HomeMy WebLinkAbout230552 03/26/14 aY CITY OF CARMEL, INDIANA VENDOR: 366089
4 i! ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****3,352.97*
CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 230552
9M�roN. WABASH IN 46992 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GT404955 620.93 DIESEL FUEL
1207 4231300 GT404984 1,432.83 DIESEL FUEL
1207 4231400 GT404984 1,299.21 GASOLINE
HOMEWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
Czqmmi 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-op 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 317-7733WO 9808 DATE12/14 14:337:46
WABASH, IN 46992 �,
COUNT: START 0.0 END 158.4
GROSS DELIVERY 158.4 GALLONS
4040 SUPER DX-4 BIODIESDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 404955
CARMEL STREET DEPT Date: 3/12/2014
3400 W 131ST STREET Time: 15:47
CARMEL, IN 46074
Tris Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 126.7000 3.82000 483.99
02 NORMAL CHARGE TERMS 4031 Oil E 31.7000 4.32000 136.94
Legend: Invoice Subtotal: 620.93
E--Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 620.93
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:
CUSTOMER
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF $
P. O.. Box 299
Wabash, IN 46992
$620.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I GT 404955 I 42-313.001 $620.93 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
o Thur y 0, 2014
All VUjVW �w
Street [ntwoner
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))
03/12/14 GT 404955 $620.93
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
HOMEWarsaw Wabash Peru Goshen Angola Fremont Logansport " Plymouth Rochester
(cBrRAL Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call:800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667
c "82 Branch Co. MI Hart MI Noblesville 877-615-2667
517-278-4561 231-873-2158 765-67%11T-
8 5247 DATE 03/22/14 08:25:10
P.O.BOX 299 .800-440-2667 317-773-
WABASH, IN 46992 C START 0.0 END 396.1
GROSS DELIVERY 3%.1 GALLONS
4011 87 E-10 PLUS GASOLINE 1
MULTIPLE DELIVERIES AT SITE
SALE 9828 DATE 03/22/14 08:23:28
COUNT: START 0.0 END 388.3
GROSS DELIVERY 388.3 GALLONS
4040 SUPER DX-4 BIODIESDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000918936 Invoice #: GT 404984
BROOKSHIRE GOLF CLUB Date: 3/22/2014
CITY OF CARMEL Time: 09:35
12120 BROOKSHIRE PKWY
CARMEL., IN 46033-
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 4011 87 E-10 PLUS E 396.1000 3.10000 1227.91
State Road Tax 0.18000 71.30
02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 388.3000 3.69000 1432.83
Legend: Invoice Subtotal: 2,732.04
E=Metered, T=Taxable, *--Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 2,732.04
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:
1
CUSTOM [EFID-�
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF $
P.O. Box 299
Wabash, IN 46992
$2,732.04
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 GT 404984 42-313.00 $1,432.83 I hereby certify that the attached invoice(s), or
1207 GT 404984 42-314.00 $1,299.21 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 24, 2014
Director, Brook ire Golf Club
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))
03/22/14 I GT 404984 I Fuel I $1,432.83
03/22/14 I GT 404984 I Fuel I $1,299.21
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