HomeMy WebLinkAbout204547 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $380.00
CARMEL, INDIANA 46032 5925 E 122ND STREET
CARMEL IN 46033 CHECK NUMBER: 204547
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7430 380.00 CONT SERVICES OTHER
Dirtiv®rks, LLC
5925 East 122nd Street Invo`Ce
Carmel, IN 46033 Date Invoice
Phone 317) 428 -8210 Fax 317) 846 -0338
11/30/2011 7430
Bill To
City of Carmel Utilities
3450 West 131st Street
Westfield, IN. 46074
Due Date
1/1/2012
Date Description Qty Rate Amount
11/4/2011 Ticket #389949, Shop by #72 3 20.00 60.00
Same by #70 2 20.00 40.00
Same by #145 2 20.00 40.00
11/14/2011 Ticket #541960, Carmel Dig by #145 1 20.00 20.00
Same by #72 1 20.00 20.00
11/15/2011 Ticket #541986, Shop by #72 4 20.00 80.00
Same by #145 5 20.00 100.00
Ticket #520695, Shop by #145 20.00 20.00
If Your Account is 60 Days Past Due -Your Account Will be Closed until
Payment Is Received! TOtal $380.00
Balance Due $380.00
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 12/6/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/2011 7430 $380.00
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
1 a�
Date Officer
VOUCHER 113175 WARRANT ALLOWED
3555029 IN SUM OF
DIRTWORKS LLC
5925 EAST 122ND STREET
CARMEL, IN 46033 WAS
O -now
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7430 01- 6360 -06 $380.00
Voucher Total $380.00
Cost distribution ledger classification if
claim paid under vehicle highway fund