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226593 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 00350562 Page 1 of 1 ONE CIVIC SQUARE AMERICAN STRUCTURE POINT,INC CHECK AMOUNT: $830.00 CARMEL, INDIANA 46032 7260 SHADELAND STATION INDIANAPOLIS IN 46256-3957 CHECK NUMBER: 226593 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 4340100 25304 65814 830 . 00 3RD AVE SW DITCH PIPI Remit to: ® 7260 Shadeland Station El Indianapolis,IN 46256-3957 El AMERICAN TEL 317.547.5580 FAX 317.543.0270 ESTRUCTUREPOINT www.structurepoint.com I — ❑ I NC. Federal Tax ID: 35-1127317 i November 20,2013 Invoice No: 65814 Mr. Mike McBride City of Carmel One Civic Square Carmel,IN 46032 -J Iota Due.T his-I.r-voice-(see-b-r_eakdown-below): -$$3.0.0.0 - -- -- - -------- - Project 0002013.00320.0001 Carmel Ditch and Utility Improvements � °? Services from October 01,2013 through October 31,2013 t, Fee Percent Fee Prior Current Phase Fee Complete Earned Billing Fee Civil 41,500.00 97.00 40.255.00 39.425.00 830.00 Total Fee 41.500.00 40.255.00 39.425.00 830.00 Total Fee 830.00 TOTAL DUE THIS INVOICE 5830.00 Very truly yours, Ross Nixon �^1�,�920212,�r3 41 DECEIVED IT M NOV 2013 00 C4 CARMEL co i Clly R w ENGINEE w� 0 95t,£Z, Full payment of this invoice is due within 30 days from invoice date. Interest at the rate of 1.5% per month($25.00/month minimum)plus any/all collection costslattorney costs maybe charged if payment is not received within 60 days from the invoice date. 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 American Structurepoint Purchase Order No. 4260 Shadeland Station Terms Indianapolis, IN 46256-3957 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 11/20/2013 65814 Parcel Ditch and Utility Improvements $ 830.00 Total $ 830.00 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. American Structurepoint ALLOWED 20 74240-5hadeland Station IN SUM OF $ Indianapolis, IN 46256-3957 $ 830.00 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 25304 65814 211-401 $ 830.00 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 2/2/2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund