HomeMy WebLinkAbout234586 07/08/2014 `f. CITY OF CARMEL, INDIANA VENDOR: 366089
4
ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****1,009.99*
CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 234586
�Mrora�°'r WABASH IN 46992 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GT405706 1,009.99 DIESEL FUEL
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517-278-4561 231-873-2158 765-67%3"102MP.o. Box 2ss 800-440-2667 317-77DATE x/30/14 14:41:38
WABASH, IN 46992 START 0.0 END 899.7
GROSS DELIVERY 299.7 GALLONS
4040 SUPER DX-4 BIODIESDISTILLATI
* MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 405706
CARPEL STREET DEPT Date: 6/30/2014
3400 W 131ST STREET Tice: 15:47
CARMEL, IN 46074
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 299.7000 3.37000 1009.99
Legend: Invoice Subtotal: 1,009.99
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 1,009.99
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 CHENTREC 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))
06/30/14 GT 405706 $1,009.99
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 1106
Noblesville, IN 46060
$1,009.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I GT 405706 I 42-313.001 $1,009.99 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
Wed nesd y July 02, 2014
Street Commisaloner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund