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Home My WebLink About229133 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $2,972.99 CARMEL, INDIANA 46032 PO BOX 299 WABASH IN 46992 CHECK NUMBER: 229133 CHECK DATE: 2/11/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231500 GT404604 570 . 40 OIL 2201 4231300 GT404658 861 . 84 DIESEL FUEL 2201 4231500 GT404658 425 . 79 OIL 2201 4232100 GT404658 616 . 00 GARAGE & MOTOR SUPPIE 2201 4231300 GT404688 332 . 64 DIESEL FUEL 2201 4231500 GT404688 166 . 32 OIL HOMEWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester (cm7wa Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 CO-81) Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-675SAM8 9584 DATE 01/29/14 14:32:30 P.O.BOX 299 800-440-2667 317-77 JQ START 0.0 END 342.0 WABASH, IN 46992 GROSS DELIVERY 342.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 404658 CARMEL STREET DEPT Date: 1/29/2014 3400 W 131ST STREET Time: 14:43 CARMEL, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 239.4000 3.60000 861.84 02 NORMAL CHARGE TERMS 4031 Oil E 102.6000 4.15000 425.79 02 NORMAL CHARGE TERNS 5574001 ADV PREM THF-DRUM * 55.0000 11.26M 616.00 Legend: Invoice Subtotal: 1,903.63 _ -E=letered, .T=-Taxable,.�=Ent.er_ed"by Nand _`_ Indiana-9-ales Tax On 0.00 ..... 0.00 Invoice Total: 1,903.63 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLIN6 FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! I � 04 Customer Signature: i CUSTOMER NORMWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester CmqMEL Kokomo Huntington Auburn Constantine 574-753-3673 Star City /� Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 '1) Branch Co. MI Hart MI Noblesville 877615-2667 517-278-4561 231-873-2158 765-675-2538 P.O.BOX 299 800-440-2667 317-77 0 WABASH, IN 46992 9540 DATE 01/22/14 15:01:58 COUNT: START 0.0 END 142.6 GROSS DELIVERY 142.6 GALLONS 4031 Heater Oil DISTILLATI - --- - #* MULTIPLE-DELIVERIES AT-SITE"* CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 404664 CARMEL STREET DEPT Date: 1/22/2014 3400 W 131ST STREET Time: 15:07 CARMEL, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total `.._02— NOM—CHARGE—TERMS. ._ _4031_. _ . Heater Oil _ __.E_- 142.6000 _ _4.00000_ _ _570._40_ Legend: Invoice Subtotal: 570.40 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 570.40 MH MH HN 106th & Gray DARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: CUSTOMER HOMEWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester CmcmmKokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 co-�02 Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-675-2538 P.O.BOX 299 800-440-2667 317-773-0870 WABASH, IN 46992 SALE 9610 DATE 02/04/14 13:54:45 COUNT: START 0.0 END 132.0 GROSS DELIVERY 132.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 404688 — CARMEL STREET DEPT Date: 2/4/2014 3400 W 131ST STREET Time: 14:00 CARMEL, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 92.4000 3.60000 332.64 02 NORMAL CHARGE TERMS 4031 Oil E 39.6000 4.200 166.32 Legend: Invoice Subtotal: 498.96 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 498.96 WARNING — PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: C U TO M E VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $2,972.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 GT 404604 42-315.00 $570.40 I hereby certify that the attached invoice(s), or 2201 GT 404658 42-313.00 $861.84 bill(s) is (are) true and correct and that the 2201 GT 404658 42-315.00 $425.79 materials or services itemized thereon for 2201 GT 404658 42-321.00 $616.00 Which charge is made were ordered and 2201 GT 404688 42-313.00 $332.64 2201 GT 404688 42-315.00 $166.32 received except Fri ay, `uary 07, 2014 Street CommiAi ner Atraat C nmmiScinnar Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OFF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/22/14 GT 404604 $570.40 01/29/14 GT 404658 $861.84 01/29/14 GT 404658 $425.79 01/29/14 GT 404658 $616.00 02/04/14 GT 404688 $332.64 02/04/14 GT 404688 $166.32 1 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 20 Clerk-Treasurer