HomeMy WebLinkAbout236659 09/03/14 �u!..4ggy
�,! CITY OF CARMEL, INDIANA VENDOR: 366089
.� ® ONE CIVIC SQUARE NORTH CENTRAL CO-OP
CHECK AMOUNT: $*****1,149.15*
,9 �� CARMEL, INDIANA 46032 Po Box 299 CHECK NUMBER: 236659
y�i�oN_�, WABASH IN 46992 CHECK DATE: 09/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GT406143 482.00 DIESEL FUEL
2201 4231500 GT406151 667.15 OIL
NORTH
Warsaw Wabash Peru Goshen Angola Fremont Logansport PI mouth Rochester
gY
CEMTMI Kokomo Huntington Auburn Constantine 574-753-3673 Star City
C0_0Call: 800-720-0550 Call: 800-234-0573 _ _ _ _
800 807 3673 Call: 574 224 2667
Branch Co. MI Hart MI Noblesville 877-615-2667
517-278-4561 231-873-2158 765-675-2538
WABASH, IN 466992
P.O.BOX 2 800-440-2667 317-773-0870
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice 4: GT 406151
CARMEL STREET DEPT Date: 8%26/2014
3400 W 131ST STREET Time: 16:02
CAR-1EL, IN 46074
Trms Terms Description Item Description Legend Quantity Unit price Item Total
02 NORMAL CHARGE TERMS 5574313 ADV GEO 10W30 SYN BL 55.0000 12.13000 667.15
Legend: invoice Subtotal: 667.15
E=Metered, T=Taxable, -w-Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 667.15
WARMING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR Ci-EANING PURPOSE
S. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!!
Customer Signature:
CUSTOMER
No=
Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
CENTRAU Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call:800-720-0550 Call: 800-234-0573 800-807-3673 Call:574-224-2667
,one I
Uomop
877-615-2667
Branch Co. MI Hart MI Noble i i0586 DATE 08/26/14 09:58:52
P.O.BOX 299 517-278-4561 231-873-2158 765-67SSTART 0.0 END 163.9
WABASH, IN 46992 800-4402667 317-77 - 0
GROSS DELIVERY 163.9 GALLONS
4049 PREM ROAD BIODIESEDISTILLATI
# MULTIPLE DELIVERIES AT SITE
CASH INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 406143
CARMEL STREET DEPT Date: 8/26/2014
3400 W 131ST STREET Time: 10:55
CARMEL, IN 46074
Tres Teres Description Item # Description Legend Quantity Unit Price Item Total
01 Cash 4040 SUPER DX-4 BIODIESEL 147.4000 3.27000 482.00
Legend: Invoice Subtotal: 482.00
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 482.00
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: /
CUSTOMER
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op '
IN SUM OF$
P.O. Box q19 Z�9
MggesvUle, IN 8- Ye(o
$1,149.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE I AMOUNT Board Members
2201 GT 406143 j 42-313.00 j $482.00 1 hereby certify that the attached invoice(s), or
2201 GT 406151 42-315.00 $667.15 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
WU444Th4
tre omrrnssior�er
reef G8mmissloner
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))
08/26/14 GT 406143 $482.00
08/26/14 GT 406151 $667.15
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