178325 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 358125 Page 1 of 1
ONE CIVIC SQUARE THE ORIGINAL DIRT COMPANY
CARMEL, INDIANA 46032 1601 W 151ST STREET CHECK AMOUNT: $660.00
WESTFIELD IN 46074 -9538
CHECK NUMBER: 178325
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08978 3069 660.00 TOPSOIL
!'R
The Original Dirt Company I
1801 West 151st Street
Date Invoice
Westfield, IN 46074
317 714 -0658 9/23/2009 3069
Bill To Ship To
City of Carmel Sales order: 1607, 1606, 1614,
3450 W. 131st Street 1613, 1612, 1611, 1610, 1615,
Westfield IN 46074 1618, 1617, 1619
Fax: 733 -2053
P.O. Number Terms Rep Ship Via F.O.B. Project
9/17/2009 32
Quantity Item Code Description Price Each Amount
55 Pulverized topsoil Screened Pulverized topsoil. 12.00 660.00
Thank you for your business. Total otal $660.00
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCH
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 10/6/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2009 3069 $660.00
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 O fer
VOUCHER 093196 WARRANT ALLOWED
yf,58125 IN SUM OF
THE ORIGINAL DIRT COMP Nl�
:'1 Old Vines Drive'
r
Westfield, IN 46074
0i Z'
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3069 01- 6200 -06 $660.00
Voucher Total $660.00
Cost distribution ledger classification if
claim paid under vehicle highway fund