HomeMy WebLinkAbout207841 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
ONE CIVIC SQUARE DIRTWORKS LLC
CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK AMOUNT: $180.00
CARMEL IN 46033
CHECK NUMBER: 207841
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7931 180.00 OTHER EXPENSES
Dirtworks, LLC
5925 East 122nd Street hwoice
Carmel, IN 46033 Date Invoice
Phone (317) 428 -8210 Fax (317) 846 -0338
3/31/2012 7931
Bill To
City of Carmel Utilities
3450 West 131 st Street
Westfield, IN. 46074
1� Due Date
5/1/2012
Date Description Qty Rate Amount
3/20/2012 Ticket #538930 by #72 3 20.00 60.00
3/26/2012 Ticket #467956, 3rd Ave by #70 2 20.00 40.00
Same by #72 1 20.00 20.00
3/29/2012 Job -Shop, Ticket #600174 by #70 1 20.00 20.00
Same by #72 1 20.00 20.00
Same by 145 1 20.00 20.00
-If Your Account is 60 Days Past Due -Your Account Will be Closed until
Payment Is Received! Tote $180.00
Balance Due $180.00
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 4/3/2012
n
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/3/2012 7931 $180.00
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 114169 WARRANT ALLOWED
3555029 IN SUM OF
DIRTWORKS LLC
5925 EAST 122ND STREET
CARMEL, IN 46033
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7931 01- 6360 -06 $180.00
Voucher Total $180.00
Cost distribution ledger classification if
claim paid under vehicle highway fund