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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