HomeMy WebLinkAbout217113 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
ONE CIVIC SQUARE DIRTWORKS LLC CHECK AMOUNT: $440.00
CARMEL, INDIANA 46032 5925 E 122ND STREET
CARMEL IN 46033 CHECK NUMBER: 217113
CHECK DATE: 2/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9408 440 . 00 OTHER EXPENSES
Dirtw®rks, LLC
5925 East 122nd Street Invoice
Carmel, IN 46033
Phone # (317)428-8210 Fax # (317)846-0338 Date If1UOICe #
1/31/2013 9408
B1N,To
City of Carmel Utilities
3450 West 131st Street
Westfield,1N. 46074 `
Due Date `
3/1/2013
3 Date} 4 Description Qty Rate< �} Amountr
1/3/2013 Ticket#471446, Shop by#70 6 20.00 120.00
Same by#72 5 20.00 100.00
Same by#145 5 20.00 100.00
1/17/2013 Ticket#429905,Job Site by#72 1 20.00 20.00
Same by#145 1 20.00 20.00
1/25/2013 Ticket#429529, 3659 Gray Wick Dr by 470 1 20.00 20.00
1/31/2013 Ticket#171250, 115 Benit Dr by#145 1 20.00 20.00
Same 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 $440.00
DbWance Due $440.00
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 2/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/5/2013 9408 $440.00
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
VOUCHER # 123500 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
9408 01-6360-06 $440.00
Voucher Total $440.00
Cost distribution ledger classification if
claim paid under vehicle highway fund