319014 11/22/17 ? CITY OF CARMEL, INDIANA •VENDOR: 361637
h ONE CIVIC SQUARE FREDERICKS CONTRACTORS CHECK AMOUNT: $""'5,540.00'
?Q CARMEL, INDIANA 46032 PO 9Dx 229 CHECK NUMBER: 319014
9M,roN�o` PENDLETON IN 46064 CHECK DATE: 11/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4350100 100644 650017 5,540.00 DRAINAGE IMPROVEMENTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 361637
FREDERICKS CONTRACTORS IN SUM OF$ CITY OF CARMEL
PO BOX 229 An invoice or bill to be property 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.
PENDLETON, IN 46064
Payee
$5,540.00 .
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
100644 6500-17 43-501.00 $5,540.00 1 hereby certify that the attached invoice(s),or 11/15/17 6500-17 $5,540.00
1120 102 1120 102
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
J
Thursday, November 16,2017
0
David Haboush
Fire Chief
I 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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
CONTRACTORS
Name Carmel Fire Department, Station 42 Date: 11/6/2017
Address 3610 West 106th Street Invoice# 6500-17
Carmel, IN 46032 Project# CFD17003
ATTN: Orbie Bowles P.O.# 100644
Item[ Des'cr'iption, U n it ` Total
4925 East 106th Street
Dig drainage trench and backfill with stone and millings. Grade spoils $5,540.00
on-site.
As Agreed
Thank You
Balance Due _ TOTAL '
$5,540.00
Terms:Net due upon receipt. 1 %%service charge added monthly.
REMIT TO:
Fredericks Inc.5448 W. State Road 132, P.O. Box 229, Pendleton, IN 46064
Phone: 765-778-7588 FAX: 765-778-7589