HomeMy WebLinkAbout242051 2 /10/2015 4�m.F@gyF
,. CITY OF CARMEL, INDIANA VENDOR: 366089
i; ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $""**"*"616.00"
:�. ?� CARMEL, INDIANA 46032 PO Box 299 CHECK NUMBER: 242051
9,�.,,_,i. WABASH IN 46992 CHECK DATE: 02/10/15
trori c�.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231500 GT 407288 616.00 OIL
Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
p Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call. 574-224-2667
Branch Co. MI Hart MI Noblesville 877-615-2667
P.O.BOX 299 517-278-4561 231-873-2158 765-675-2538
i WABASH, IN 46992
800-440-2667 317-773-0870
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921780 Invoice #: GT 407288
CARMEL STREET DEPT Date: 2/2/2015
3400 W 131ST STREET Time: 12:48
CARMEL, IN 46074
Trms Terms Description Item I# Description Legend Quantity Unit Price Item Total
02 DUE 02/20/2015 5574001 ADV PREM THF—DRUM 55.0000 11.20000 616.00
Legend: Invoice Subtotal: 616.00
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 616.00
WARNING — PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE
S. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800424-9300 WE APPRECIATE YOUR BUSINESS!!!
Customer Signature:
CU ,9TOMER ,
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF$
P.O. Box 4446- Z�
ate;-I� �f62`1�
;IF ��
$616.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 GT 407288 42-315.00 $616.00
I 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
l17
F
�iay, r 2015
Stfto �,tliisswer
Title
I
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))
02/02/15 GT 407288 $616.00
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