207988 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 358125 Page 1 of 1
ONE CIVIC SQUARE THE ORIGINAL DIRT COMPANY
CARMEL, INDIANA 46032 1801 W 151ST STREET CHECK AMOUNT: $492.00
WESTFIELD IN 46074 -9538
CHECK NUMBER: 207988
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4221 492.00 OTHER EXPENSES
2012 -04 -02 10:16 HOME 3178182688 7332053 P1/1
The Original Dirt Company Invoice
1801 West 151 st Street Date Invoice 0
Westfield, IN 46074
317- 714 -0658 4/2/2012 4221
Bill To Ship To
City of Carmel Sales order: 3765
3450 W. 131 st Street
Carmel, IN 46074
Fax: 733-2053
P.O. Number Terms Rep Ship Vie F.O.B. Project
3/29/2012 gray
Quantity Item Code Description Pace Each Amount
41 Pulverized topsoil Screened Pulverized topsoil. 12.00 492.00
Thank you for your business.
Total $492.00
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
358125
THE ORIGINAL DIRT COMPANY Purchase Order No.
2640 Old Vines Drive Terms
Westfield, IN 46074 Due Date 4/2/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2012 4221 $492.00
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 114142 WARRANT ALLOWED
358125 IN SUM OF
THE ORIGINAL DIRT COMPANY
2640 Old Vines Drive
Westfield, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1 4221 01- 6200 -06 $492.00
Voucher Total $492.00
Cost distribution ledger classification if
claim paid under vehicle highway fund