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249822 09/23/15 ,t�q . yy. *. CITY OF CARMEL, INDIANA VENDOR: 366089 ® ;� �= ;;• ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****1,271.90* f�, �� CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 249822 9MfTON�`. WABASH IN 46992 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232100 00005494 132.00 GARAGE & MOTOR SUPPIE 2201 4231300 GT 408755 356.90 DIESEL FUEL 601 5023990 GT408163 399.00 OTHER EXPENSES 601 5023990 GT408204 384.00 OTHER EXPENSES HOMEWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester p b 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-ON) Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-675-2538 P.O.Box 29s 800-440-2667 317-773SAW7012176 DATE 06/19/15 08:43:39 WABASH, IN 46992 COUNT: START 0.0 END 150.0 GROSS DELIVERY 150.0 GALLONS 4040 PREMIUM DX-4 off rDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: ®000921554 Invoice #: GT 408204 CITY OF CARMEL Date: 6/19/2015 UTILITIES DEPT Time: 09:44 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 150.0000 2.56M 384.00 Legend: Invoice Subtotal: 384.00 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 384.00 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 1-800-424-9306 WE APPRECIATE YOUR BUSINESS!'.'. Customer Signature: I CUSTOMER HommWarsaw 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 rz-GY Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-675-2538 WABASH,IN 466992 P.O. BOX 2 800-440-2667 317-773SWO 12150 DATE 06/12/15 14:03:07 COUNT: START 0.0 END 150.0 GROSS DELIVERY 150.0 GALLONS 4040 PREMIUM DX-4 off rDISTILLATI MULTIPLE DELIVERIES_AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 0000921864 Invoice #: 6T 408163 CITY OF CAMEL Date: 6/12/2015 UTILITIES DEPT Time: 15:60 30 W MAIN STREET CARMEL, IN 46032 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 '_DLE_07/20/2015_ 4040. PREMIUM-DX-4. off rd E 150.0000._ Legend: Invoice Subtotal: 399.00 E=Metered, T=Taxable, *--Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 399.00 (Tall Timher /� l O ` � � � 'e#Ve\�.�t �t� *� �t e$a�ttl�t �ee�tf��ee"lE�ttt�t�t �#t�� WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 6ASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMER6ENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! f Custoeer Signature: I 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 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 9/17/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/17/2015 GT408163 $399.00 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 Date ce VOUCHER # 153113 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 GT408163 07-1051-85 $399.00 '( 3 W V0 L V N(J'-2 Geta/ -7 Voucher Total $3 p Cost distribution ledger classification if claim paid under vehicle highway fund HammWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester (CMCMAI Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 CO-OP 877-615-2667 Branch Co. MI Hart MI Noble 12543 DATE 09!04/15 13:12:19 800-440-2667 3117-771-66 P.O. BOX 299 517-278-4561 231-873-2158 765-678 START 0.0 END 154.5 WABASH, IN 9 992 GROSS DELIVERY 154.5 GALLONS 4040 PREMIUM DX-4 off rDISTILLATI * MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 408755 CARMEL STREET DEPT Date: 9/4/2015 3400 W 131ST STREET Time: 14:06 CARMEL, IN 46074 I Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 DUE 10/20/2015 4040 PREMIUM DX-4 off rd E 154.5000 2.31000 356.90 Legend: Invoice Subtotal: 356.90 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 356.90 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 6ASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! C Customer Signature: I CUSTOMER C� North Central Co-op Centered on you. NCC - Hamilton County Petro =_________= PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00005494 PO Box 1106 =_________= ORDER DATE 09/16/15 Noblesville IN 46060 ACCOUNT NO. 0000921720 317-773-0870 BATCH 404 LGB CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 -------------------------------------------------------------------------------- P.O.# SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- Jim Bentley 09/16/15 DUE 10/20/2015 CLD 256 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 5575101 WINDSHIELD WASHER (-25) -DRUM 55 GAL 2 .40000 132 . 00 TOTAL DUE $$ 132 . 00 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)) 09/04/15 GT 408755 $356.90 09/16/15 00005494 $132.00 1 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 $488.90 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 GT 408755 42-313.00 $356.90 1 hereby certify that the attached invoice(s), or 2201 00005494 42-321.00 $132.00 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 6/ �_Thursd ep ' " &Wg15 n loner Title Cost distribution ledger classification if claim paid motor vehicle highway fund