244220 4 /15/2015 v% CITY OF CARMEL, INDIANA VENDOR: 355029
j ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: 5*******180.00*
CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK NUMBER: 244220
�yiraN.�` CARMEL IN 46033 CHECK DATE:, 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 13543 180.00 OTHER EXPENSES
Dir ®rks, LLC
5925 East 122nd Street Invoice
Carmel, IN 46033
Phone'# (317)428$210 Fax# (317)84C-0338 �a'�� �IUCalC4
3/31/2015 13543
B�11 T�
City of Carmel Utilities
3450 West 131st Street
Westfield,IN.46074
_Due,_Dafe
5/1/2015
Dai Dse� o Q la A►;n ont
3/3/2015 Ticket#170268,High Drive by#70 1 20.00 20.00
3/4/2015 Ticket#170300,Autumn Drive at 3rd Ave by#70 1 20.00 20.00
Same by#72 1 20.00 20.00
3/5/2015 Ticket#171373,Eden Glen by#70 1 20.00 20.00
3/6/2015 Ticket#171410,Woodcreek by#70 1 20.00 20.00
3/17/2015 Ticket#303334,Emerson by#151 1 20.00 20.00
3/19/2015 Ticket#501288,522 Chauncey Lane by#70 1 20.00 20.00
3/20/2015 Ticket#501409,Lakewood Dr by#72 1 20.00 20.00
Same by#70 1 .20.00 20.00
-If Your Account is 60 Days Past Due---Your Account Will be Closed until
Payment Is Received! TO$�I $180.00
Balance Due $180.00
VOUCHER # 151423 WARRANT# ALLOWED
3555029 �
IN SUM OF $
DIRTWORKS LLC
5925 EAST 122ND STREET
CARMEL, IN 46033 �{
Carmel Water Utility +
ON ACCOUNT OF APPROPRIATION FOR
II
i�
Board members
i
PO# INV# ACCT# AMOUNT " Audit Trail Code
13543 01-6360-06 $180.00
4
1�
ll
I�
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Voucher Total $180.00
Cost distribution ledger classification if 1
claim paid under vehicle highway fund
Prescribed by State Board of Accounts i 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 4/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2015 13543 $180.00
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