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HomeMy WebLinkAbout252733 12/15/15 �' `""":;F• - CITY OF CARMEL, INDIANA VENDOR: 366089 v, ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****3,674.07* CARMEL, INDIANA 46032 PO Box 299 CHECK NUMBER: 252733 9M�TpN ` WABASH IN 46992 CHECK DATE: 12/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231500 00005795 3,224.00 OIL 2201 4231300 GT409412 450.07 DIESEL FUEL ♦cam_ Ohl Z North. Central_ Co-op Centered on you. NCC - Hamilton County Petro =_________= PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00005795 PO Box 1106 =_________= ORDER DATE 12/09/15 Noblesville IN 46060 ACCOUNT NO. 0000921720 317-773-0870 BATCH 403 CLD CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- P.O.# SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- 12/09/15 DUE 01/20/2016 CLD 256 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 5574001 ADV PREM THF-DRUM 110 GAL 9 . 95000 1094 .50 5574311 ADV GEO 5W20 SYN BLD-DRUM 55 GAL 11 . 03000 606 . 65 5574402 CMC ATF MULTI-VEH SYN-DRUM 55 GAL 16 .31000 897 . 05 1274313 ADV GEO 1OW30 SYN BLD-QTS 30 GAL 13 . 57000 407 . 10 4073505 ADV SUP PERFORM GREASE-TUBES 20 EA 4 .28000 85.60 5575101 WINDSHIELD WASHER (-25) -DRUM 55 GAL 2 .42000 133 . 10 TOTAL DUE $$ 3224 . 00 North -opC�entral C�® ® P.O. BOX 299 o WABASH IN 46992 SALE 12990 DATE 12/08/15 13:11:39 COUNT: START 0.0 END 198.8 Centered on .ouGROSS DELIVERY 198.8 GALLONS y 4040 PREMIUM DX-4 off rDISTILLATI MULTIPLE DELIVERIES AT SITE +* CHARGE INVOICE Driver: GT GARY TEETERS Custo©er: 0000921720 Invoice #: GT 409412 CARMEL STREET DEPT Date: 12/8/2015 3400 W 131ST STREET Tice: 13:03 I! CARMEL, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 DUE 01/20/2016 4040 PREMIUM DX-4 off rd E 139.2000 2.15000 299.28 02 DUE 01/20/2016 4033 HEATING DYED E 59.6000 2.53000 150.79 Legend: Invoice Subtotal: 450.07 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 450.07 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 CHENTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: 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. MI 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 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)) 12/08/15 GT 409412 $450.07 12/09/15 00005795 $3,224.00 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 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 1106 Noblesville, IN 46060 $3,674.07 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 GT 409412 42-313.00 $450.07 1 hereby certify that the attached invoice(s), or 2201 00005795 42-315.00 $3,224.00 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 Thursday� `D er 0 015 Street oCoM,fttis�'si66er Title Cost distribution ledger classification if claim paid motor vehicle highway fund