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Home My WebLink About230070 03/12/14 ....."'' CITY OF CARMEL, INDIANA VENDOR: 366089 ® ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****1,503.71* CARMEL, INDIANA 46032 PO Box 299 CHECK NUMBER: 230070 WABASH IN 46992 CHECK DATE: 03/12/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 33567 54.00 REPAIR PARTS 2201 4237000 33568 24.75 REPAIR PARTS 2201 4237000 33569 43.75 REPAIR PARTS 2201 4231300 GT404873 1,381.21 DIESEL FUEL NORTH'-CENTRAL CO-OP P.O. BOX 299 • WABASH, IN. 46992 Wabash,Indiana Warsaw,Indiana Phone 563-8381 Phone 267-5101 T E R M S DATE A ! CN P A (J / AM i T E j R O A ND l 1 D SOLD BY CASH - CHARGE PAID ON ACCT, MDSE. RETND. PAID OUT CR.CARD CASH CHECK QUANTITY DESCRIPTION TM/DP/CODE. AMOUNT PIL4 L43 SUB TOTAL SALES TAX 2221 TAXABLE SALES $ TOTAL AMOUNT Rec'd.by PATRONS THANK YOU - Please keep this copy for reference All claims&returns MUST be accompanied by this bill. NORTH CENTRAL CO-OP P.O.BOX 299 • WABASH, IN.46992_ Wabash,Indiana a Warsaw,Indiana Phone 563-8.381 r Phone 267-5101 T E R M S .. DATE A CNa CO. ' - ,2-/9�/ T Au M car i-1 b�f. - TE R OA ND D SOLD BY - -CASH CHARGE PAID ON ACCT. MDSE. RETND.. PAID OUT CR.CARD CASH CHECK OUANTITY. _ _ DESCRIPTION TM/DP/CODE AMOUNT '2od SUB TOTAL - $ SALES TAX 2221 TAXABLE SALES TOTAL AMOUNT C{ Rec'd.by PATRONS THANK YOU - Please keep this copy for reference All claims&returns MUST be accompanied by this bill. NORTH CENTRAL.CO-OP 33568 P.O.BOX 299 • WABASH, IN. 46992 Wabash,Indiana Warsaw,Indiana Phone 563-8381 Phone 267-5101 T E R M S DATE A CN C O. T N PA AM - TE R �^ OA N D.,'' .SOLD BY` CASH CHARGE PAID ON ACCT- MDSE RETND. PAID OUT CR.CARD CASH CHECK ' QUANTITY DESCRIPTION TM/DP/CODE AMOUNT SUB TOTAL -75 SALES TAX 2221 TAXABLE SALES $ TOTAL-AMOUNT `1 L - 5 Recd.by PATRONS THANK YOU Please keep this copy for reference All claims&returns MUST be accompanied by this bill Warsaw Wabash PeruGoshen Angola Fremont Logansport Plymouth Rochester Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 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 317-773SMO 9754 DATE 02/28/14 14:08:44 WABASH, IN 46992 COUNT: START 0.0 END 345.3 GROSS DELIVERY 345.3 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: BT GARY TEETERS Customer: 0000921720 Invoice #: GT 404873 CARMEL STREET DEPT Date: 2/28/2014 3400 W 131ST STREET Time: 14:18 CARMEL, IN 46074 Trms Terms Description Item # Description legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERNS 4040 SUPER DX-4 BIODIESEL E 241.7000 3.85000 930.55 02 NORMAL CHARGE TERNS 4031 Heater Oil E 103.6000 4.35000 450.66 Legend: Invoice Subtotal: 1,381.21 E--Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.08 ..... 0.00 Invoice Total: 1,381.21 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: sil CUSTOMER VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $1,503.71 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 33568 42-370.00 $24.75 1 hereby certify that the attached invoice(s), or 2201 33567 42-370.00 $54.00 bill(s) is (are) true and correct and that the 2201 33569 42-370.00 $43.75 materials or services itemized thereon for 2201 GT 404873 1 42-313.00 $1,381.21 which charge is made were ordered and received except T r 06, 2014 1--ry M Street G�DWW (ssioner 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 OF 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)) 33568 $24.75 02/19/14 33567 $54.00 02/20/14 33569 $43.75 02/28/14 GT 404873 $1,381.21 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 20 Clerk-Treasurer