HomeMy WebLinkAbout233821 06/18/14 ,t�q
CITY OF CARMEL, INDIANA VENDOR: 366089
;; ® ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $**"****415.50*
r• i CARMEL, INDIANA 46032 PO Box 299 CHECK NUMBER: 233821
9�/�pH��` WABASH IN 46992 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 GT405521 415.50 GARAGE & MOTOR SUPPIE
HommWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
(CMRMEL
Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call: 800-720-0550 Call: 800"234-0573 800-807-3673 Call: 574,224-2667
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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 317-773-0870
WABASH, IN 46992
CHARGE INVOICE
Driver: 6T GARY TEETERS
Customer: 0000921720 Invoice #: GT 405521
CARMEL STREET DEPT Date: 6/6/2014
3400 W 131ST STREET Time: 12:29
CARMEL, IN 46074
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 1274311 ADV GEO 5W20 SYN BLD 30.0000 13.85000 415.50
Legend: Invoice Subtotal: 415.50
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 415.50
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: ,
CUSTOME 'rm-�
I
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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))
06/06/14 GT 405521 $415.50
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.
North Central Co-op ALLOWED 20
IN SUM OF $
P.O. Box 1-1-6e - '31
Nebtesv
$415.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I GT 405521 I 42-321.001 $415.50 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
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