242358 02/17/15 %` CITY OF CARMEL, INDIANA VENDOR: 366089
® i' ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****'*623.51'
�, CARMEL, INDIANA 46032 PO Box 299 CHECK NUMBER: 242358
+M,.___...o� WABASH IN 46992 CHECK DATE: 02/17/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4232100 4621 211.88 GARAGE & MOTOR SUPPIE
2201 4231300 GT407347 411.63 DIESEL FUEL
02/09/2015 13:52 12605633021 NORTH CENTRAL COOP PAGE 01/02
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North Cientral Co-op .a
.60-563-V91 600-992-3495 Fax 260-563-3021 b PATRON
North Central Co-op PAGE 1
Hamilton Petrolcum INVOICE INVOICE NO. 00004621
16222 Allisonville ORDER DATE 01/22/15
Noblesville IN 46060 <<COPY» ACCOUNT NO, 0000921744
ORDER NO. 00004621
CARMEL FIRE DEPT
2 CIVIC SQUARV-
CARMEL IN 46032
F.O. # J SHIP DATE TERMS SLS LOC
---- -T_ -----------------------------------------------------------------------------
01/22/15 DUE 02/2012015 CLD 256
ITEMNODESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
91000000 -T MISC. OTHER PETRO. PRODUCTS 1 EA 211 . 88000 211 . 88
Def pump set up/ drum dolly
TOTAL. DUE $$ 211 . 88
.a Il.en nv
NOMMWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
p Kokomo Huntington Auburn Constantine 574-753-3673 Star City
.CMICall: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667
Branch Co. MI Hart MI Noblesville 877-615-2667
517-278-4561 231-873-2158 765-67811549 DATE 02/10/15 13:14:47
P.O. Box 2 800-440-2667 317-77 0 START 0.0 END 151.0
WABASH, IN 466 992 GROSS DELIVERY 151.0 GALLONS
4040 SUPER DX-4 BIODIESDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: 6T GARY TEETERS
Customer: 0000921720 Invoice #: 6T 407347
CARMEL STREET DEPT Date: 2/10/2015
3400 W 131ST STREET Time: 13:13
CARMEL, IN 46074
Tris Terms Description Item # Description Legend Quantity Unit Price Item Total
62 DUE 03/20/2015 4040 SUPER DX-4 BIODIESEL E 105.7000 2.60000 274.82
02 DUE 03/20/2015 4033 HEATING DYED E 45.3008 3.02000 136.81
Legend: Invoice Subtotal: 411.63
E=Metered, T=Taxable, *--Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 411.63
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 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!!
Customer Signature:
I
CUSTOMEIFO-�
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))
02/10/15 GT 407347 $411.63
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 $
IN 46OW C/6 qq
$411.63
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 GT 407347 42-313.00 $411.63 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
L(6' Thursd r ry 015
Street Commissioner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund