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Home My WebLink About250787 10/21/15 �%' "F� CITY OF CARMEL, INDIANA VENDOR: 366089 �?•. t ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $`""'•3,856.59" �_�; CARMEL, INDIANA 46032 Po Box 299 CHECK NUMBER: 250787 y��TON� WABASH IN 46992 CHECK DATE: 10/21115 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 00409001 499.87 DIESEL FUEL 2201 4232100 00409024 1,094.50 GARAGE & MOTOR SUPPIE 1207 4231300 GT 409017 1,278.39 DIESEL FUEL 1207 4231400 GT 409017 449.79 GASOLINE 1120 4231100 JBA705941 534.04 BOTTLED GAS g North Central Co-op Centered on you. NCC - Hamilton County Petro =_________= PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00409001 PO Box 1106 =_________= ORDER DATE 10/13/15 Noblesville IN 46060 ACCOUNT NO. 0000921720 317-773-0870 BATCH 482 GT CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 -------------------------------------------------------------------------------- P.O.# SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- 10/13/15 DUE 11/20/2015 GT 256 ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4040 PREMIUM DX-4 off rd 203 .2000 GAL 2 .46000 499. 87 ---------- TOTAL DUE $$ 499. 87 I VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF$ P.O. Box 1106 Noblesville, IN 46060 $499.87 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department { PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 2201 00409001 42-313.00 $499.87 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 Wedn ay 151, i I Tee omr i s o e ree ommissioner 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)) 10/13/15 00409001 $499.87' 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 North Central Co®® Centered on you. NCC - Hamilton County Petro =_________= PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00409024 PO Box 1106 =_________= ORDER DATE 10/15/15 Noblesville IN 46060 ACCOUNT NO. 0000921720 317-773-0870 BATCH 484 GT CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- P.O.# SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- 10/15/15 DUE 11/20/2015 GT 256 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 5574001 ADV PREM THF-DRUM 110 GAL 9 .95000 1094.50 TOTAL DUE $$ 1094.50 VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF$ P.O. Box 1106 Noblesville, IN 46060 $1,094.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 00409024 42-321.00 $1,094.50 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 Friday, O6t? er 16, 2015 / Street Commissio FUr d Street Cofgpssionor Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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)) 10/15/15 00409024 $1,094.50 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer Forth Central Co-op A P.O. BOX 299 • WABASH IN 46992 Centered on you. SALE 13381 DATE 10/08/15 09:11:24 COUNT: START 0.0 END 384.2 NET DELIVERY 384.2 GALLONS 4020 SINGLE METER FUEL LPG 1 VOLU*-ZORRECTED-TO—- MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: JBA JEFF BALSER Customer: 0000921744 Invoice B: JBA705941 CARMEL FIRE DEPT Date: 10/8/2015 2 CIVIC SQUARE Time: 10:07 CARMEL, IN 46032 Tres Terms Description Item g Description Legend Quantity Unit Price Item Total Tank B %Full/Gal 02 DUE 11/20/2015 4020 L.P. GAS E 384.2000 1.39000 534.04 1 80% Legend: - -- —'— --- - - - -- - -- Invoice-Subtotal:-534.-0-4 E--Metered, T=Taxable, entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 534.04 WARNING --PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: I Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 877-615-2667 Branch Co. MI Hart MI Noblesville 517-278-4561 231-873-2158 855-773-0870 800-942-6765 888-591-8211 317-773-0870 CUSTOMER i VOUCHER NO. WARRANT NO. ALLOWED —20- North 0North Central Co-Op IN SUM OF$ � I PO Box 299 Wabash, IN 46992-0299 $534.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 13381 42-311.00 $534.04 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 OCT 1 9 2015 0M �O- I a [ Fire Chief 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 IAn 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)) 13381 $534.04 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 I North Central Co-op A P.O. BOX 299 g WABASH IN 46992 SALE 12724 DATE 10/14/15 16:07:09 Centered On you. COUNT: START 0.0 END 251.6 Y GROSS DELIVERY 251.6 GALLONS 4040 PREMIUN DX-4 off rDISTILLATI MULTIPLE DELIVERIES AT SITE SALE 7325 DATE 10/14/15 16:13:28 COUNT: START 0.0 END 191.4 GROSS DELIVERY 191.4 GALLONS 4011 87 E-10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE ## CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice #: GT 409017 BROOKSHIRE GOLF CLUB Date: 10/14/2015 CITY OF CARMEL Time: 17:02 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 DUE 11/20/2015 4011 87 E-10 PLUS E 191.4000 2.17000 415.34 STATE EXCISE TAX 0.18000 34.45 02 DUE 11/20/2015 4040 PREMIUM DX-4 off rd E 251.6000 2.46000 618.94 02 DUE 11/20/2015 5574301 ADV HD DEO 15W40-DRU # 55.0000 11.99000 659.45 Legend: Invoice Subtotal: 1,728.18 E--Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,728.18 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: Warsaw Wabash Peru Goshen Angola Fremont Logansport P-lymouth__Rochester Kokomo Huntington Auburn Constantine 57-4 753-3673- Star City Call: 800-720-0550 _Call_8.00-234-05-73800-807-3673 Call:574-224-2667 877-615-2667 Branch Co. MI Hart MI Noblesville 517-278-4561 231-873-2158 855-773-0870 800-942-6765 888-591-8211 317-773-0870 CUSTOMER VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 299 Wabash, IN 46992 $1,728.18 i ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 409017 42-314.00 $449.79 1 hereby certify that the attached invoice(s), or 1207 GT 409017 42-313.00 $1,278.39 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 Monday, October 19, 2015 Director, Brookshi olf Club 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)) 10/14/15 GT 409017 Gas $449.79 10/14/15 GT 409017 Diesel Fuel $1,278.39 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