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Exhibit I <br /> Exhibit I-CITY OF DECATUR INVOICE DATA SHEET <br /> Project: 2011-19 Annual Sanitary Sewer Inspection Program <br /> (Professional Service Provider Name&Address) City Project No.: 2011-19 <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 Resolution No. Upper Limit <br /> Original Contract $ <br /> Item* To Date Previous Invoices This Invoice <br /> *Attach Additional Documents as Necessary to Breakdown Item Cost <br /> TOTAL AMOUNT DUE THIS INVOICE: <br /> Previous Billings Against (For City Use) <br /> Max: <br /> Balance After This Invoice: <br /> Percent Expended: <br /> Professional Service <br /> Provider Signature: <br /> Title: <br /> I-1 <br />