300957 07/25/16 •t CSA.
CITY OF CARMEL, INDIANA VENDOR: 355029
431 ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $*****1,140.00*
CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK NUMBER: 300957
CARMEL IN 46033 CHECK DATE: 07/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 16599 1,140.00 GROUNDS MAINTENANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
DIRTWORKS LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
5925 E 122ND STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,140.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)). AMOUNT
16599 43-504.00 $1,140.00 1 hereby certify that the attached invoice(s),or 6/30/16 16599 Hauling $1,140.00
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday,July 12,2016
J
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Dirtworks, LLC
Invoice
5925 East 122nd Street
Carmel, IN 46033
pate t �n�rL '�
Phone # (317)428-8210 Fax # (317)846-0338 ..;
6/30/2016 16599
City of Carmel Utilities
3450 West 131st Street
Westfield,IN.46074
h T
8/1/2016
6/7/2016 Ticket#075470,Brookshire Golf Course by#211 t 5 j► e-c-� 7 30.00 210.00
6/8/2016 Ticket#061010,Shop by#72 2 20.00 40.00
Same by#70 1 20.00 20.00
Ticket#060987,Brookshire Golf Course by#211 5 t-rel� 5 30.00 150.00
6/9/2016 Ticket#282468, 116th&Haverstick by#70 1 20.00 20.00
Ticket#061119,Brookshire Golf Course by#211 S�T�k 6 30.00 180.00
Ticket#061149,Carmel Water by#210 1 30.00 30.00
Ticket#281924,Street Dept by#209 5 V'C'GL 2 30.00 60.00
6/10/2016 Ticket#282487,Shop by#209 , 5 k - t 3 30.00 90.00
Ticket#282491,Brookshire Golf Course by#211 7 30.00 210.00
Ticket#282567, 116th&Haverstick by#210 1 30.00 30.00
6/13/2016 Ticket#951298,Brookshire Golf Course by#211S SGL 5 30.00 150.00
Ticket#951330,Carmel Water Dept.by#210 2' 1 30.00 30.00
6/14/2016 Ticket#952114,Brookshire Golf Course by#211 54-f 2 30.00 60.00
6/17/2016 Ticket#402331,Shop by#72 2 20.00 40.00
Same by#70 2 20.00 40.00
-- Ticket#681411;-Shop by#172 1 20.00 20.00
Same by#145 1 20.00 20.00
6/21/2016 Ticket#402341, 146th&Oakridge by#72 1 20.00 20.00
Same by#145 1 20.00 20.00
6/22/2016 Ticket#504055,Shop by#210 6 30.00 180.00
6/24/2016 Ticket#305601,Shoshone Toswago by#70 1 20.00 20.00
Same by#72 1 20.00 20.00
Ticket#504800,Shop Water Dept by#205 4 30.00 120.00
6/27/2016 Ticket#603375,Water Dept.,Shop by#205 4 30.00 120.00
6/28/2016 Ticket#704083,Shop by#210 5 30.00 150.00
-If Your Account is 60 Days Past Due-Your Account Will be Closed until
Payment Is Received! TO
tal $2,050.00
�01 $2,050.00 .
Balance Due
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