HomeMy WebLinkAbout240973 1 /13/2015 Cqq.
" CITY OF CARMEL, INDIANA VENDOR: 355029
4 ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $*******380.00*
CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK NUMBER: 240973
g CARMEL IN 46033 CHECK DATE: 01/13/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 13227 380.00 OTHER EXPENSES
Iffirtworks, LLC
5925 East 122nd Street Invoice
Carmel, IT 46033
Phone # (317)428-8210 Fax # (317)846-0338 Date` InvO1Ce #
12/31/2014 13227
Btil.To
City of Carmel Utilities
3450 West 131st Street
Westfield, IN. 46074
Duey - a fe
2/1/2015
Date Description Qty Rate Amount
12/1/2014 Ticket 9360882,North Sewer Shop by#72 1 20.00 20.00
12/2/2014 Ticket#360931, 141st&Towne Rd by#70 1 20.00 20.00
Same by#72 3 20.00 60.00
12/3/2014 Ticket#461870, Slot Bin by#145 4 20.00 80.00
Same by 470 4 20.00 80.00
Same by#72 4 20.00 80.00
12/12/2014 Ticket#137629, Adios Pass by#72 2 20.00 40.00
-If Your Account is 60 Days Past Due-----Your Account Will be Closed until
Payment Is Received! 3nce Due.Total $380.00
$380.00
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 . 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 13227 $380.00
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 # 142667 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
13227 01-6360-06 $380.00
1
Voucher Total $380.00
Cost distribution ledger classification if
claim paid under vehicle highway fund