201212 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 361637 Page 1 of 1
ONE CIVIC SQUARE FREDERICKS CONTRACTORS
I CHECK AMOUNT: $5,307.00
CARMEL, INDIANA 46032 Po eox zzs
PENDLETON IN 46064 CHECK NUMBER: 201212
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 27347 11 -739 5,307.00 NEW COUNTER TOP
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CON "_tR,4CTO'RS
Name ..CITY OF CARMEL Date: 8/23/2011
H Dress :GONE .CiViG S RE, iIIV0 Qt- i r
CARMEL aN .:46032 Project# CARMCABS
ATTN JEFF BARNES P .O 27347
ATTN.:
Item Description: 5r� Unet =Total
COUNTER'TOPS•AT CARMEL'COURT HOUSE $5,307.00
Items #1. 3 frorni 06 %30%2011,q'uofe
P z
�IE 1:2 'ZOi1
.s reed B
Thank YOU.
Balance >Due T TOTAL $5,30.7:00;
Terms: Net dii,e upoirreceipt. '1 servic m
e charge added onthly.''
REMIT TO.
Fredericks Inc. State Road 132 P O. Box 229, Pendleton, IN 46064
Pho,rie: 765 =7,78 7588 FAX: 778 765- ,7589
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fredericks Inc.
IN SUM OF
5448 W. State Road 132, P.O. Box 229
Pendleton, IN 46064
$5,307.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
27347 11 -739 43- 501.00 $5,307.00 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
Monday, September 12, 2011
T
Director, Administrate n
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
08/23/11 11 -739 $5,307.00
1 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
2t)
Clerk- Treasurer