208664 05/10/2012 *f CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
ONE CIVIC SQUARE DIRTWORKS LLC
CARMEL, INDIANA 46032
5925 E 122ND STREET CHECK AMOUNT: $1,180.00
CARMEL IN 46033 CHECK NUMBER: 208664
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7996 1,180.00 OTHER EXPENSES
Dirtw®rks, LLC
5925 East 122nd Street 'mace
Carmel, IN 46033
Phone 317) 428 -8210 Fax 317) 846 -0338 Date InV01C2
4/30/2012 7996
Bill To
City of Carmel Utilities
3450 West 131 st Street
Westfield, IN. 46074
:Due Date
6/l/20 12
Date Description Qty Rate Amount
4/2/2012 Ticket 4641960, Shop by #72 2 20.00 40.00
Same by #70 1 20.00 20.00
4/4/2012 Ticket #480184, Shop by #70 2 20.00 40.00
Same by #72 2 20.00 40.00
4/11/2012 Ticket #436334, 126th St by #72 1 20.00 20.00
4/17/2012 Ticket #436364, Shop by #145 3 20.00 60.00
Same by #72 3 20.00 60.00
Same by #70 1 20.00 20.00
4/18/2012 Ticket #519072, 111th College by #72 5 20.00 100.00
Same by #145 3 20.00 60.00
Same by #70 4 20.00 80.00
4/19/2012 Ticket #638660, Shop by #145 2 20.00 40.00
Same by #70 2 20.00 40.00
Same b #72 1 20.00 20.00
4/20720f2 Ticket #638691, Shop by #70 1 20.00 20.00
4/23/2012 Ticket #536431, 111th College by #72 3 20.00 60.00
Same by 145 3 20.00 60.00
Same by #70 3 20.00 60.00
4/24/2012 Ticket #538841, 111th College by #72 1 20.00 20.00
Same by 145 1 20.00 20.00
4/26/2012 Ticket #619631, Shop by #70 1 20.00 20.00
Same by 72 1 20.00 20.00
Same by #145 1 20.00 20.00
ame by #114 1 20.00 20.00
4/27/2012 Ticket #718566, Shop by #145 1 20.00 20.00
Same by #70 5 20.00 100.00
Same by #72 4 20.00 80.00
t /3/ m 2O Ticket #419291, Shop by #72 1 20.00 20.00
Account is 60 Da ys Past Due -Your Account Will be Closed until
Is Received! Total $1,180.00
Balance Due $1,180.00
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 5/3/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/3/2012 7996 $1,180.00.
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
/Ca
Date Officer
VOUCHER 114525 WARRANT ALLOWED
3555029 IN SUM OF
DIRTWORKS LLC
5925 EAST 122ND STREET
CARMEL, IN 46033
a
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
P O INV ACCT AMOUNT Audit Trail Code
7996 01- 6360 -06 $1,180.00
y
'rFx
R'?Y
Voucher Total $1,180.00
Cost distribution ledger classification if
cairn paid under vehicle highway fund