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Home My WebLink About238461 10/21/14 CITY OF CARMEL, INDIANA VENDOR: 366089 L ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****2,162.77 CARMEL, INDIANA 46032 PO Box 299 CHECK NUMBER: 238461 9 �TpN ` WABASH IN 46992 CHECK DATE: 10/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4231300 GT406378 854.00 DIESEL FUEL 1207 4231400 GT406378 496.93 GASOLINE 2201 4231300 GT406504 811.84 DIESEL FUEL Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester p Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 Branch Co. MI Hart MI Noblesville 877-615-2667 P. 517-278-4561 231-873-2158 765-673810871 DATE 10/13/14 09:09:52 BOX 299 800-440-2667 317-77 0 WABASH,IN 46992 1�, START 0.0 END 252.0 GROSS DELIVERY 252.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI et MULTIPLE DELIVERIES AT SITE f* CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 406504 CARMEL STREET DEPT Date: 10/13/2014 3400 W 131ST STREET Time: 10:13 CARMEL, IN 46074 Tras Terms Description Item # Description Legend Quantity Unit Price Itea Total 02 DUE 11/20/2014 4040 SUPER DX-4 BIODIESEL a 226.0000 3.17M 716.42 02 DUE 11/20/2014 4031 Heater Oil 26.0000 3.67000 95.42 Legend: Invoice Subtotal: 811.84 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 811.84 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FINS. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! I Customer Signature: f � 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)) 10/13/14 GT 406504 $811.84 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 VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 1106 Noblesville, IN 46060 $811.84 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members T x - 2201 I GT 406504 I 42-313.001 $811.84 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 Thur y, 1 14 1 L. All Street 0ammft&W Title Cost distribution ledger classification if claim paid motor vehicle highway fund ® 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 Branch Co. MI Hart MI Noblesville 877-615-2667 P.O.BOX 299 517-278-4561 231-873-2158 765-673810782 DATE 09/29/14 12:18:05 WABASH, IN 46992 800-440-2667 317-770 START 0.0 END 269.5 GROSS DELIVERY 269.5 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATi MULTIPLE DELIVERIES AT SITE . SALE 6028 DATE 09/29/14 12:21:14 COUNT: START 0.0 END 169.6 GROSS DELIVERY 169.6 GALLONS 4011 87 E-10 PLUS with GASOLINE.I i - MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice #: GT 406378 BROOKSHIRE GOLF CLUB Date: 9/29/2014 CITY OF CARMEL Time: 13:21 12120 BROOKSHIRE PKWY CARMEL, IN 46033— Tres Terms Description Item # Description' Legend Quantity Unit Price Item Total 02 DUE 10/20/2014 4011 87 E-10 PLUS with ,US E 169.6000 2.95200 500.66 STATE EXCISE TAX. 0.180 30.53 02 DUE 10/20/2014 4040 SUPER DX-4 BIODIESEL- E 269.4000 3.17000 854.0E 02 DUE 10/20/2614 2223 GAS USE TAX EXEMPT t —169.6000 0.20200 —34.26 Legend: Invoice Subtotal: 1,350.93 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,350.93 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 CUSTOMErlo-� 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)) I' 09/29/14 GT 406378 Diesel Fuel $854.00 09/29/14 GT 406378 Fuel $496.93 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 VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op 1 IN SUM OF $ P.O. Box 299 Wabash, IN 46992 $1,350.93 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members T -- 1207 GT 406378 42-313.00 $854.00 1 hereby certify that the attached invoice(s), or 1207 GT 406378 42-314.00 $496.93 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 Tuesday, October 14, 2014 Director, Brook ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund