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HomeMy WebLinkAbout216382 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1 k' ONE CIVIC SQUARE DIRTWORKS LLC i CHECK AMOUNT: $40.00 CARMEL, INDIANA 46032 5926 E 122ND STREET ti-ate CARMEL IN 46033 CHECK NUMBER: 216382 CHECK DATE: 1115/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 9349 40 . 00 OTHER EXPENSES v%irtw®rks, LLC 5925 East 122nd Street Invoice Carmel, M 46033 Phone # (317)428-8210 Fax # (317)846-0338 Date Invoke # 12/31/2012 9349 Bill:To City of Carmel Utilities 3450 West 131st Street Westfield,IN. 46074 Due�Date 2/1/2013 Date � � Description � Qty � � Rate Amount 12/5/2012 Ticket#538138,Thistle Court by#72 1 20.00 20.00 Same by#70 1 20.00 20.00 -If Your Account is 60 Days Past Due-----Your Account Will be Closed until Payment Is Received! Total $40.00 - — -- LB.atanc D u e $40.00 Prescribed by State Board of Accounts I 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 12/30/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 9349 $40.00 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 i�////3 Yk Date Officer VOUCHER # 123242 WARRANT # ALLOWED 3555029 IN SUM OF $ DIRTWORKS LLC 5925 EAST 122ND STREET CARMEL, IN 46033 Carmel Water Utility ON UNT OF APPROPRIATION FOR Board members PO # INV# ACCT# AMOUNT Audit Trail Code 9349 01-6360-06 $40.00 Voucher Total $40.00 Cost distribution ledger classification if claim paid under vehicle highway fund