HomeMy WebLinkAbout198481 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
ONE CIVIC SQUARE DIRTWORKS LLC
CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK AMOUNT: $500.00
CARMEL IN 46033
CHECK NUMBER: 198481
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6478 500.00 CONT SERVICES OTHER
Dirtworks, LLC
5925 East 122nd Street Invo`Ce
Carmel, IN 46033
Phone (3 17) 428 -8210 Fax (317) 846 -0338 Date_ (nVO1Ce
5/31/2011 6478
Bill To
City of Carmel Utilities
3450 West 131st Street
Westfield, IN. 46074
��.Due° DateA�
7/1/2011
Date Description Qty Ratef. Amount
5/4/2011 Ticket #237002, Shop by #70 1 20.00 20.00
ame by #72 1 20.00 20.00
5/5/2011 /Ticket #237068, Monon Center by #72 1 20.00 20.00
5/12/2011 v Ticket #661268, Shop by 972 1 20.00 20.00
Same by #145 1 20.00 20.00
5/13/2011 f ticket #661357, 141st Shelborne by #70 2 20.00 40.00
Same by #72 1 20.00 20.00
5/16/2011 tricket #21 5451, Shop by #72 2 20.00 40.00
Same by #70 2 20.00 40.00
Same by #145 2 20.00 40.00
5/17/2011 fticket 9215507, Shop by #70 4 20.00 80.00
Same by #72 3 20.00 60.00
5/19/2011 icket #214354, Shop by #72 1 20.00 20.00
I Same by #70 l 20.00 20.00
5/20/201 "1 icket #274419, Shop by #72 1 20:00 20:00
Same by #70 l 20.00 20.00
-If Your Account is 60 Days Past Due -Your Account Will be Closed until
Payment Is Received! IETOtal $500.00
a I Ga repul c $500.00
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 6/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2011 6478 $500.00
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
AI
Date Officer
VOUCHER 111474 WARRANT ALLOWED
3555029 IN SUM OF
DIRTWORKS LLC
5925 EAST 122ND STREET
CARMEL, IN 46033 WA` M
OPMA 60NS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6478 01- 6360 -06 $500.00
Voucher Total $500.00
Cost distribution ledger classification if
claim paid under vehicle highway fund