HomeMy WebLinkAbout231632 4 /23/2014 ,CiN
CITY OF CARMEL, INDIANA VENDOR: 355029
!; ® ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $"*...**860.00*
CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK NUMBER: 231632
CARMEL IN 46033 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 11443 860.00 OTHER EXPENSES
in ®rs, LLC
5925 East 122nd Street Invoice
Caravel, IN 46033
-Date Invoice
Phone # (317)428-8210 Fax # (317)846-0338
3/31/2014 11443
Bill TLJ r . s Kr "F
City of Carmel Utilities
3450 West 131st Street
Westfield,IN.46074
�'�Du"e� atef
5/1/2014
s Dates - > �;Descr�ptlon .� � � Qty Y� Rate Amount
3/5/2014 Ticket#353611, Shop by#72 2 20.00 40.00
3/6/2014 Ticket#353657, Shop by#72 1 20.00 20.00
3/11/2014 Ticket#454237, 116th Street by#72 1 20.00 20.00
Same by#70 2 20.00 40.00
3/13/2014 Ticket#457247,Adios Pass by#135 2 20.00 40.00
Same by#70 1 20.00 20.00
Same by#72 1 20.00 20.00
3/17/2014 Ticket#717392,Lakeshore by#70 2 20.00 40.00
3/19/2014 Ticket#957351, Slope Bin by#145 5 20.00 100.00
Same by#70 6 20.00 120.00
Same by#72 5 20.00 100.00
3/2012.014 Ticket#957384, Shop by#70 4 20.00 80.00
Same by#72 4 20.00 80.00
.Same_by#1.45 3 20:00 60:00-
3/24/2014 -Ticket#870029, Shop by#72 1 20.00 20.00
3/31/2014 Ticket#869823, Springmill Farms by#70 2 20.00 40.00
Wicket#869824,Water Dept by#72 1 20.00 20.00
-If Your Account is 60 Days Past Due-----Your Account Will be Closed until
Payment Is Received! Total $860.00
- lanc
$860.00
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
3555029
DIRTWORKS LLC Purchase Order No.
5925 EAST 122ND STREET Terms
CARMEL, IN 46033 Due Date 4/11/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/11/2014 11443 $860.00
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
Date Officer
VOUCHER # 134759 WARRANT# ALLOWED
3555029 IN SUM OF $
DIRTWORKS LLC
5925 EAST 122ND STREET
CARMEL, IN 46033
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
11443 01-6360-06 $860.00
Voucher Total $860.00
Cost distribution ledger classification if
claim paid under vehicle highway fund