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252951 01/11/16
CITY OF CARMEL, INDIANA VENDOR: 042595 ONE CIVIC SQUARE CARMEL CLAY SCHOOLS-FUEL PAYMEJOECK AMOUNT: $'""'"2,864.70• CARMEL, INDIANA 46032 EDUCATION SERVICE CENTER CHECK NUMBER: 252951 5201 E MAIN ST CHECK DATE: 01/11/16 CARMEL IN 46033 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4231400 2015-122 31.46 GASOLINE 1120 4231300 2015-122 855.79 DIESEL FUEL 1120 4231400 2015-122 742.48 GASOLINE 1125 4231400 2015-122 264.22 GASOLINE 2200 4231400 2015-122 55.63 GASOLINE 2201 R4231300 32576 2015-122 494.84 DIESEL-STREET DEPT 2201 R4231400 32577 2015-122 420.28 GASOLINE-STREET DEPT G[A�1r Carmel Clay Schools 5201-E. Main Street :Invoice 2015-122 Carmel, Indiana 46033 Date 12/17/2015 317-844-9961 Attn: Diane Todd City of.Carmel Account#2- Fire Dept. Denise Snyder December 2015 r Quantity Cost Each Total Cost Fuel-T1 1 $1;598.27 Fuel-T2 :1 Fuel Cards @$5..00 ea $5.00 TOTAL $1,598.27 Please make checks Payable to: Carmel Clay Schools nC 11' 2015 12 34 07\ 02 HK2 0459 4596 7`7?77— 0-Normal 0J 02- DlESEL 00012.500 $ 1.�� $ 0019.13 DEC 11. 201� D�12 0�J N 0410 040353 ?????????? 0-Nnrmal 03 02- Dl[SEi 0002B.000 $ 1.5J0 0EC 11` 2015 18:28 0066 02 5562 0250 09760 ?????????? 0-Normal 03 02- DIrL 00014.000 $ l.JA;N $ 002L42 UEC \1' 2015 18x38 0067 0W2 267 0732 035442 ???????' Nomal Q1 01' UNLEADED 00805.900 $ 1.3Y4 $ 0008.22 HE 12. 2N15 16 46 0017 og 5733 0545 0,89\8 ?????????? 0-Normal 03 W2' 0lES[L W0019.9N0 $ 1.KO $ 00J0.45 DEC 13, 2015 09 41 0086 002 5750 0539 037004 ?????????? 0-Norma} 04 Q2- DlESEL 0&018.00 $ 1.5J0 $ 0027.69 DEC 13. 2N4 6 001 0 00 2 570 0230 086850 ?????????? 0-Norma} DlESEL 0002J.900 $ 1.530 $ 0W36.57 DEC 13 2015 13�U 0Nl3 002 5566 0440 032679 ?????????? 0-Hormal 04 02' Ul[SEL 00025.70m 1.530 $ W039.32 DEC 13 2015 15 13 N015 002 5067 N732 035525 ?????????? 0-Normal 01 0�- UNLEADED W0004.�00 $ 1.JY4 $ 0006.1J DEC 1�' 2Ql5 10 02 0026 002 247� 0�09 082701 ?????????? 8-Normal QJ 02- DlESEL 00024.500 $ 1.5J0 $ 0837,�Y DEC ]4 2015 12 43 0034 002 557W 0539 037NJ5 ?????????? 0'Normal 04 02- DlESEL 00021.600 $ 1.530 $ 0Q33.05 DEC l4' 20l5 17�43 N055 W02 3907 0545 069025 ?????????? 8-Normal 03 02- DlESEi 00015.80W $ 1.530 $ 0N22.Y5 DEC '5. 2015 0O�32 0017 002 5931 0547 1Q2037 ?????????? 0-Nurmal 02 N1- UNLEADED N001\.500 $ 1.794 $ 0W16.03 DEC 15/ 20l5 4:16 00Jl 002 J906 0723 06JN89 ?????????? 0-Normal Q2 0i- UNLEADED 00017.400 $ 1.3Y4 $ W024.26 DEC �5. 2015 115!51 0057 002 554W 0732 03563� ?????????? 0-Normal 02 01- UNLEAUEU 000l0.200 $ 1.394 $ 0014.22 DEC 15. 2015 1S 25 0064 002 593J 0236 019200 ?????????? 0'Normal 02 81- UNLEADED 00014.000 $ 4.394 $ 0019.52 Usage Total Product 01 — UNLEADED 537 .800 Gallon $ 742.48 Product 02 — DIESEL 539.600 Gallon $ 855.79 — _.�� Account name : CARMEL FIRE DEPT DENISE SNYDER Account address : 2 CIVIC SQUARE, CARMEL 571-2622 �� Ti� �� A�t Drivr Vehcl ��tr K��a� �� Pumo Pmd ��ti� Pri� ��nt tC 01. 