226266 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 060650 Page 1 of 1
0 ONE CIVIC SQUARE CLARK DIETZ,INC CHECK AMOUNT: $27,463.28
CARMEL, INDIANA 46032 8900 KEYSTONE CROSSING#900
INDIANAPOLIS IN 46240 CHECK NUMBER: 226266
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
919 5023990 25282 413846 27, 463 .28 RETAIL PKWY EXT
Oak
E N 6 1 N EENS
November 07, 2013
Project No: C0330081
Invoice No: 413846
Mr. Michael McBride, PE
City Engineer
City of Carmel
Department of Engineering
One Civic Square
Carmel, IN 46032
Project: Retail Parkway Extension Construction Observation Services
Additional ServiceAmendment'#2
PO#25282
Professional Services rendered through October 25, 2013
Professional Personnel
Hours Rate Amount
Project Manager
Valentine, Robert 5.00 160.00 800.00
Resident Project Rep
Jennings, Timothy 15.00 110.00 1,650.00
Umlauf, Jason 221.50 110.00 24,365.00
Von Hoven, Walter 2.00 110.00 220.00
Totals 243.50 27,035.00
Total Labor 27,035.00
Reimbursable Expenses
Expense Reports 428.28
Total Reimbursables 428.28 428.28
Total this Invoice $27,463.28
Billings to Date
Current Prior Total
Labor 27,035.00 27,035.00 54,070.00
Expense 428.28 571.31 999.59
Totals 27,463.28 27,606.31 55,069.59
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® Clark Dietz,Inc. 8900 Keystone Crossing,Suite 900 Indianapolis, Indiana 46240 T:317.844.8900 F:317.844.9158
i
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
11/7/2013 413846 Retail Parkway Construction Inspection $ 27,463.28
Total $ 27,463.28
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
$ 27,463.28
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
25282 413846 919-5023990 $ 27.463.28 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
11/18/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund