225313 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367519 Page 1 of 1
1� ONE CIVIC SQUARE CENTRAL IN MITIGATION PROVIDERS CHECK AMOUNT: $25,125.00
y�! CARMEL, INDIANA 46032 275 BATTERY ST STE 510
<rarY�o. SAN FRANCISCO CA 94111 CHECK NUMBER: 225313
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
202 4350900 0 25, 125 . 00 OTHER CONT SERVICES
I j
I !i
I
Date: September 27, 2013 f'
INVOICE
!
Central Indiana Mitigation Providers I`
9 TO: City of Carmel
Attn: David Brentlinger
275 Battery Street, Suite#510 City Hall, 1 Civic Square
San Francisco, CA 94111 Carmel, Indiana 46032
dbrentlinger @newforests-us.com
j
Customer ID: Illinois Street
IExtension �?
it
j
SALESPERSON JOB PAYMENT TERMS DUE DATE I
i
Coggin, Daniel Illinois Street Extension -- !'
gg I Due on Receipt
QUANTITY DESCRIPTION UNIT PRICE LINE TOTAL li
0.67 Emergent Wetland Credits from Buck Creek Mitigation Bank $75,000.00 $50,250.00
;
j
j Total Currently due is deposit of$25,125.00
..........
!
I �
j
I
I
Subtotal I $50,250.00 j
Sales Tax
Total $50,250.00
I
i
1
! i
Make all checks payable to Central Indiana Mitigation Bank i
I THANK YOU FOR YOUR BUSINESS!
I
L
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
Central Indiana Mitigation Providers Purchase Order No.
275 Battery Street STE 510 Terms
San Francisco, CA 94111 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
9/27/2013 0 Wetland Mit Credits for III St $ 25,125.00
Total $ 25,125.00
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.
Central Indiana Mitigation Providers ALLOWED 20
275 Battery Street STE 510 IN SUM OF$
San Francisco, CA 94111
$ 25,125.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 0 202-509 $ 25,125.00 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
s 10/21/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund