250360 10/07/15 ,CAq .
"' CITY OF CARMEL, INDIANA VENDOR: 366089
;; ® ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: S"'"'4,087.69'
;. CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 250360
M�fON Gam? WABASH IN 46992 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 00002800 187.50 OTHER EXPENSES
2201 4231500 00005539 332.40 OIL
2201 4232100 00408840 1,340.00 GARAGE & MOTOR SUPPIE
601 5023990 GT408829 823.85 OTHER EXPENSES
2201 4231300 GT408839 425.87 DIESEL FUEL
1207 4231300 GT408851 642.67 DIESEL FUEL
1207 4231400 GT408851 335.40 GASOLINE
HOMMWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
CmqKokomo Huntington Auburn Constantine 574-753-3673 Star City
mAi Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667
Cc-ON) Branch Co. MI Hart MI Noble 1
877-615-2667
517-278-4561 231-873-2158 765-67 - 812600 DATE 09/22/15 15:16:30
P.O. Box 299 800-440-2667 317-77 p START 0.0 END 192.7
-
WABASH, IN 46992 DELIVERY 192.7 GALLONS
4040 PREMIUM DX-4 off rDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 408839
CARMEL STREET DEPT Date: 9/22/2015
3400 W 131ST STREET Tine: 16:10
CARMEL, IN 46674
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 DUE 10/20/2015 4040 PREMIUM DX-4 off rd E 192.7000 2.21000 425.87
Legend: Invoice Subtotal: 425.87
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 425.87
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:
CUSTOMEIFD-�
North Central Co-op
Centered on you
NCC - Hamilton County Petro =_________= PAGE 1
16222 Allisonville Road INVOICE INVOICE NO. 00408840
PO Box 1106 =_________= ORDER DATE 09/23/15
Noblesville IN 46060 ACCOUNT NO. 0000921720
317-773-0870 BATCH 483 GT
CARMEL STREET DEPT
3400 W 131ST STREET
CARMEL IN 46074
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
P.O.# SHIP DATE TERMS SLS LOC
--------------------------------------------------------------------------------
09/23/15 DUE 10/20/2015 GT 256
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
40073505 SUPERIOR PERF. GREASE - 400# 400 LB 3 .35000 1340. 00
TOTAL DUE $$ 1340. 00
North Ce n- tral Co-op
Centered on you.
NCC - Hamilton County Petro =_________= PAGE 1
16222 Allisonville Road INVOICE INVOICE NO. 00005539
PO Box 1106 =_________= ORDER DATE 09/29/15
Noblesville IN 46060 ACCOUNT NO. 0000921720
317-773-0870 BATCH 468 RKB
CARMEL STREET DEPT
3400 W 131ST STREET
CARMEL IN 46074
P.O. # SHIP DATE TERMS SLS LOC
--------------------------------------------------------------------------------
09/29/15 DUE 10/20/2015 RKB 256
ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
1274311 ADV GEO 5W20 SYN BLD-QTS 24 GAL 13 . 85000 332.40
TOTAL DUE $$ 332 . 40
(1/0xr
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))
09/22/15 GT 408839 $425.87
09/23/15 00408840 $1,340.00
09/29/15 00005539 $332.40
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
$2,098.27
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 GT 408839 42-313.00 $425.87 1 hereby certify that the attached invoice(s), or
2201 00408840 42-321.00 $1,340.00 bill(s) is (are) true and correct and that the
2201 00005539 42-315.00 $332.40
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, ct x, 015
^-ry7
4�k�etC�orYit�i i�(o7�e r
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))
09/24/15 GT 408851 Fuel $335.40
09/24/15 GT408851 Diesel $642.67
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
$978.07
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 GT 408851 42-314.00 $335.40 1 hereby certify that the attached invoice(s), or
1207 GT408851 42-313.00 $642.67 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, October 02, 2015
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
North Centrad Co-op
® r P.O. BOX 299 WABASH IN 46992
SALE 12611 DATE 09/24/15 08:3400
