245101 5 /13/2015 y u!_.Ttgq*
CITY OF CARMEL, INDIANA VENDOR: 355029
`� CHECK AMOUNT: $*******320.00*
ONE CIVIC SQUARE DIRTWORKS LLC
s? CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK NUMBER: 245101
9+i��_.r!a, CARMEL IN 46033 CHECK DATE: 05/13/15
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 13763 320.00 OTHER EXPENSES
Dirtworks, LLC
5925 East 122nd Street Invoice
Carmel, IN 46033
Phone # (317)428-8210 Fax# (317)846-0338
4/30/2015 13763
1101 oOMMMMOMEM
City of Cannel Utilities
3450 West 131st Street
Westfield,IN.46074
6/1/2015
Date DseQn :: Q C � ' �►mou�t
4/1/2015 Ticket#306188,Slop Bin by#145 2 20.00 40.00
Same by#70 1 20.00 20.00
4/2/2015 Ticket#263868,Slop Bin by#145 3 20.00 60.00.
Same by#70 3 20.00 60.00
4/3/2015 Ticket#263937,Slop Bin by#145 2 20.00 40.00
Same by#70 1 20.00 20.00
4/14/2015 Ticket#289600, Shop by#145 1 20.00 20.00
Same by#70 1 20.00 20.00
4/29/2015 Ticket#384325,Woodfield Dr by#70 2 20.00 40.00
-If Your Account is 60 Days Past Due----Your Account Will be Closed until Total $320.00
Payment Is Received!
Balance Due $320.00
VOUCHER# 151725 WARRANT# ALLOWED
3555029 IN SUM OF $
DIRTWORKS LLC
5925 EAST 122ND STREET
CARMEL, IN 46033
I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT 1 Audit Trail Code
�j
13763 01-6360-06 $320.00 ti
it
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a
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Voucher Total $320.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
.I
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, b whom, rates per da number of units
y � y� ,
price per unit, etc.
Payee
3555029
DIRTWORKS LLC Purchase Order No.
5925 EAST 122ND STREET Terms
CARMEL, IN 46033 Due Date 5/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2015 13763 $320.00
I
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
If A/y
Date Officer