247418 07/15/15 CITY OF CARMEL, INDIANA VENDOR: 366089
�i ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****2,338.9.7*
CARMEL, INDIANA 46032 Po Box 299 CHECK NUMBER: 247418
WABASH IN 46992 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 5205 62.00 OTHER EXPENSES
2201 4232100 5206 742.50 GARAGE & MOTOR SUPPIE
609 5023990 GT 408250 1,097.73 OTHER EXPENSES
2201 4231300 GT 408287 436.74 DIESEL FUEL
I
NORMWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
Cmq
mm
Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667
Qo)-OT) Branch Co. MI Hart MI Noblesville 877-615-2667
517-278-4561 231-873-2158 765-675-2538
P.O. BOX 299 800-440-2667 317-773-0870
WABASH, IN 46992 SALE 18207 DATE 06/25/15 16:12:16
COUNT: START 0.0 END 428.8
GROSS DELIVERY 428.8 GALLONS
4040 PREMIUM DX-4 off rDISTILLATI
--- - - --- - - ----- - -- —#*-MUL-T-IPL-E-DELIVERIES-AT-SI-TE-**--- --
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921864 Invoice #: GT 408250
CITY OF CARMEL Date: 6/25/2015
UTILITIES DEPT Time: 17:17
30 W MAIN STREET
CARMEL, IN 46032
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 DUE 07/20/2015 4040 PREMIUM DX-4 off rd E 428.8000 2.56000 1097.73
Legend: Invoice Subtotal: 1,097.73
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 11097.73
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 CHE14TREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!!
Customer Signature:
CUSTOME ---- --
VOUCHER # 152306 WARRANT # ALLOWED
119835 IN SUM OF $
NORTH CENTRAL CO-OP
PO BOX 1106
NOBLESVILLE, IN 46061
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
408250 07-1051-85 $1,097.73
C00 0eci\0(l)
I
i
Voucher Total $1,097.73
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
119835
NORTH CENTRAL CO-OP Purchase Order No.
PO BOX 1106 Terms
NOBLESVILLE, IN 46061 Due Date 7/6/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6/2015 408250 $1,097.73
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
Date VCer
b
North Central Co-op
Centered on you.
NCC - Hamilton County Petro =_________= PAGE 1
16222 Allisonville Road INVOICE INVOICE NO. 00005205
PO Box 1106 =_________= ORDER DATE 06/30/15
Noblesville IN 46060 ACCOUNT NO. 0000921864
317-773-0870 BATCH 402 CLD
CITY OF CARMEL
UTILITIES DEPT
30 W MAIN STREET
CARMEL IN 46032
--------------------------------------------------------------------------------
--- -P-.-O-.-#-- —SHI_P__DATE___--_TERMS _ SLS LOC
BT062515A 06/30/15 DUE 07/20/2015 CLD 256 fuel level indicator
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
91000000 MISC. OTHER PETRO. PRODUCTS 2 EA 31 . 00000 62 . 00
----------
TOTAL DUE $$ 62 . 00
----------
VOUCHER # 152325 WARRANT # ALLOWED
119835 IN SUM OF $
NORTH CENTRAL CO-OP
PO BOX 1106
NOBLESVILLE, IN 46061
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5205 07-1051-85 $62.00
Voucher Total $62.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
s
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
119835
NORTH CENTRAL CO-OP Purchase Order No.
PO BOX 1106 Terms
NOBLESVILLE, IN 46061 Due Date 7/6/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6/2015 5205 $62.00
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6 iv�w
Date O 'cer
North Central Co-op
Centered on you.
NCC - Hamilton County Petro =_________= PAGE 1
16222 Allisonville Road INVOICE INVOICE NO. 00005206
PO Box 1106 =_________= ORDER DATE 06/29/15
Noblesville IN 46060 ACCOUNT NO. 0000921720
317-773-0870 BATCH 402 LGB
CARMEL STREET DEPT
3400 W 131ST STREET
CARMEL IN 46074
--------------------------------------------------------------------------------
P.O.# SHIP DATE TERMS SLS LOC
--------------------------------------------------------------------------------
06/29/15 DUE 07/20/2015 CLD 256
-- - -----------------------------
ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
751100300 DEF FLUID - 330 TOTE 330 GAL 2 .25000 742 .50
TOTAL DUE $$ 742 .50
NORM
Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
Cm?
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
cc-ox) Branch Co. MI Hart MI Noblesville 877-615-2667
517-278-4561 231-873-2158 765-6755EV8812234 DATE 07/01/15 13:31:51
P.O.BOX 299 800-440-2667 317-773C§Mb START 0.0 END 170.6
WABASH, IN 46992 GROSS DELIVERY 170.6 GALLONS
4040 PREMIUM DX-4 off rDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 408287
CARMEL. STREET DEPT Date: 7/112015
3400 W 131ST STREET Time: 14:27
CARMEL, IN 46074
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 DUE 08/20/2015 4040 PREMIUM DX-4 off rd E 170.6000 2.56000 436.74
Legend: Invoice Subtotal: 436.74
E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 436.74
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: �-
II�
CUSTOMER
VOUCHER NO. WARRANT NO.
North Central Co-op ALLOWED 20
IN SUM OF$
P.O. Box 1106
Noblesville, IN 46060
$1,179.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 00005206 42-321.00 j $742.50 1 hereby certify that the attached invoice (s), or
2201 GT 408287 1 42-313.00 $436.74 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
0
Th4/a y
,
Str wat iiTevner
Title
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))
06/29/15 00005206 $742.50
07/01/15 GT 408287 .$436.74
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