HomeMy WebLinkAbout233306 06/04/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 366089
ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****1,232.00*
CARMEL, INDIANA 46032 PO Box 1106 CHECK NUMBER: 233306
NOBLESVILLE IN 46060 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 033545 1,232.00 GARAGE & MOTOR SUPPIE
North Central Co-®p „`e"",`
0
260-563-8381 800-992-3495 Fax 260-563-3021 s a PATRON
North Central Co-op =_________= PAGE 1
Hamilton Petroleum INVOICE INVOICE NO. 033545
,16222 Allisonville =_________= ORDER DATE 02/14/14
Noblesville IN 46060 <<COPY>> ACCOUNT NO. 0000921720
ORDER NO. 033545
CARMEL STREET DEPT
3400 W 131ST STREET
CARMEL IN 46074
P.O.# SHIP DATE TERMS SLS LOC
--------------------------------------------------------------------------------
02/14/14 DUE 03/20/2014 RKB 256
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ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
5574001 ADV PREM THF—DRUM 110 GAL 11 . 2000 1232 .00
w TOTAL DUE $$ 1232.00
RECEIVED BY
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF$
gni �0 btYJw6�lf� Pj
$1,232.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 033545 1 42-321.001 $1,232.00 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
�Ion#. June 02, 2014
Street Comm' 'oner
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))
02/14/14 033545 $1,232.00
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