HomeMy WebLinkAbout234079 06/25/14 CITY OF CARMEL, INDIANA VENDOR: 366089
® el ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****1,41 1.36*
CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 234079
WABASH IN 46992 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GT 405589 1,411.36 DIESEL FUEL
He= Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call: 1100,720-0550 Call: 1100-234,0573 800-807-3673 Call: 574-224-2667
Branch Co. MI Hart MI Noblesville 877-615-2667
517-278-4561 231-873-2158 765-678AtP3810214 DATE 06/17/14 09:15:21
P.O. BOX 299 800-440-2667 317-77 0
WABASH, IN 46992 �. START 0.0 END 418.8
GROSS DELIVERY 418.8 GALLONS
4040 SUPER DX-4 BIODIE5DISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 405589
CARMEL STREET DEPT Date: 6/17/2014
3400 W 131ST STREET Time: 10:24
CARMEL, IN 46074
Tris Terms Description Item # Description Legend Quantity Unit Price Ite■ Total
02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 418.8000 3.37000 1411.36
Legend: Invoice Subtotal: 1,411.36
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 1,411.36
WARNING — PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINE5 NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE
S. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!!
Customer Signature:
CUSTOMER
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF$
P.O. Box 1106
Noblesville, IN 46060
$1,411.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members.
2201 I GT 405589 I 42-315.001 $1,411.36 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
° Fr' , Jjjn , 2014
str&mbPo mI@I*ner
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))
06/17/14 GT 405589 $1,411.36
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