193732 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 357899 Page 1 of 1
1 ONE CIVIC SQUARE F K CONSTRUCTION INC CHECK AMOUNT: $33,700.00
CARMEL, INDIANA 46032 2055 w 150 S
FLORA IN 46929 CHECK NUMBER: 193732
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7684 33,700.00 OTHER ACCT RECEIVABLE
H10-
2055 W. 150 S. Invoice
F8,KFIora, IN 46929 Date Invoice
CONS'TRuc,noN 1 10/19/2010 1 7684
Bill To
Carmel Water Department
Project Name P.O. NO. TERMS DUE DATE
126th Str Relocation 1.5% Net 30 11 /18 /2010
DESCRIPTION QUANTITY RATE AMOUNT
Mobilization Demobilization 1 4,250.00 4,250.00
12" H.D.P.E. Water Main Relocation
Labor 48 68.00 3,264.00
320CL Caterpillar Excavator 8 120.00 960.00
20OLC Excavator 8 120.00 960.00
TC62 -H Loader 8 95.00 760.00
Triaxle Dump Truck Hrly 8 110.00 880.00
Stone /Sand 140 10.00 1,400.00
Markup 776.00 776.00
Service Line Replacement (Long Side) 4 5,600.00 22,400.00
Credit: 12" Material and Testing 1,950.00 1,950.00
Thank you for your business. Sales Tax (7.0%)
$0.00
All balances over 30 days are subject to a 1.5% finance charge. Total $33,700.00
r
VOUCHER 103877 WARRANT ALLOWED
357899 IN SUM OF
F K CONSTRUCTION INC
2055 W 150 S
FLORA, IN 46929
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7684 01- 1420 -00 $33,700.00
Voucher Total $33,700.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
wc)
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357899
F K CONSTRUCTION INC Purchase Order No.
2055 W 150 S Terms
FLORA, IN 46929 Due Date 12/29/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
121291201( 7684 $33,700.00
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
A
Date Officer