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Home My WebLink About236177 08/19/14 i.G�q �,,�' *c� CITY OF CARMEL, INDIANA VENDOR: 366089 S ® '2'r_ ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $****«2,369.46' ?�; CARMEL, INDIANA 46032 Po Box 299 CHECK NUMBER: 236177 °�',�roN"�° WABASH IN 46992 CHECK DATE: 08/19/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 GT406022 1,056.56 DIESEL FUEL 1207 4231300 GT406049 777.14 DIESEL FUEL 1207 4231400 GT406049 535.76 GASOLINE NORTH Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call:574-224-2667 CO-OP Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-675-2538 P.O.BOX 299 800-440.2667 . 317-775AM7010509 DATE 08/12/14 13:13:50 WABASH, IN 46992 COUNT: START 0.0 END 250.0 GROSS DELIVERY 250.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE SALE 10510 DATE 08/12/14 13:39:52 COUNT: START 0.0 END 132.7 GROSS DELIVERY 132.7 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice Il: GT 406022 CARMEL STREET DEPT Date: 8/12/2014 3400 W 131ST STREET Time: 14:45 CARMEL, IN 46074 Trms Teres Description Item # Description' ' Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 132.7000 3.32000 440.56 02 NORMAL CHARGE TERMS 5574001 ADV PREM.THF-DRUM # 55.0000 11.20000 616.00 Legend: Invoice Subtotal: 1,056.56 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,056.56 IrIARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINE 5 NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT_CHEMTREC AT 1400-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: CUSTOMER VOUCHER NO. WARRANT NO. North Central Co-op ALLOWED 20 IN SUM OF$ P.O. Box 1106 Noblesville, IN 46060 $1,056.56 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 2201 I GT 406022 I 42-313.001 $1,056.56 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 Ua" U , 2014 Street Commissinnpr Street Commissioner 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)) 08/12/14 GT 406022 $1,056.56 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer NORTH Warsaw Wabash Peru Goshen Angola Fremont g Logansport Plymouth Rochester CENTFAL Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call:574-224-2667 CO—OP Branch Co. MI Hart MI Noblesville 877'615-2667 P.O.BOX 299 517-278-4561 231-873-2158 765-675-2538 WABASH, IN 46992 800-440-2667 317-773-0870 SALE 10528 DATE 08/14/14 11:28:21 COUNT: START 0.0 END 244.7 GROSS DELIVERY 244.7 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI ** MULTIPLE DELIVERIES AT SITE ** SALE 5843 DATE 08/14/14 11:31:07 COUNT: START 0.0 END 162.5 GROSS DELIVERY 162.5 GALLONS _ 4011 87 E-10 PLUS with GASOLINE 1 *# MULTIPLE DELIVERIES AT SITE ** CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice D: GT 406049 BROOKSHIRE GOLF CLUB Date: 8/14/2014 CITY OF CARMELTime: 12:32 12120 BROOKSHIRE PKWY CARMEL, IN 46033- . , . Tres Terms Description Item #, Description -Legend-Quantity Unit Price Item Total '02 NORMAL CHARGE TERNS 4011 87 E-10 PLUS with US E 162:5000 3.11700 506.51 State Road Tax 0.18000 29.25 02 NORMAL CHARGE TERMS ..4040 SUPER.DX-4 BIODIE5EC E 244.7000 3.32000' 812.40 02 NORMAL CHARGE TERMS 2223 GAS-USE TAX EXEMPT ( # -162.5000 ' 0.21700 -35.26 Legend: Invoice Subtotal: 1,312.90 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,312.90 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINE5 NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: -ST-0 ME VOUCHER NO. WARRANT NO. North Central Co-op ALLOWED 20 IN SUM OF$ P.O. Box 299 Wabash, IN 46992 $1,312.90 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 406049 42-313.00 $777.14 1 hereby certify that the attached invoice(s), or 1207 GT 406049 42-314.00 $535.76 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 Monday, August 18, 2014 Director, Brookshi Golf Club 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. i Payee Purchase Order No. Terms i Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 08/14/14 GT 406049 Diesel $777.14 08/14/14 GT 406049 Fuel $535.76 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 ■