HomeMy WebLinkAbout211702 08/14/2012 - CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $565.00
{ CARMEL, INDIANA 46032 5925 E 122ND STREET
-c�• CARMEL IN 46033
CHECK NUMBER: 211702
CHECK DATE: 8/1412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8586 565 . 00 CONT SERVICES OTHER
Dirtw®rks, LLC
5925 East 122nd. Street Invoice
Carmel, IN 46033
Phone # (317)428-8210 Fax # (317)846-0338 Date I(1voiCe
7/31/2012 8586
Bill To
City of Carmel Utilities
3450 West 131 st Street ,
Westfield,IN.46074
Due Date
9/1/2012
Date Description Qty Rate Amount
7/11/2012 Ticket#429486, Wellside by#145 3 20.00 60.00
7/12/2012 o7icket 9819013, Shop Worksite by#145 2 20.00 40.00
to Ticket#819013,Shop Worksite by#70 2 20.00 40.00
7/13/2012 Ticket#819036,Shop by#203,Tandem 4 25.00 100.00
7/19/2012 Ticket#737764,Wendys by#72 1 20.00 20.00
7/23/2012 v Ticket#728810, Shop Concrete 2 20.00 40.00
7/24/2012 v Ticket#728836, Winterwood by#70 2 20.00 40.00
7/25/2012 Ticket#728989,Main St by#202 1 25.00 25.00
Ticket#728989,Shop by#72 1 20.00 20.00
7/26/2012 Ticket#728905,Oak Ridge Rd by#70 4 20.00 80.00
Same by#72 3 20.00 60.00
Same by#145 2 20.00 40.00
-If Your Account is 60 Days Past Due-----Your Account Will be Closed until
Payment Is Received! IF—Total $565.00
Balance Due $565.00
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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 8/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/8/2012 8586 $565.00
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
If/16 �-�, -
Date Officer
VOUCHER # 121817 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
8586 01-6360-06 $565.00
Voucher Total $565.00
Cost distribution ledger classification if
claim paid under vehicle highway fund