HomeMy WebLinkAbout240069 12/09/2014 0y F,
CITY OF CARMEL, INDIANA VENDOR: 366089
ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****3,478.31*
_� ?a; CARMEL, INDIANA 46032 Po Box 299 CHECK NUMBER: 240069
9M�1 t�N�G�; WABASH IN 46992 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231500 00004435 3,478.31 OIL
North Central C®-®p
O
260-563-8381 800-992-3495 Fax 260-563-3021 z PATRON
North Central Co—op ------- ---- PAGE 1
Hamilton Petroleum INVOICE INVOICE NO . 00004435
16222 Allisonville ---_------ ORDER DATE12/05/14
Noblesville IN 46060 ACCOUNT NO . 0000921720
BATCH 405 CLD
CARMEL STREET DEPT
3400 W 131ST STREET
CARMEL IN 46074
----P . O . * SHIP DATE TERMS SLS LOC
--------------------------------------------------------------------------------
12/05/14 DUE 01/20/2015 CLD 256
PACKAGES SOLD DESCRIPTION ----------UNITS—SOLD----UNIT—PRICE EXTENDED
---------------------------------- ------------
5574001 ADV PREM THF—DRUM 110 GAL 11 . 20000 1232 .00
5574313 ADV GEO 1OW30 SYN BLD—DRUM 55 GAL 12 . 13000 667 . 15
1274311 ADV GEO 5W20 SYN BLD—QTS 12 GAL 13 . 85000 166 . 20
26574301 ADV HD DEO15W40-265 GL TOTE 115 GAL 11 . 28000 1297 . 20
0675101 WINDSHIELD WASHER (-25 ) 6/1 55 GAL 2 . 10473 115 . 76
TOTAL DUE $$ 3478 . 31
4L�4UL,
RECEIVED 13Y
4
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF$
P.O. Box 1106
Noblesville, IN 46060
$3,478.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 00004435 42-315.00 $3,478.31 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
�o/day, cem er 8, 2014
It A
Str4t%%r1q loner
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Title
Cost distribution ledger classification if
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claim paid motor vehicle highway fund
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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 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
i Date Number (or note attached invoice(s) or bill(s))
12/05/14 00004435 $3,478.31
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