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Home My WebLink About247968 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 366089 ® ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****2,305.99* f. =4 CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 247968 WABASH IN 46992 CHECK DATE: 07/28/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 GT408356 910.13 DIESEL FUEL 1207 4231300 GT408399 825.54 DIESEL FUEL 1207 4231400 GT408399 570.32 GASOLINE HammWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Cmv -0 Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 col-G.? Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-675SAM812285 DATE 07/17/15 10:49:22 P.O. BOX 299 800-440-2667 317-77 - �f WABASH, IN 46992 START 0.0 END 362.6 GROSS DELIVERY 362.6 GALLONS 4040 PREMIUM DX-4 off rDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice g: 6T 408356 CARMEL STREET DEPT Date: 7/17/2015 3460 W 131ST STREET Time: 11:47 CARMEL, IN 46074 Tres Terms Description Item R Description Legend Quantity Unit Price Item Total 02 DUE 08/20/2015 4040 PREMIUM DX-4 off rd E 362.6000 2.51000 910.13 Legend: Invoice Subtotal: 910.13 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 910.13 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 CHENITREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: CUSTOMER 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)) 07/17/15 GT 408356 $910.13 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 $ P.O. Box 1106 Noblesville, IN 46060 $910.13 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I GT 408356 I 42-313.001 $910.13 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 fN Thu0y,a , u ULW StrE%jr0&ftKts-M peer Title Cost distribution ledger classification if claim paid motor vehicle highway fund �O Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester ��jKokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 co-w Branch Co. MI Hart MI Noble 877-615-2667 v I 517-278-4561 231-873-2158 765-67812312 DATE 07/22/15 11:52:45 P.O. BOX 299 800-440-2667 317-773COM START 0.0 END 328.9 WABASH, IN 46992 GROSS DELIVERY 328.9 GALLONS 4040 PREMIUM DX-4 off rDISTILLATI ** MULTIPLE DELIVERIES AT SITE SALE 7018 DATE 07/22/15 11:59:00 COUNT: START 0.0 END 220.2 GROSS DELIVERY 220.2 GALLONS 4011 87 E-10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS, ' Customer: 0000918936 Invoice #: GT 408399 BROOKSHIRE GOLF CLUB Date: 7/22/2015 CITY OF CARMEL Time: 12:51 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 DUE 08/20/2015 4011 87 E-10 PLUS E 220.2000 2.41M 530.68 STATE EXCISE TAX 0.18000 39.64 02 DUE 08/20/2015 4040 PREMIUM DX-4 off rd E 328.9000 2.51000 825.54 Legend: Invoice Subtotal: 1,395.86 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,395.86 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 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: CUSTOME O 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)) 07/22/15 GT408399 Gas $570.32 07/22/15 GT 408399 Fuel $825.54 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 $ P.O. Box 299 Wabash, IN 46992 $1,395.86 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT408399 42-314.00 $570.32 1 hereby certify that the attached invoice(s), or 1207 GT 408399 42-313.00 $825.54 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 Friday, July 24, 2015 Director, Brookshire GA dub Title Cost distribution ledger classification if claim paid motor vehicle highway fund