HomeMy WebLinkAbout248784 08/26/15 " CITY OF CARMEL, INDIANA VENDOR: 355029
b i ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $ .....460.00*
�., CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK NUMBER: 248784
CARMEL IN 46033 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 14368 460.00 OTHER EXPENSES
ir ®rks9 LLC
5925 East 122nd Street Invoice
Carmel, IN 46033
Phone # (317)428-8210 Fax # (317)846-0338 Date` InVO1Ce #
7/31/2015 14368
Bail;To ,
City of Carmel Utilities
3450 West 131st Street
Westfield,IN. 46074
DueDate
9/1./2015
Date = Descrjption = Q#y Rate 'Amount
7/1/2015 J Ticket#174491, Shop by#70 1 20.00 20.00
7/13/2015 -/Ticket#414694, Shop by#70 1 20.00 20.00
7/14/2015 -/Ticket#418772, Shop by#70 1 20.00 20.00
7/15/2015 ✓Ticket#418504,Thistlewood& 136th by#72 1 20.00 20.00
7/16/2015 /Ticket#418555, Slot Bin by#70 4 20.00 80.00
Same by#145 4 20.00 80.00
Same by#72 4 20.00 80.00
7/20/2015 J Ticket#084558, Shop by#72 1 20.00 20.00
Same by#70 1 20.00 20.00
7/21/2015 /Ticket#142161,Lexington Blvd by#72 1 20.00 20.00
Same by#70 2 20.00 40.00
7/24/2015 Jficket#186090, 960 N.Rangeline Rd 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! Total $460.00
lanc Ljue
$460.00
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 8/10/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/10/2015 14368 $460.00
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 # 152772 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
14368 01-6360-06 $460.00
Voucher Total $460.00
Cost distribution ledger classification if
claim paid under vehicle highway fund