227167 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 364873 Page 1 of 1
ONE CIVIC SQUARE MONROE LLC
CARMEL, INDIANA 46032 4440 W STATE ROAD 46 CHECK AMOUNT: $18,720.00
NASHVILLE IN 47448
CHECK NUMBER: 227167
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
212 4350900 25260 1 18, 720 . 00 TREE CLEARING
CONSTRUCTION PROJECT INVOICE
DATE: December 3, 2013
COMPANY NAME: Monroe, LLC.
AND ADDRESS 4440 West State Road 46
Nashville, IN 47448
TELEPHONE NO.: (812)-988-1615
FAX NO.: (317)-847-2697
PROJECT NAME: Illinois Street Extension Clearing
1 .Y
PROJECT NO.: 10-10 Clearing
INVOICE NO.: 1
Construction pay items as per Progress Pay Estimates No. 1 as shown on the
attached invoice for work completed between the dates of November 1, 2013 to
November 30, 2013.
TOTAL PAY THIS ESTIMATE: $20,800.00
MINUS 10% RETAINAGE: $2,080.00
TOTAL NOW DUE: $18,720.00
Submitted by CrossRoad Engineers, PC
Project epresentative igned name Date
Lance Stahley
Project Representative - printed name
1of1
CITY OF CARMEL
ILLINOIS STREET EXTENSION CLEARING
PROJECT NO.10-10,CLEARING
PROGRESS PAY ESTIMATE NO. 01
For work done during the period of: 1111113 through 11130113
Item Description Quantity this Total Quantity Unit Total Pay, ,Total Pay,
No.. Estimate to Date Price this Estimate to Date.
1 Mobilization I Demobilization 0.65 LS 0.65 LS $5,000.00 $3,250.00 $3,250.00
2 CLEARING AND GRUBBING 0.35 LS 0.35 LS $48,000.00 $16,800.00 516,800.00
3 TEMPORARY SILT FENCE LFT LFT 51.00
4 MULCHED SEEDING T,CONVENTIONAL MIX SYS I SYS I 50.15
5 MAINTAINING TRAFFIC 0.50 LS 0.50 LS $1,500.00 $750.00 5750.00
6 TEMPORARY EROSION AND SEDIMENT CON EA EA $20.00
$20,800.00 20,800.00
TOTALS AND PAY ESTIMATE CALCULATIONS
TOTAL PAY THIS ESTIMATE $20,800.00
TOTAL PAY TO DATE $20,800.00
DEDUCT 10% RETAINAGE $2,080.00
DEDUCT PREVIOUS NET PAY ESTIMATES
NET PAY ESTIMATE NO. 01 $18,720.00
CrossRoad Engineers, PC 2
Inspecting Firm y Date
Monroe, LLC i c� " f
Contractor y Date
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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
Monroe, LLC Purchase Order No.
4440 West State Road 46 Terms
Nashville, IN 47448 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
12/3/2013 1 III St Clearing 10-10 $ 18,720.00
Total $ 18,720.00
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.
Monroe, LLC ALLOWED 20
4440 West State Road 46 IN SUM OF $
Nashville, IN 47448
$ 18,720.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
25260 1 212-509 $ 18,720.00 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
12/9/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund