192921 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00350511 Page 1 of 1
ONE CIVIC SQUARE SMOCK FANSLER CORP
0 CHECK AMOUNT: $22,500.00
CARMEL, INDIANA 46032 2910 W MINNESOTA ST
INDIANAPOLIS IN 46241 CHECK NUMBER: 192921
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4462401 3022 22,500.00 LANDSCAPING
Smock Fansler Corporation
2910 W. Minnesota Street
Indianapolis, IN 46241 -4541 Invoice Date Customer ID Invoice ID
12 -08 -2010 090194 3022
Draw ID SFC Job# PO Number
1 10-097
To: Job Location:
CARMEL STREET DEPARTMENT 96TH SPRINGMILL ROUNDABOUT
3400 W. 131 ST ST.
CARMEL, IN 46074
URN REPLACEMENT AT 96TH SPRINGMILL
1 TOTAL AMOUNT DUE 22,500.00
Amount Billed $22,500.00
Total Tax
Retainage Held
Payment Due 01 -07 -2011 $22,500.00
VOUCHER NO. .WARRANT NO.
ALLOWED 20
Smock Fansler Corporation
IN SUM OF
2910 W. Minnesota Street
Indianapolis, IN 46241 -4541
$22,500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 3022 2201 624.01 $22,500.00 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
Friday, December 10, 2010
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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))
12/08/10 3022 $22,500.00
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