251746 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 298350
d
., ONE CIVIC SQUARE TAYLOR OIL CO INC CHECK AMOUNT: $*******475.20*
PO BOX 41 CHECK NUMBER: 251746
CARMEL, INDIANA 46032 ZIONSVILLEIN 46077
roe+ CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0526308IN 475.20 OTHER EXPENSES
Page: 1
Invoice
TAYLOR OIL COMPANY, INC.
Invoice Number: 0526308-IN
P.O. BOX 41
Invoice Date: 11/3/2015
ZIONSVILLE, IN 46077
PHONE: 317-873-2300
FAX: 317-873-4971 Order Number:
Order Date
Customer Number: 0004525
Sold To: Ship To:
CITY OF CARMEL UTILITIES WATER/WASTE-WATER TREATMENT
IN 9609 HAZEL DELL PKY.
INDIANAPOLIS IN 46280
Customer P.O. Ship VIA F.O.B. Terms
S15587 NET 30 DAYS
Item Number. Unit Ordered Shipped Back Ordered Price Amount
550026180 PAIL 2.000 2.000 0.000 92.2100 184.42
Omala S2 G 320(PAIL)
550024076 CS6 2:000 2.000 0.000 33.9400 67.88
FS Synthetic 5W20 GF5 (CASE)
550024070 CS12 1.000 1.000 0.000 44.0600 44.06
FormulaShell 30 SN(CASE)
550024074 CS12 1.000 1.000 0.000 44.7100 44.71
FS 5W30 MO GF5(CASE)
550024080 CS12 3.000 3.000 0.000 44.7100 134.13
FS 5W20 MO GF5(CASE) - - — - -- - -
1 1/2%Interest per month may be added to any PAYMENT RECEIVED AT TAYLOR OIL Net Invoice: 475.20
past due account. Any collection,court,or $ BY Less Discount: 0.00
attorney's fees and/or costs may be added to any GOODS RECEIVED IN GOOD CONDITION BY Freight: 0.00
delinquent account. DYED DIESEL FUEL, Non Sales Tax: 0.00
taxable use only. Penalty for taxable use.
DRUMS PU Invoice Total: 475.20
DRUMS RETURNED
VOUCHER # 156627 WARRANT # ALLOWED
298350 IN SUM OF $
TAYLOR OIL CO INC t
PO BOX 41
ZIONSVILLE, IN 46077
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0526308-IN 01-7202-06 $184.42
0526308-IN 01-7502-06 $290.78
1
Voucher Total $475.20
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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.
I
Payee
298350
TAYLOR OIL CO INC Purchase Order No.
PO BOX 41 Terms
ZIONSVILLE, IN 46077 Due Date 11/10/2015
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/10/201! 0526308-IN $475.20
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
1///3xs G«-�✓1��, since .�
Date Officer