875 4/20/2011 CIRCLEB1 Circle B Construction Systems 5956 15 0.00 8,918.87 -8,918.87 0.00 0.00 G/L Apr,2011 5636 S Meridian St 6167 16 0.00 41,081.13 -41,081.13 0.00 0.00 Indianapolis,IN 46217 7460 3090-1 0.00 1,916.00 -1,916.00 0.00 0.00 8461 2*2 0.00 2,524.48 -2,524.48 0.00 0.00 8720 3-2 0.00 371.50 -371.50 0.00 0.00 9000 1249-3 0.02 0.00 -0.02 0.00 0.00 9638 32 4,860.88 0.00 -4,860.88 0.00 0.00 6 4,860.90 54,811.98 -59,672.88 0.00 0.00 C/( 4,860.90 54,811.98 -59,672.88 0.00 0.00 Circle B Construction Systems Check: 6 5636 S Meridian St Date: 4/20/2011 Indianapolis, IN 46217 Vendor: CIRCLEB1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid See Transmittal Sheet for check detail. 1,383,954.88 90,937.10 31,264.22 0.00 59,672.88 6 4/20/2011 **********59,672.88 THE SUM OF FIFTY NINE THOUSAND SIX HUNDRED SEVENTY TWO DOLLARS AND 88 CENTS *** Circle B Construction Systems 5636 S Meridian St Indianapolis, IN 46217 Circle B Construction Systems Check: 6 5636 S Meridian St Date: 4/20/2011 Indianapolis, IN 46217 Vendor: CIRCLEB1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid See Transmittal Sheet for check detail. 1,383,954.88 90,937.10 31,264.22 0.00 59,672.88 Transmittal Sheet Page 1 Carmel Redevelopment Comm Circle B Construction Systems Check: 6 5636 S Meridian St Date: 4/20/2011 Indianapolis, IN 46217 Vendor: CIRCLEB1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 2*2 70 61,760.00 6,176.00 0.00 0.00 6,176.00 Plaster app 2 15 39 607,520.74 8,918.87 0.00 0.00 8,918.87 RPAC app. 15 16 39 690,653.24 69,065.33 31,264.22 0.00 37,801.11 App 16 thru 1/15/2010 32 39 4,860.88 4,860.88 0.00 0.00 4,860.88 Application 32 1249-3 39 0.02 0.02 0.00 0.00 0.02 Adjust to billed amount 3090-1 90 19,160.00 1,916.00 0.00 0.00 1,916.00 Application 1 on stucco 1,383,954.88 90,937.10 31,264.22 0.00 59,672.88 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 (1/ le 5 Cortffrac7, $ 5t' 7 Purchase Order No. 5% 366 5. /���,�; � _ 7 Terms , /i- `""2/7 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) / -)(1 36 / 36 %7 - _ Total I hereby certify that the attached invoice(s), or bill(s), is (are) true an. -• - --• - audited same in accor- dance with IC 5-11-10-1.6. t I , p1�� , 20OZ -- ' ���v .tSrR Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 c 1, 8 co,, vc 5 ys f62// 6 36 S ���<,� f IN SUM OF $ 5 /, sY 7 2/7 $ ON ACCOUNT OF APPROPRIATION FOR got Board Members Po#or INVOICE NO. ACCT# hereby certify/TITLE AMOUNT I hereb certify that the attached invoice(s), DEPT.# 96,2 3 ( `/y6&8o? I,Oc$y 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 2- 9 20/'s- Executive Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund Carmel Redevelopment Commission