HomeMy WebLinkAbout233092 05/28/14 `�''�,q,F CITY OF CARMEL, INDIANA VENDOR: 366089
® �i ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****1,948.68•
,. ,?�; CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 233092
9M,�TON.�o. WABASH IN 46992 CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 GT405385 1,182.50 GARAGE & MOTOR SUPPIE
2201 4232100 GT405411 766.18 GARAGE & MOTOR SUPPIE
No= Warsaw Wabash Peru Goshen Angola Fremont . Logansport Plymouth Rochester
Kokomo Huntington Auburn Constantine 574-753-3673 Star City
(cmm"M&I Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667
Cc-ap Branch Co. MI Hart MI Noblesville 877-615-2667
517-278-4561 231-873-2158 765-675-2538
WABASH, IN 466992
P.O. BOX 2 800-440-2667 317-773-0870
SALE 10106 DATE 05/20/14 10:51:17
COUNT: START 0.0 END 220.8
GROSS DELIVERY 220.8 GALLONS
4032 FURNACE OIL DISTILLATI
MULTIPLE DELIVERIES AT SITE �
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 405411
CARMEL STREET DEPT Date: 5/20/2014
3400 W 131ST STREET Time: 11:56
CARMEL, IN 46074
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 220.8000 3.47000 766.18
Legend: Invoice Subtotal: 766.18
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 766.18
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 1-800424-9300 WE APPRECIATE YOUR_BUSINESS!!!
Customer Signature:
CUSTOMER
He= Warsaw Wabash Peru Goshen 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
MD
Branch Co. MI Hart MI Noblesville 877-615-2667
P.O.BOX 299 517-278-4561 231-873-2158 765-675-2538
WABASH, IN 46992 800-440-2667 317-773-0870
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 000092170 Invoice #: GT 405385
CARMEL STREET DEPT Date: 5/16/2014
3400 W 131ST STREET Time: 11:16
CARMEL, IN 46074
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 5573703 ADV AW 32 — DRUM 110.0000 10.75000 1182.50
Legend: Invoice Subtotal: 1,182.50
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 1,182.50
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
VOUCHER NO. WARRANT NO.
North Central Co-op ALLOWED 20
IN SUM OF$
P. O.. Box 299
Wabash, IN 46992
$1,948.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 GT 405385 42-321.00 $1,182.50 1 hereby certify that the attached invoice(s), or
2201 GT 405411 42-321.00 $766.18 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
L A// T 22, 2014
VVV %_V M
St 9iF99Cft%"'1Ysloner
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))
05/16/14 GT 405385 $1,182.50
05/20/14 GT 405411 $766.18
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