222524 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 358125 Page 1 of 1
ONE CIVIC SQUARE THE ORIGINAL DIRT COMPANY CHECK AMOUNT: $1,498.00
CARMEL, INDIANA 46032 1801 W 151ST STREET
WESTFIELD IN 46074-9538 CHECK NUMBER: 222524
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4638 1, 498 . 00 OTHER EXPENSES
The Original Dirt Company Invoice
1801 West 151 St Street
W'estfield. INI =1647
Date Invoice#
317-714-0658 7115/2073 4638
Bill To Ship To
City of Carmel Sales order:4726,4275
3450 W, 131 st Street Sales order 4726 Steve
Carmel, 111\46074 Callahan got a total 2 loads
Fax:733-2053 at 12 yards per load.
P.O.Number Terms Rep Ship Via F.D.B. Project
711 5/2013 I31
Quantity Item Code Description Price Each Amount
107 Pulverized topsoil Screened Pulverized topsoil. 14.00 1,448.00
Thank you for your business.
Total 51,448.00
VOUCHER # 132222 WARRANT # ALLOWED
358125 IN SUM OF $
THE ORIGINAL DIRT COMPANY
2640 Old Vines Drive
Westfield, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4638 01-6200-06 $1,498.00
Voucher Total $1,498.00
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
358125
THE ORIGINAL DIRT COMPANY Purchase Order No.
2640 Old Vines Drive Terms
Westfield, IN 46074 Due Date 7/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/18/2013 4638 $1,498.00
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