190893 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 358125 Page 1 of 1
ONE CIVIC SQUARE THE ORIGINAL DIRT COMPANY
CHECK AMOUNT: $1,176.00
CARMEL, INDIANA 46032 1801 W 751ST STREET
WESTFIELD IN 46074 -9538 CHECK NUMBER: 190893
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3621 468.00 OTHER EXPENSES
601 5023990 3629 708.00 OTHER EXPENSES
The Original Dirt Company Invoice
1801 West 151 st Street
Westfield, IN 46074 Date Invoice
317 -714 -0658 9/2112010 1621
8111 To Ship To
Cily ol'C:armel SnIcs order. 2931. 2932, 2934
3450 W. 13Ist'weet
C'urmel, IN 46074
Pau: 733 -2453
W
P.O. Number Terms Rep Ship Via F.O.B. Project
912112010 32
Quantity Item Code Description Price Each Amount
39 Pulverized topsoil Screened Pulverized topsoil, 1200 46x.00
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1 hank Y
uu for our business.
Y
Total $468.00
rp
The Original Din Company Invoice
1801 West 15 st Street
Westfield, IN 46074 ff9124170 e Invoice
317 714 -0658 10 3629
Bill To
Ship To
City orC.armcl
3450 W, 131 s( Strucl Saks order 29,37
Cemiel, IN 405194 t f
Fax! 713-7053
W�
P.O. Number Terms
Rep Ship via F.O.6. Project
9/23/2010 32
Quantity Item Cody Description
Price Each Amount
59 Pulverized topsoil !Screened P111yerized (opsod.
12.00 7()13.051
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1
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('hank you 14 your husines, 'j.
Total S708.00
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VOUCHER 102916 WARRANT ALLOWED
358125 IN SUM OF
THE ORIGINAL DIRT COMPANY
2640 Old Vines Drive,
Westfield, IN 46074 to
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3621 01- 6200 -06 $468.00
Voucher Total 1 a Co $468.00
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 10/4/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2010 3621 $468.00
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 O icer