HomeMy WebLinkAbout238354 10/21/14 u�.G�A,y
fi' t CITY OF CARMEL, INDIANA VENDOR: 355029
{, ® r ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $ .....640.00"
},. rq CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK NUMBER: 238354
'Mlj�N L�\ CARMEL IN 46033 CHECK DATE: 10/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 12647 640.00 OTHER EXPENSES
Dirtworks, LLC
5925 East 122nd Street Invoice
Carmel, IN 46033
Phone # (317)428-8210 Fax # (317)846-0338 Date I111/olCe
9/30/2014 12647
Bill:To _
City of Carmel Utilities
3450 West 131st Street
Westfield, IN. 46074
Dire.;Date`
11/1/2014
Date Description ON Rate : Amount
9/3/2014 Ticket#797948, Shop by#70 1 20.00 20.00
9/15/2014 Ticket#580349, 398 Ventura Ct by#72 2 20.00 40.00
9/18/2014 Ticket#588093, Shop by#70 3 20.00 60.00
Same by#72 4 20.00 80.00
9/19/2014 Ticket#487936, Shop by#72 4 20.00 80.00
Same by#70 4 20.00 80.00
Same by#145 5 20.00 100.00
9/22/2014 Ticket#488055, Shop by#72 3 20.00 60.00
Same by#70 3 20.00 60.00
9/25/2014 Ticket#496891,Bridle Court by#72 1 20.00 20.00
Same by#70 1 20.00 20.00
9/26/2014 Ticket#496985, Shop by#72 1 20.00 20.00
I
-If Your Account is 60 Days Past Due----Your Account Will be Closed until
Ij Payment Is Received! Total $640.00
i
lan c® Du
e $640.00
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 10/13/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201, 12647 $640.00
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
Date Officer
VOUCHER # 142041 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
12647 01-6360-06 $640.00
Voucher Total $640.00
Cost distribution ledger classification if
claim paid under vehicle highway fund