190262 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 354518 Page 1 of 1
ONE CIVIC SQUARE FOREY CONSTRUCTION CHECK AMOUNT: $4,095.00
CARMEL, INDIANA 46032 501 EMERSON ROAD
CARMEL IN 46032 CHECK NUMBER: 190262
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 4,095.00 BUILDING REPAIRS MA
FOREY CONSTRUCTION CO.
Invoice
Date: 10
Materials Labor Cost
Total Amount Due
H 0-,7 S
Steve Forey Phone: 317-580-1.265
501 Emerson Rd. Cell: 317-727-91.59
Cari IN, 46032 Fax: 317-580-1265
VOUCHER NO. WARRANT NO.
ALLOWED 20
Forey Construction
F IN SUM OF
501 Emerson Road
�l
Carmel, IN 46032
$4,095.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
24117 43- 501.00 $4,095.00 1 hereby certify that the attached invoice(s), or
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
SEP 17 2010
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Safety Office Buget Office $4,095.00
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