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