225522 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367562 Page 1 of 1
f ONE CIVIC SQUARE R.A.SMITH NATIONAL CHECK AMOUNT: $3,750.00
CARMEL, INDIANA 46032 16745 W BLUEMOUND ROAD
BROOKFIELD WI 53005-5938 CHECK NUMBER: 225522
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 110043 3 , 750 . 00 STORM WATER PHASE II
16745 W.BLUEMOUND RD RA Smith National
BROOKFIELD,WI 53005-5938
(262)781-1000 phone Beyond Surveying
(262)781-8466 fax and Engineering
August 1,2013
JOHN THOMAS Project No: 1130149
CITY OF CARMEL,IN Invoice No: 110043
ONE CIVIC SQUARE
CARMEL,IN 46032 Invoice Total: $3,750.00
Date Due: August 31,2013
Project 1130149 City of Carmel, IN-PermiTrack ESC
Professional Services for the Period:July 1.2013 to July 31,2013
Phase 001 PERMITRACK SET-UP&TRAINING
Total 3,750.00
Percent Complete 100.00 Total Earned 3,750.00
Previous Fee Billing 0.00
Current Fee Billing 3,750.00
Total 3,750.00
Phase Total $3,750.00
Total Due This Invoice $3,750.00
Invoices are due within 30 days, 1%interest per month after 30 days
Call your PM,Jeff Mazanec,if you have any questions.
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
R.A. Smith National Purchase Order No.
16745 W. Bluemound Rd. Terms
Brookfield, WI 53005-5938 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
8/1/2013 110043 Permitrack set-up and training $ 3,750.00
Total $ 3,750.00
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.
R.A. Smith National ALLOWED 20
16745 W. Bluemound Rd. IN SUM OF $
Brookfield, WI 53005-5938
$ 3,750.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 110043 211-4462838 $ 3,750.00 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
r �_
0/21/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund