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Home My WebLink About235626 08/06/14 a4�'�.s,q,�f. - CITY OF CARMEL, INDIANA VENDOR: 366089 j; ® ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $""`3,175.90` CARMEL, INDIANA 46032 PO Box 299 CHECK NUMBER: 235626 ".�oN. .� WABASH IN 46992 CHECK DATE: 08/06/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 EB3005982 737.04 DIESEL FUEL 1207 4231300 GT405939 1,302.30 DIESEL FUEL 1207 4231400 GT405939 1,136.56 GASOLINE HGMTWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Cmq p e Kokomo Huntington Auburn Constantine 574-753-3673 Star City call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 n 877-615-2667 lJ JS' Branch Co. MI Hart MI Noble I LEe 17065 DATE 07/30/14 11:08:58 517-278-4561 231-873-2158 765-67 - START 0.0 END 222.0 P.O. BOX 299 800-440-2667 317-77t- , WABASH, IN 46992 '6R %ELIVERY 228.0 GALLONS NDIS DISTILLATE DISTILLATI MULTIPLE DELIVERIES AT SITE #* CHARGE INVOICE Driver: EB ERIC BAKER Customer: 0000921720 Invoice #: ED3005982 CARMEL STREET DEPT Date: 7/30/2014 3400 W 131ST STREET Time: 12:06 CARMEL, IN 46074 Tris Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL * 222.0000 3.32000 737.04 Legend: Invoice Subtotal: 737.04 E--Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 737.04 Customer Signature: CUSTOMER VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF$ P.O. Box 1106 Noblesville, IN 46060 $737.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 I EB3005982 I 42-313.001 $737.04 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 UW44" 1,2014 Street Bommissione' — Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 07/30/14 EB3005982 $737.04 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 iNoRTH Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester cE, Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call:574-224-2667 CO—OP 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: GT GARY TEETERS Customer: 0000918936 Invoice #: GT 405939 BROOKSHIRE GOLF CLUB Date: 7/28/22014 CITY OF CARMEL Time: 08:47 12120 BROOKSHIRE PKWY CARMEL, IN 46033— Tres Teras Description Item # Description Legend Quantity Unit Price Item Total 02 NDRMAL_CHARGEJEM 4011 87 E-10 PLUS_with_US._: 323.9000 3.12900- 1078,226- State Road Tax 0.18000 58.30 02 NORMAL CHARGE TERNS 4040 SUPER DX-4 BIODIESEL 414.6000 3.32000 1376.47 02 NORMAL CHARGE TERNS 2223 GAS USE TAX EXEMPT ( * —323.9000 0.22900 —74.17 Legend: Invoice Subtotal: 2,438.86 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 2,438.86 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: O VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 299 Wabash, IN 46992 $2,438.86 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 405939 42-313.00 $1,302.30 1 hereby certify that the attached invoice(s), or 1207 GT 405939 42-314.00 $1,136.56 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 Thursday, July 31, 2014 49 / Director, Brookshire 6 Aflub 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)) 07/28/14 GT 405939 Diesel Fuel $1,302.30 07/28/14 GT 405939 Gasoline $1,136.56 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