175572 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 003050 Page 1 of 1
ONE CIVIC SQUARE A F ENGINEER CO.,INC CHECK AMOUNT: $4,350.00
CARMEL, INDIANA 46032 6365 KEYSTONE CROSSING
SUITE 201 CHECK NUMBER: 175572
INDIANAPOLIS IN 46240
CHECK DATE: 816/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESC RIPTIO N
202 4340100 19811 4,350.00 TRAFFIC SIGNAL MAINT-
r INVOICE STATEMENT
FI WILLIAM J. FEHRIBACH, P.E.
Transportation Engineering Services PRESIDENT
STEVEN J. FEHRIBACH, P.E.
Creating Order Since 1966 VICE PRESIDENT
TO: BOARD OF PUBLIC WORKS SAFETY INVOICE NO. 09106
CITY OF CARMEL PROJECT NO. 09002
CARMEL, IN 46032
DATE JULY 27, 2009
P.O. NO. 17.7 #0219-97-02 19 611
ATTN: MR. MIKE MCBRIDE TERMS ADDITIONAL SERVICES
EXHIBIT A X0'2 --t o i
DESCRIPTION AMOUNT
ENGINEERING SERVICES
RE: MAINTENANCE OF TRAFFIC SIGNAL RECORDS FOR 2009
TOTAL NUMBER OF INTERSECTIONS 58
FEE PER INTERSECTION MONTH $25.00
NUMBER OF MONTHS 3
PERIOD: APRIL, MAY AND JUNE
NET DUE $4,350.00
O E ,r�� 9 co ER
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)
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))
07/27/09 09106 Maintenance of Traffic Signal Records 2009 $4,350.00
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
$4,350.00
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
19811 09106 202 -401 $4,350.0 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
f
20
Signature
F CAA-1A
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund