HomeMy WebLinkAbout231337 04/08/14 4+J�Coq*f
CITY OF CARMEL, INDIANA VENDOR: 366089
ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****1,672.41
CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 231337
sM`roN-`o,r WABASH IN 46992 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GT405047 930.00 DIESEL FUEL
2201 4231300 GT405065 742.41 DIESEL FUEL
HommWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
p e Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667
CAD—OT) Branch Co. MI Hart MI Noblesville 877-615-2667
517-278-4561 231-873-2158 765-675SM8 9883 DATE 04/01/14 10:46:02
P.O. BOX 299 800-440-2667 317-773 J; START 0.0 END 206.8
WABASH, IN 46992 GROSS DELIVERY 206.8 GALLONS
4040 SUPER DX-4 BIODIESDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: 6T GARY TEETERS
Customer: 0000921720 Invoice #: 6T 405065
CAR14EL STREET DEPT Date: 4/1/2014
3400 W 131ST STREET Time: 11:54
CARMEL, IN 46074
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERNS 4040 SUPER DX-4 BIODIESEL E 206.8000 3.59000 742.41
Legend: Invoice Subtotal: 742.41
E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 742.41
WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 6ASOLINES 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:
OCUSTMER
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))
04/01/14 GT 405065 $742.41
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF$
P. O.. Box 299
Wabash, IN 46992
$742.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I GT 405065 I 42-313.001 $742.41 1 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
m sdill -
pril 01, 2014
trrIbCommis er
S ries orr�m;cc�.,n�r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
HommWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
p Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667
cc-CIT) Branch Co. MI Hart MI Noblesville 877-615-2667
P.O. BOX 299 517-278-4561 231-873-2158 765-675S+M8 9872 DATE 03/31/14 07:37:23
WABASH, IN 46992 800-440-2667 317-773CB1'i 0 START 0.0 END 250.0
GROSS DELIVERY 250.0 GALLONS
-- 4040 - SUPER_DX-4 BIODIESDISTILLAT-1
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 405047
CARMEL STREET DEPT Date: 3/31/2014
3400 W 131ST STREET Time: 09:44
CARMEL, IN 46074
Trms_Terms_Description _ — Item.#_ - Description _. Legend_Quantity- Unit Price Item-Total-
02
temTotal_02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 250.0000 3.72000 930.00
Legend: Invoice Subtotal: 930.00
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 930.00
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:
I
CUSTOMER
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))
03/31/14 GT 405047 $930.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF $
P. O.. Box 299
Wabash, IN 46992
$930.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT _ Board Members
2201 I GT 405047 I 42-313.00 I $930.00 1 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
W1 nesfda , April 02, 2014
Street Commi si ner
Gtregt C_pMmigc lin pr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund