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HomeMy WebLinkAbout236811 09/10/14 �'.s.A,F CITY OF CARMEL, INDIANA VENDOR: 355029 ® it ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $**.....520.00* :., CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK NUMBER: 236811 +„roN.�.? CARMEL IN 46033 CHECK DATE: 09/10/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 12465 520.00 OTHER EXPENSES Dirtworks, LLC 5925 East 122nd Street Invoice Carmel, IN 46033 Phone # c317)428-82io Fax # (317)946-0338 :Date ; Invoice # 8/31/2014 12465 City of Carmel Utilities 3450 West l 31 st Street Westfield, IN. 46074 DueV�Date 10/1/2014 Date Description ;Qty Rate Amount 8/4/2014 Ticket#453569, Gray&Main St by#145 1 20.00 20.00 Same by#70 1 20.00 20.00 8/5/2014 Ticket#453618; 126th&Brookshire by#70 1 20.00 20.00 8/6/2014 Ticket#453726, 98th&Haverstick by#70 1 20.00 20.00 Same by#145 1 20.00 20.00 8/7/2014 Ticket#737891, Shop by#72 1 20.00 20.00 Ticket#737891, Shop by#70 2 20.00 40.00 8/8/2014 Ticket#738462; Shop by#70 2 20.00 40.00 Same by#72 3 20.00 60.00 8/14/2014 Ticket#937865, 126th&Gray by#145 l 20.00 20.00 8/21/2014 Ticket#687962, 11516 McKinsey Parkway by#72 2 20.00 40.00 Same by#70 2 20.00 40.00 8/26/2014 Ticket#787893, Shop by#70 2 20.00 40.00 -Same-by-#72 2 20.00 40.00 8/27/2014 Ticket#787991, Shop by#70 4 20.00 80.00 -If Your Account is 60 Days Past Due-----Your Account Will be Closed until Payment Is Received! Total $520.00 R a=,% =o-% n� C $520.00 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 9/3/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/3/2014 12465 . $520.00 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 # 141679 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 12465 01-6360-06 $520.00 Voucher Total $520.00 Cost distribution ledger classification if claim paid under vehicle highway fund