176720 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
ONE CIVIC SQUARE DIRTWORKS LLC
CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK AMOUNT: $10.00
CARMEL IN 46033
CHECK NUMBER; 176720
CHECK DATE: 9/2/2009
DEP ARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOU DESCRIPTION
601 5023990 3879 10.00 OTHER EXPENSES
Dir•tworks, LLC
5925 East 122nd Street invoice
Carmel, IN 46033 Date Invoice
Phone #(317) 428 -8210 Fax #(317) 846 -0338
7/31/2009 3 879
Bill To
City of Carmel Works Dept
One Civic Square
N Carmel, IN. 46032
Du6 Nit e 9/l/2009
Date Description Qty Rate Amount
7/1/2009 Ticket #035478, Plant 4- Brush 1. 10.00 10.00
"your Account is 60 Days Past Due -Your Account Will be L Total $10.00
Closed until Payment Is Received!
a Q an C e ue oo
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 8/26/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/2009 3879 $10.00
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 092815 WARRANT ALLOWED
3555029 IN SUM OF
DIRTWORKS LLC
5925 EAST 122ND STREET
CARMEL, IN 46033 O
A t
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3879 01- 6200 -04 $10.00
Voucher Total $10.00
Cost distribution ledger classification if
claim paid under vehicle highway fund