HomeMy WebLinkAbout214612 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
�f ONE CIVIC SQUARE DIRTWORKS LLC
CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK AMOUNT: $340.00
?� CARMEL IN 46033
CHECK NUMBER: 214612
CHECK DATE: 11/2012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8998 340 . 00 OTHER EXPENSES
Dirtw®rks, LLC
5925 East 122nd Street Invoice
Carmel, IN 46033 Date Invoice #
Phone # (317)428-8210 Fax # (317)846-0338
10/31/2012 8998
Bill To
City of Carmel Utilities
3450 West 131 st Street
Westfield,IN.46074
Wbu
Due Date
12/1/2012
Date Description Qty Rate.. Amount
10/1/2012 Ticket#266782, 146th St by#70 1 20.00 20.00
10/4/2012 Ticket#654662, 1185 Hufford Lane by#70 1 20.00 20.00
10/17/2012 Ticket#411321,Job Site by#70 1 20.00 20.00
10/25/2012 Ticket#593361,Shop by#70 3 20.00 60.00
Same by#72 3 20.00 60.00
Same by#145 2 20.00 40.00
10/29/2012 Ticket#593533, Shop by#145 2 20.00 40.00
Same by#70 2 20.00 40.00
Same by#72 2 20.00 40.00
-If Your Account is 60 Days Past Due-----Your Account Will be Closed until
Payment Is Received! TTOtal $340.00
Balance-u.ule�—$340:00
VOUCHER # 122712 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
8998 01-6360-06 $340.00
Voucher Total $340.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 11/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/12/201', 8998 $340.00
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 Officer