HomeMy WebLinkAbout242359 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 366089
ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $ ..."156.75*
x? CARMEL, INDIANA 46032 16222 ALLISONVILLE ROAD CHECK NUMBER: 242359
NOBLESVILLE IN 46060 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4232100 4627 156.75 GARAGE & MOTOR SUPPIE
02/09/2015 13: 52 12605633021 NORTH CENTRAL COOP PAGE 02/02
North Central Co-op � `r R"
260-563-8381 800-992-3495 Fax 260-563-3021 Q a PATRON
North Central Co-op =______==_= PAGE 1
Hamilton Petroleum INVOICE INVOICE NO. 00004627
16222 Allisonvllle ORDER DATE 01/26/15
Noblesville IN 46060 <<COPY» ACCOUNT NO. 0000921744
ORDER NO, 00004627
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL IN 46032
P.O. # SHIP DATE TERMS SLS LOC
-------------------------------------------------------------- ----------
01/26/15 DUE 02/20/2015 CLD 256
---------
ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
---------------------------------__--------------------------_------------_------
751100200 DEF FLUID - 55 GAL DRUM 55 GAL 2 . 85000 156 . 75
TOTAL DUE $$ 156. 75
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))
4621 $211.88
4627 $156.75
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 $
PO Box 299
Wabash, IN 46992-0299
$368.63
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 4621 42-321.00 $211.88 1 hereby certify that the attached invoice(s), or
1120 4627 42-321.00 $156.75 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
FER t 6 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund