241196 01/22/15 y CITY OF CARMEL, INDIANA VENDOR: 042595
'l ONE CIVIC SQUARE CARMEL CLAY SCHOOLS-FUEL PAYMEKMECK AMOUNT: $"'''"942.10'
CARMEL, INDIANA 46032 EDUCATION SERVICE CENTER CHECK NUMBER: 241 196
'M,rsoa 5201 E MAIN ST CHECK DATE: 01/22/15
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4231300 2015011 173.35 DIESEL FUEL
1125 4231400 2015011 768.75 GASOLINE
Y
Carmel Clay Schools 4,
E•�ii�a
t
5201 E. Main Street Invoice 2015-011
Carmel, Indiana 46033 Date 1/2/2015
317-844-9961
Attn: Sue Ardaiolo r "�10
City of Carmel2015
Account#9- Parks Dept. JAN 0 �_
Paula Schlemmer BY:
January 2015
Quantity Cost Each Total Cost
Fuel-T1 1 $199.57
Fuel-T2 1 $742.53
Fuel Card 0 $5.00 $0.00
TOTAL $942.10
Please make checks Payable to:
Carmel Clay Schools
GQS
CV-Ar .'\o
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
042595 Carmel Clay Schools Terms
5201 E. Main St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/2/15 2015011 Gasoline $ 768.75
1/2/15 2015011 Diesel. $ 173.35
1125-4-01
Total $ 942.10
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.
042595 Carmel Clay Schools Allowed 20
5201 E. Main St.
Carmel, IN 46033
In Sum of$
i
$ 942.10
i
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
Board Members
Dept#r INVOICE NO. ACCT#/TITL AMOUNT
1125 2015011 4231400 $ 768.75 �I hereby certify that the attached invoice(s), or
1125 2015011 4231300 173.35 Ibill(s) is(are)true and correct and that the
materials or services itemized thereon for
!which charge is made were ordered and
',received except
i
i January 15, 2015
i
I
I
Signature
$ 942.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund