HomeMy WebLinkAbout224849 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 355029 Page 1 of 1
0 ONE CIVIC SQUARE DIRTWORKS LLC
ro CARMEL, INDIANA 46032 5925 E 122ND STREET CHECK AMOUNT: $220.00
CARMEL IN 46033 CHECK NUMBER: 224849
CHECK DATE: 1018/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 10666 220 . 00 CONT SERVICES OTHER
irtw®rks, LLC
5925 East 122nd Street Invoice
Carmel, IN 46033
Phone # (317)428-8210 Fax # (317)846-0338 pate (f1V01Ce #
9/30/2013 10666
Bill:To
City of Carmel Utilities
3450 West 131 St Street
Westfield,IN.46074
Due Date
11/1/2013
-Date- z Descnptlon Y �� �� "Qty Rate Arriount�
t
9/5/2013 Ticket#771826 a Greentree by#70 1 20.00 20.00
9/6/2013 Ticket#772127,'4962 Flint Ridge Pass by#72 1 20.00 20.00
Ticket#772128,4 Carmel Water by#70 �r� 1 20.00 20.00
9/16/2013 Ticket#851407!Job Site by#72 � 1 20.00 20.00
Ticket#851406;Adios Pass by#151 �„� �LQ 1 20.00 20.00
9/19/2013 Ticket#931280,`Lotus Garden by#101 1 30.00 30.00
9/20/2013 Ticket#931337;Cheswick by#70 1 20.00 20.00
Ticket#931338,Rangeline by#28 ' 1 25.00 25.00
9/24/2013 Ticket#931981, Lotus Garden by#28 1 25.00 25.00
Ticket#931982,E. Guilford Rd&City Center Dr 2 20.00 40.00
by#70
Same by#145 2 20.00 40.00
9/25/2013 Ticket#835947,Lotus Gardens by#46 1 20.00 20.00
'9/27/2013 Ticket#836047,Dun's Drive by#70 1 20.00 20.00
Same by#72 1 20.00 20.00
-If Your Account is 60 Days Past Due-----Your Account Will be Closed until
Payment Is Received! Total $340.00
- -- �Q Balant-il= w--e- $340.00
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 10/3/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2013 10666 $220.00
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 5-11-100-1.6
Date Officer
VOUCHER # 132978 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
10666 01-6360-06 $220.00
Voucher Total $220.00
Cost distribution ledger classification if
claim paid under vehicle highway fund