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HomeMy WebLinkAbout302107 08/22/16 (9, CITY OF CARMEL, INDIANA VENDOR: 355029 ONE CIVIC SQUARE DIRTWORKS LLC CHECKAMOUNT: S*******710.00* CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK NUMBER: 302107 CARMEL IN 46033 CHECK DATE: 08/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 16797 710.00 OTHER EXPENSES VOUCHER# 162282 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 16797 01-6360-06 710.00 Voucher Total 710.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 8/5/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/5/2016 16797 710.00 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 Dirtworks, LLC 5925 East 122nd Street Invoice Carmel, IN 46033 Phone # (317)428-8210 Fax # (317)846-0338 ' Date ��,nV01Ce 7/31/2016 16797 Bill To , City of Carmel Utilities 3.450 West 131st Street Westfield,IN.46074 .Due Date 9/1/2016 Date Description Qty Rate. Amount tr 7/6/2016 Ticket#605823, 116th&College by#70 1 20.00 20.00 Same by#72 1 20.00 20.00 Same by#145 1 20.00 20.00 7/13/2016 Ticket#603393,Shop by#70 1 20.00 20.00 Same by#72 1 20.00 20.00 7/22/2016 Ticket#258633,Shop by#72 4 20.00 80.00 Same by#145 4 20.00 80.00 Same by#70 4 20.00 80.00 Ticket#258694 by#205 2 30.00 60.00 7/25/2016 Ticket#309285,Shop by#72 1 20.00 20.00 Ticket#309284 by#205 F 30.00 30.00 7/26/2016 Ticket#306362, 13913 Adios Pass by#70 2 20.00 40.00 Same by#72 2 20.00 40.00 7/27/2016 Ticket#055825,Street Dept by#210 2 30.00 60.00 ----2 -- 30.00- ----60.00- Ticket#055826,Adios Pass by#70 1 20.00 20.00 Same by#72 2 20.00 40.00 -If Your Account is 60 Days Past Due-----Your Account Will be Closed unhR Payment Is Received! Total $710.00 Balance Due $710.00 N O O V Q V v Fa; .'j 0 po CF.CEF."l:._�_---- 3A'_ — —— v, ADDP=-j5 k W Cl C+;aH i ;.G. �:i�iGE jI.Ar.0 i -T-TF.^:C..) I oo I v i I v {FUd3J. DESUIPTIOtd Li ZI N Ln LU I � , i `0 FEU":ED BY KEEP TNi7 SUP FOR REFERENCE ti N O V w � DP IJ A Dirtworks LLC 317.42 10 or 317 '3 0 Fax 317-84Fr0038 ZIP w _ ml I'i'.I .:r�Y" C.�.p r - -C'1.h 1.T�'a'•:. ,: .�:: J,i m - o W r'nVr}e{• I' J�SC :FTI�W �� MI' iIT v I -.. _. _ w zi L I Ln w I ' f 7 , 1^ I:MENU BY ry VEEP TH. FOR IREFERENGE zt 0 yj U, 58694 258633 .vor!fs 2 5 347-d=e' .1 Fax:3t-,.8�16. "CUSTOMER'S ORDER NO. '-CUSMMER'S OR13ER NO. i DATE DATE �0 wa �lj On r ADDRESS Qp) MY.STATE,ZIP CITY,STATE.PP 7 13Y mfiru rk ACGT 1MUSE.REM PAID OUT CASH C.D.D.1111119GE ACGVMDSE.RETOMAID 0 C" "17, L,)tNJN."Y F W". Ma AM OMRIPTION AMOV ca V OUT A V v 4 -7oi wbo AT, J to si fi v tii tti 12j i1� RECEIVED BY RECMEO By 0146250 KEEP THIS SLIP FOR REFERENCE F762$clve= KEEP THIS SLIP FOR REFERENCE N O O y N N U1 06 Dirtworks LLG 317.42MIO or 317.429.6809Dirtwfl rks LLCpo :f Fmc 317-846033910 317449-8244 --' 31742&ffi nr iE Fac 31744B•0C138 O t SFJ AER,3,%PLER.'•U_l vii ell - 1 - r�7Cr�1.SS w C.'ri.57.4TE,ZE? - —----- —_— - - - - --- -1 0z0l Crry.ST:;=,71 rn -- — w G-i� .i - 'nFTD 1.::f Clfi, as 31:f) r.A3H ;.4(.i ZC.t.. ILgY. �T. ��- fff � �i C�C3'�itlird J. i FR_CFIi1T �v.y t�--� ---� SESUVION 4L w l _ ' 1 O Ch - ----- -- -- - - - I- -- - w ' E------ --- T i �. -- -L--- - - — •---...----- --- -- - - - i Y ,� -- --- - ----- -- -- - { I 1 i-- 1- - - -- -- -- - - - _r-- -t .. t E EiyFD BY 3ECErvED B-i KEEP TMIS SLIP FOR I:FFEF?sr.NCE EP THIS SLIP FOR REFERtMCE t,, zzs N a r Ot d V hl W aiTtworks etc fent 317.$*M Q O LA — -- -- —--—— —�—QCiG•rp LA r is rE 7'.' C) CD A DESCRIPTION fddOONT v _ v RIC T Li 1 W I p 1 4!1 i RECEPJC�5r T < :�4,5 SUP FOR REFERMEVEEF THIS :'' Q rn 0 li li li ulft(>rks LLC 317.44210 or 317.428-M rr: '' ;u Fix 3174*= Qtft0ft LLC * ` 317-4"10 or31317-429M0 28 ClISTOh,M1ER'S ORDER 430. 1 DATE Far 317 Ln CUSTOMER'S ORDER NO. DATE � I MA1�1E i h1AIJ � . � 4DUr�ESS PAOORESS G,ri'.STATE•Z3P 0C7t Ld0- C I CI-f.STATE,ZIP Q SC'D BY I GSH'C.a-9.iCtMGF�G.ACCS.iMDSr.P.�.;PA1D Dit co tt I ! I OLD 8Y I CASH�C,G.D.�CFlARGC Ott.ACGT.MDSE.fiETO_PA,G G'JT v ( UES>rftt4T14t1 A>NI©UlCS �' OUAN OF=IPTION AMOUNT SI 1 W ui e � 31 2 I C� 3! w d 4 5 i S 71 r ay a _ a s 1Q� is 11 ' is 12 12� NEA BY m.n RECER0 BY 7,VD� KEfP F4�lS SUP FOR BEFEREMCE -v ° KEEP THIS SLIP FOR REFERENCE o'.0 •