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Exhibit I -CITY OF DECATUR INVOICE DATA SHEET <br /> Project: 2013-19 Annual Sanitary Sewer Inspection Program <br /> (Professional Service Provider Name City Project No.: 2013-19 <br /> &Address) <br /> Tele Scan, Inc. Invoice Date: <br /> 6275 E. Route 36 Invoice Number: <br /> Decatur, IL 62521 Invoice Period From: <br /> To: <br /> Agreement/C.O. Date Approved Council Bill Upper Limit <br /> Original Contract $ <br /> Item To Date Previous Invoices This Invoice <br /> Staff Hours Expended <br /> Direct Labor Cost <br /> Contract Multiplier <br /> Total Labor Cost <br /> Direct Subconsultant Cost <br /> Subconsultant Multiplier <br /> Total Subconsultant Cost <br /> Reimbursable Expenses <br /> Total Amount Earned <br /> TOTAL AMOUNT DUE THIS INVOICE: <br /> (For City Use) <br /> Avg.Direct Labor Cost <br /> Avg. Total Labor Cost <br /> Percent Complete <br /> Professional Service <br /> Provider's Signature: <br /> Title: <br />