186454 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 358125 Page 1 of 1
ONE CIVIC SQUARE THE ORIGINAL DIRT COMPANY
CHECK AMOUNT: $72.00
CARMEL, INDIANA 46032 1aoiw1sisTSTREET
WESTFIELD IN 46074 -9538 CHECK NUMBER: 186454
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3372 72.00 MATERIALS SUPPLIES
The Original Dirt Company Invoice
1801 West 151 st Street Westfield, IN 46074 I) ORIGINAL Date Invoice
317- 714 -0658 5/14/2010 3372
Bill To Ship To
Cily ul' C:armcl SIIIcS urdcr. 26 17
.14 W. 13 S treti
W 1N N 41;074 074
Fax: 733-2053
P.Q. iNUmW Terms Rep Ship Via F.Q_B. Project
S/l11/20 (r 32
Quantity Item Code Description Price Each Amount
6 I ulvcrived topsuil Screened Pulverized topsoil. 12,00 72
'Iburrk you for your business.
T 0 ota l $72.00
VOUCHER 101764 WARRANT ALLOWED
355125 IN SUM OF
THE ORIGINAL DIRE COMPANY
Westfield, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3372 01- 8200 -04 $72.00
Voucher Total $72.00
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
358125
THE ORIGINAL DIRT COMPANY Purchase Order No.
2640 Old Vines Drive Terms
Westfield, IN 46074 Due Date 6/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2010 3372 $72.00
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