190160 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 003050 Page 1 of 1
ONE CIVIC SQUARE A F ENGINEER CO.,INC CHECK AMOUNT: $5,300.00
�ra CARMEL, INDIANA 46032 8365 KEYSTONE CROSSING
i SUITE 201 CHECK NUMBER: 190160
INDIANAPOLIS IN 46240
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
202 4340100 21775 10122 5,300.00 TRAFFIC SIGNAL RECORD
INVOICE STATEMENT
A&F ENGINEERING WILLIAM J. FEHRIBACH, P.E.
Transportation Engineering Services PRESIDENT
STEVEN J. FEHRIBACH, P.E.
Creating Order Since 1966 VICE PRESIDENT
TO: BOARD OF PUBLIC WORKS SAFETY INVOICE NO. 10122
CITY OF CARMEL PROJECT NO. 10004
CARMEL, IN 46032
DATE SEPTEMBER 15, 2010
P.O. NO. P.O. 21775 O
ATTN: MR. MIKE MCBRIDE TERMS
NET 30 V
DESCRIPTION AMOUNT
ENGINEERING SERVICES
RE: MAINTENANCE OF TRAFFIC SIGNAL RECORDS FOR 2010
TOTAL NUMBER OF INTERSECTIONS' 53
FEE PER INTERSECTION MONTH $25.00
NUMBER OF MONTHS 4
PERIOD: May through August
NET DUE $5,300.00
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CARMEL
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8365 KEYSTONE CROSSING, SUITE 201 INDIANAPOLIS, INDIANA
TELEPHONE (317) 202 -0864 FACSIMILE (317) 202 -0908
Prescribed by State Board of Accounts N City Form No. 201 (Rev. 1995)
ACCOUNTc. VOUCHER
CIT Q.OF CARMEL
E
An invoice or bill to be properly itemized must show: kirti of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, nWnber of units, price per unit, etc.
Payee n
A F Engineering Co., LLC
t Purchase Order No.
8365 Keystone Crossing, Suite 201
Terms
Indianapolis, IN 46240
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
r;
09/15/10 10122 Maintenance of traffic signals 2010 $5,300.00
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
A &F Engineering IN SUM OF
8365 Ke C rossing, Suite 201
Indianapolis, IN 46240
$5,300.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21775 10122 202 -401 $5,300.00 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 20,;
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund