HomeMy WebLinkAbout212558 09/12/2012 *f CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
0 ONE CIVIC SQUARE DIRTWORKS LLC
CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK AMOUNT: $620.00
CARMEL IN 46033
CHECK NUMBER: 212558
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8702 620 . 00 OTHER EXPENSES
Dirt works, LLC
5925 East 122nd Street InvoiCB
Carmel, IN 46033
Phone # (317)428-8210 Fax # (317)846-0338 Date lnvoiCe
8/31/2012 8702
Bill To
City of Carmel Utilities
3450 West 131st Street
Westfield,IN.46074
Due Date .
10/1/2012
Date Description - - Qty - Rate Amount
8/2/2012 Ticket#173063,Carmel High School by#72 1 20.00 20.00
Ticket#472047,Carmel High School by#70 2 20.00 40.00
8/6/2012 Ticket#519164,Shop by#70 1 20.00 20.00
Same by#72 2 20.00 40.00
8/7/2012 Ticket#519121,271 Pograhaven Dr by#70 1 20.00 20.00
8/14/2012 Ticket#405261 by#72 1 20.00 20.00
8/20/2012 Ticket#821833, Shop by#72 3 20.00 60.00
Same by#70 3 20.00 60.00
8/21/2012 Ticket#821903,Shop by#72 3 20.00 60.00
Same by#70 2 20.00 40.00
8/23/2012 Ticket#245417,Shop by#70 1 20.00 20.00
8/24/2012 Ticket#245364,Shop by#145 2 20.00 40.00
Same by#72 1 20.00 20.00
Ticket 3245364,Shop by#70 1 20.00 20.00
8/28/2012 Ticket#245314,Waterplant#4, 106th&Gray by 4 20.00 80.00
#145
8/29/2012 Ticket#246687 by#70 2 20.00 40.00
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! Total $620.00
Balance D $620.00
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 9/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/6/2012 8702 $620.00
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 fficer
VOUCHER # 122061 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
8702 01-6360-06 $620.00
Voucher Total $620.00
Cost distribution ledger classification if
claim paid under vehicle highway fund