166987 12/17/2008 a- CITY OF CARMEL, INDIANA VENDOR: 003050 Page 1 of 1
i ONE CIVIC SQUARE A F ENGINEER CO.,INC
CHECK AMOUNT: $4,900.00
CARMEL, INDIANA 46032 8365 KEYSTONE CROSSING
SUITE 201 CHECK NUMBER: 166987
INDIANAPOLIS IN 46240
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
202 4340100 17792 08205 4,900.00 2008 TRAFFIC SIGNAL M
INVOICE STATEMENT
f &F ENGINEERING
WILLIAM J. FEHRiBACH, P. E.
Transportation Engineering Services STEVEN FEHRIBACH, P.E.
Creating Order Since 1966 VICE PRESIDENT
TO: BOARD OF PUBLIC WORKS SAFETY INVOICE NO. 0$205
CITY OF CARMEL PROJECT NO. 08002
CARMEL, IN 46032 DATE
DECEMBER 10, 2008
P.O. NO. 177921 #0219 -97 -02
ATTN: MR. MIKE MCBRIDE TERMS ADDITIONAL SERVICES #47
EXHIBIT A
DESCRIPTION AMOUNT
ENGINEERING SERVICES
RE: MAINTENANCE OF TRAFFIC SIGNAL RECORDS FOR 2008
TOTAL NUMBER OF INTERSECTIONS 50
FEE PER INTERSECTION 1 MONTH $25.00
NUMBER OF MONTHS 2
PERIOD: NOVEMBER AND DECEMBER
NET DUE $2,500.00
THERE WERE ONLY 50 INTERSECTIONS BILLED, BUT THE CONTRACT
WAS FOR 58,
THE FOLLOWING IS FOR THE OTHER 8
TOTAL NUMBER OF INTERSECTIONS 8
FEE PER INTERSECTION 1 MONTH $25.00
NUMBER OF MONTHS 12
NET DUE $2,400.00
TOTAL DUE $4,900.00
j DEC
CITY ENGINEM
19�
8365 KEYSTONE CROSSING, SUITE 201 INDIANAPOLIS, INDIANA 46240
TELEPHONE (317) 202 -0864 FACSIMILE (317) 202 -0908
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
f 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
A F Engineering Co., LLC
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))
12/10/08 08205 Maintenance of Traffic Signal Records 2008 $4,900.00
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
IN SUM OF
8365 Keystone Crossing, Suite 201
Indianapolis, IN 46240
$4,900.00
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
17792 08205 202 -401 $4,900.00 '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
a 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund