HomeMy WebLinkAbout203418 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
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ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032 5925 E 122ND STREET
r CARMEL IN 46033 CHECK NUMBER: 203418
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7261 500.00 OTHER EXPENSES
Dirtw®rks, LLC
5925 East 122nd Street Mvace
Carmel, IN 46033 Date Invoice
Phone 317) 428 -8210 Fax 317) 846 -0338
10/31/2011 7261
Bill To
City of Carmel Utilities
3450 West 131 st Street
Westfield, IN. 46074
Due Date
12/1/2011
Date Description Qty Rate Amount
10/4/2011 Ticket #428923, Shop by #70 6 20.00 120.00
10/5/2011 Shop by #72 1 20.00 20.00
10/6/2011 Ticket #828532, Shop by #70 2 20.00 40.00
Same by #72 2 20.00 40.00
Same by #145 2 20.00 40.00
10/14/2011 Ticket #527753, Shop by #70 #72 2 20.00 40.00
10/17/2011 Ticket #528878, Shop by #145 1 20.00 20.00
Same by #72 1 20.00 20.00
10/28/2011 Ticket #827719 by #72 4 20.00 80.00
Same by #145 4 20.00 80.00
-If Your Account is 60 Days Past Due -Your Account Will be Closed until
Payment Is Received! Total $500.00
Balance Due $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 11/3/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2011 7261 $500.00
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
VOUCHER 112823 WARRANT ALLOWED
3555029 IN SUM OF
DIRTWORKS LLC
5925 EAST 122ND STREET
CARMEL, IN 46033 EF�TER
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7261 01- 6360 -06 $500.00
Voucher Total $500.00
Cost distribution ledger classification if
claim paid under vehicle highway fund