Centered on you. CUT: START 0.0 END 290.8
GROSS DELIVERY 290.8 GALLONS
4040 PREMIUM DX-4 off rDISTILLATI
** MULTIPLE DELIVERIES AT SITE **
SALE 7246 DATE 09/24/15 08:40:30
COUNT: START 0.0 END 156.0
GROSS DELIVERY 156.0 GALLONS
4011 87 E-10 PLUS GASOLINE 1
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000918936 Invoice #: GT 408851
BROOKSHIRE GOLF CLUB Date: 9/24/2015
CITY OF CARMEL Time: 09:30
12120 BROOKSHIRE PKWY
CARMEL, IN 46033-
Tres Terms Description Item # Description Legend Quantity Unit Price Item Total
02 DUE 10/20/2015 4011 87 E-10 PLUS E 156.0000 1.97000 307.32
STATE EXCISE TAX 0.18000 28.08
02 DUE 10/20/2015 4040 PREMIUM DX-4 off rd E 290.8000 2.21000 642.67
Legend: Invoice Subtotal: 978.07
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 978.07
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
Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call:800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667
Branch Co. NII Hart MI Noblesville 877-615-2667
517-278-4561 231-873-2158 855-773-0870
800-942-6765 888-591-8211 317-773-0870
� 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
877-615-2667
Branch Co. M 517-278-45611 Hart MI Noble 231-873-2158 765-67 -.98
g12594 DATE 09/22/15 09:18:57
P.O. BOX 299 9 800-440-2667 317-776 START 0.0 END 359.6
WABASH, IN 46992 GROSS DELIVERY 359.6 GALLONS
4049 PREMIUM DX-4 on rdDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921808 Invoice #: GT 408829
CARMEL WATER DEPT Date: 9/22/2015
3450 W 131ST STREET Time: 10:20
CARMEL, IN 46074-8267
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 DUE 10/20/2015 4040 PREMIUM DX-4 off rd * 251.7000 2.21000 556.26
02 DUE 10/20/2015 4033 K-1 HEATING DYED * 107.9000 2.48000 267.59
Legend: Invoice Subtotal: 823.85
E=Metered, T=Taxable, *--Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 823.85
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:
I
11e-Celved :
D-ate : as
ACCT #:
Use :
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 9/25/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/25/2015 GT408829 $823.85
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
1191.isDate Officer
VOUCHER # 153142 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
GT408829 01-6160-03 $823.85
Voucher Total $823.85
Cost distribution ledger classification if
claim paid under vehicle highway fund
North Co-op
Centered on you.
NCC - Hamilton County Agronomy ----------- PAGE 1
16222 Allisonville Road INVOICE INVOICE NO. 00002800
PO Box 1106 =_________= ORDER DATE 09/22/15
Noblesville IN 46060 ACCOUNT NO. 0000921776
317-773-0870 BATCH 467 RKB
CARMEL SEWER DEPT.
9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
--------------------------------------------------------------------------------
P.O. # SHIP DATE TERMS SLS LOC
--------------------------------------------------------------------------------
515468 09/22/15 DUE 10/20/2015 RKB 251
ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
--------------------------------------------------------------------------------
994825 CORNERSTONE PLUS - 2X2 . 5 5 GAL 37 . 50000 187 . 50
TOTAL DUE $$ 187 . 50
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
366089
NORTH CENTRAL COOP Purchase Order No.
16222 ALLISONVILLE ROAD Terms
NOBLESVILLE, IN 46060 Due Date 9/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/24/2015 00002800 $187.50
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance
with
hIC 5-11-10-1.6
%O
Date Officer
VOUCHER # 156360 WARRANT # ALLOWED
366089 IN SUM OF $
NORTH CENTRAL COOP
16222 ALLISONVILLE ROAD
NOBLESVILLE, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
00002800 01-7202-06 $187.50
i
Voucher Total $187.50
Cost distribution ledger classification if
claim paid under vehicle highway fund