HomeMy WebLinkAbout239774 12/03/2014 y ur CAA F
CITY OF CARMEL, INDIANA VENDOR: 366089
® I ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****4,631.20*
CARMEL, INDIANA 46032 Po Box 299 CHECK NUMBER: 239774
'+ii roH.�o.r WABASH IN 46992 CHECK DATE: 12/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 GT406764 3,769.86 OTHER EXPENSES
2201 4231300 GT406859 861.34 DIESEL FUEL
e rn-i.Z�,ee
HommWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
CMV
M
Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667
col-ey) 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 317-77
WABASH, IN 46992011071 DATE 11/14/14 08:04:12
COUNT: START 0.0 END 1041.4
GROSS DELIVERY 1041.4 GALLONS
4049 PREM ROAD BIODIESEDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921808 Invoice #: GT 406764
CARMEL WATER DEPT Date: 11/14/2014
3450 W 131ST STREET Time: 09:24
CARMEL, IN 46074-8267
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 DUE 12/20/2014 4040 SUPER DX-4 BIODIESEL E 729.0000 3.47000 2529.63
02 DUE 12/20/2014 4031 Oil E 312.4M 3.97600 1240.23
Legend: Invoice Subtotal: 3,769.86
E--Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 3,769.86
I
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:
3/ 0
Received :
Date : 1lAylle/
ACCT #: a
Use : [..L
(OUSTOMER
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
119835
NORTH CENTRAL CO-OP Purchase Order No.
PO BOX 1106 Terms
NOBLESVILLE, IN 46061 Due Date 11/19/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/19/201, GT 406764 $3,769.86
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
Date Officer
VOUCHER # 142338 WARRANT# ALLOWED
119835 IN SUM OF $
NORTH CENTRAL CO-OP
PO BOX 449f-Zq,
n4vAB-ZtE6o'TLTC, IAS 6061
t� '7'Vq2--
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
GT 406764 01-6160-03 $3,769.86
Voucher Total $3,769.86
Cost distribution ledger classification if
claim paid under vehicle highway fund
�O 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
L 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 317-77SAW011179 DATE 11/26/14 10:50:35
WABASH, IN 46992
COUNT: START 0.0 END 244.7
GROSS DELIVERY 244.7 GALLONS
4040 SUPER DX-4 BIODIESDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 406859
CARMEL STREET DEPT Date: 11/26/2014
3400 W 131ST STREET Time: 10:50
CARMEL, IN 46074
Tres Terms Description Item # Description Legend Quantity Unit Price Item Total
02 DUE 12/20/2014 4040 SUPER DX-4 BIODIESEL E 171.3000 3.37000 577.28
02 DUE 12/20/2014 4031 Oil E 73.4000 3.87000 284.06
Legend: Invoice Subtotal: 861.34
E--Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 861.34
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 1-800424-9300 WE APPRECIATE YOUR BUSINESS!!!
Custoeer Signature:
CUSTOMER
i
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))
11/26/14 GT 406859 $861.34
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+t66-
Noblesville, 141 46060
2 /
(Va)a�k /At C�41VIZ
$861.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I GT 406859 I 42-313.001 $861.34 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
We a 2014
7 U
tr%etrPeqrMYMbner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund