224827 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 060650 Page 1 of 1
ONE CIVIC SQUARE CLARK DIETZ, INC
CARMEL, INDIANA 46032 8900 KEYSTONE CROSSING#900 CHECK AMOUNT: $12,000.00
? INDIANAPOLIS IN 46240
CHECK NUMBER: 224827
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 R4340100 26566 413433 12 , 000 . 00 ASA #2 RETAIL PKWY EX
ENGINEERS
September 10, 2013
Project No: C0330080
Invoice No: 413433
Mr. Michael McBride, PE
City Engineer
Dept. of Engineering
City of Carmel
One Civic Square
Carmel, IN 46032
Project: Retail Parkway Extension Phase I
Additional Service Amendment#1
PO#26540
Professional Services rendered through August 30, 2013
Contract % Amount Less Prior Amount
Billing Phase Fee Complete Complete Billing This Billing
Field Survey 12,000.00 100.00 12,000.00 12,000.00 0.00
Preliminary Road Design 17,200.00 100.00 17,200.00 17,200.00 0.00
Final Road Design 17,300.00 100.00 17,300.00 17,300.00 0.00
Utility Coordination 3,600.00 100.00 3,600.00 3,600.00 0.00
Rule 5 Permit 3,900.00 100.00 3,900.00 3,900.00 0.00
Traffic Signal Design 9,900.00 100.00 9,900.00 9,900.00 0.00
INDOT Permit 3,900.00 100.00 3,900.00 3,900.00 0.00
Additional Design Services 12,000.00 100.00 12,000.00 0.00 12,000.00
Total Fee 79,800.00 79,800.00 67,800.00 12,000.00
Total Fee 12,000.00
Total this Invoice $12,000.00
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® Clark Dietz, Inc. 8900 Keystone Crossing.Suite 900 Indianapolis, Indiana 46240 T:317.844.8900 F:317.844.9158
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
Clark Dietz Purchase Order No.
8900 Keystone Crossing, Ste 900 Terms
Indianapolis, IN 46240 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
9/1012013 413433 Retail Parkway Design $ 12,000.00
,o
6th
Total $ 12,000.00
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
I
VOUCHER NC WARRANT NO.
Clark Dietz ALLOWED 20
8900 Keystone Crossing, Ste 900 IN SUM OF $
Indianapolis, IN 46240
$ 12,000.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
26566 413433 2200-8401 $ 12,000.00 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
/7/2013
Si e
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund