321157 01/25/18 r.Cgq,
CITY OF CARMEL, INDIANA VENDOR: 361637
d ONE CIVIC SQUARE FREDERICKS CONTRACTORS CHECK AMOUNT: $"""7,500.00'
ate;' CARMEL, INDIANA 46032 PO Box 229 CHECK NUMBER: 321 157
v PENDLETONIN 46064 CHECK DATE: 01/25/18
SON Gb•
DEPARTMENT ACCOUNT. PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4350100 100926 6744-17 7,500.00 REPLACE HANDHOLD BOX
�' s
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 361637
FREDERICKS CONTRACTORS IN SUM OF$ CITY OF CARMEL
PO BOX 229 An invoice or bill to be 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.
PENDLETON, IN 46064
Payee
$7,500.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
100926 6744-17 43-501.00 $7,500.00 I hereby certify that the attached invoice(s),or 12/31/17 6744-17 replace inground concrete box $7,500.00
1110 OjJLncraareber.ed 101 Prior Year 1110 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
t
° which charge is made were ordered and
received except
Thursday,January 18,2018
E-5. A.w
Jim Barlow
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
inc..
C" O NTRACT0R -
Name City of Carmel Date: 12/31/2017
Address 31 1 st Avenue NW Invoice# 6744-17
Carmel, IN 46032 Project# CARM1704
ATTN: Blaine Mallaber P.O.# 100926
IT Description Unit � Total
Replace in-ground concrete box at police station. $7,500.00
As Agreed
Thank You
Balance Due TOTAL $7,500.00
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