2015 04 52 000oL 5736 057 057251 ?????????? 0'Normal 02 01- UNLEAD[D 00028.700 $ 1.J74 $ 00J9.43 0EC 01, 2015 05 08 0012 02 2178 0724 078757 ??????? nn 0-Norma} 02 81- UNLEA0ED mn24,700 $ \.374 $ 0n3.94 DC 0 1 z 2015 07 0015 n 5867 a �l 0Q5773 ?????????? 0-Nomal 01 01- UNLEAUED 0N011.5N0 80 nm 0i. 2N15 0R�32 0020 00 5931 054J i00964 ?????????? 0-Nnrmal 02 01- UNUEAUED 00012.Y00 DC U\' 2015 09 15 0023 002 1075 0568 07507� ?????????? 8-Normal B2 01- UNLEADE8 00020.000 $ 1.374 $ 0Q27,48 DEC 01` 2015 10�33 0030 002 5940 0250 555555 ?????????? 0-Normal 03 02- D{[SEL N0020.100 $ 1.820 $ 0036.58 DEC 01' 2015 10-45 0023 002 1075 0251 051625 ?????????? 0-Normal 02 81- UNLEADE8 00007.500 $ 1.374 $ 0010.71 DEC 0�, 2015 1J�11 0041 002 5945 0440 011111 ?????????? 0-Normal 04 02- DlESEL 00�22.90N $ l.820 $ 0041.6R D[C 02� 2015 11-i5 0Q33 002 5743 0415 100247 ?????????? 0-Normal 03 W2- DlESEL 00W27.600 $ 1.820 $ 0050.23 0EC 02 201 . 5 11�45 00J6 082 5414 0737 106486 ?????????? 0-Normal 02 01- UNLEADED 00W07.800 $ 1.374 � 0@10.T2 DEC 02. 2015 1J 05 0041 002 3906 0259 011223 ?????????? 8-Normal 02 01- UNLEAD-ED00004.400 $ 1.374 $ 0006.05 DEC 02' 2 0.5 14 Q4 0045 002 5743 0270 066624 ?????????? 0-Norma\ 03 02- DlESEL 0Q828.800 $ 1.565 $ 0045.07 DEC 02' 2015 19!j1 0061 NO2 5067 07J2 035104 ?????????? 0'Norma} 0! 0�- UNLEADEU 00096.600 $ 1.374 $ 0009.07 DEC 03' 2015 07/42 0011 002 5931 0543 101�42 ?????????? 0-Morma} 02 01- UNLEADED 0000B.500 $ 1.374 $ 0011.68 DEC 0J, 2015 09�09 0024 002 55Y4 0440 056400 ?????????? 0-Hurmal 0l 01- UNL[ADEU 0&011.500 $ 1.J74 UEC 03 2015 10x14 0027 W82 5570 0430 052500 ?????????? 0-Normal UJ 02- DIESEL 00025.300 $ 1.565 $ 0039.59 DEC 0J. 2015 10!2J 0028 002 5568 0415 &22222 ?????????? 0-Normal 03 02- DlESEL 00007.700 $ 1.565 $ 0012.05 DEC 03, 2015 15�02 0049 0N2 5118 0237 007446 ?????????? 0-Normal 02 01- UNLEADED 00012.500 $ 1.374 $ 0017.18 DEC 07' 2015 16�22 0065 082 59J3 0236 018857 ?????????? 8-Nurmal 01 0l- UNLEAU[D 00011.000 $ 1.J74 $ 0015,11 DEC 03` 2015 19 Q2 0071 002 5539 0252 035652 ?????????? 4-MPU 02 01- UNiEA8EU N0005.300 $ 1.374 $ 0007.2R 0EC Q3' 2015 19 06 0072 002 5r39 0252 035652 ?????????? 0-Normal N2 01- UNLEADED 0NW2l,j00 $ 1.374 $ 0829.54 DEC 0J, 2Q15 19�2J 0073 002 6443 0460 115978 ?????????? 0-Normal 04 W2- DlESEL 00013,500 $ 1.525 $ 0020.59 DEC 04' 2015 18 16 0069 002 5067 0732 035176 ?????????? W-Nurmal 02 01- 1NLEADE0 00&N6.900 $ 1.374 $ 0009.48 DEC 05/ 2015 09�07 0N11 002 5942 0250 0996l2 ?????????? 0-Nurmal 04 02- OIESEL W00l6.400 $ 1.570 $ 0025.75 DEC 05' 2015 17�23 Q025 082 5931 W54J 101392 ?????????? 0-Normal Q2 01- UNL[ADED 00012.500 $ 1.374 $ 0017.18 DEC 07. 2N15 as ;z 0017 002 5098 0734 075359 ?????????? 0-Normal 02 01- UNLEADED 0001Y.100 $ 1.374 $ 0026.24 DEC 07/ 2015 10:0l 0020 002 5076 0542 O7165 ?????????? 0-Normal N2 01- UNLEAUED 000112400 $ 1.374 $ 0015.66 D[C 07, 2015 12,12 0025 002 5871 0 A W32586 ?????????? 0-Norma} 0J N2- DIESEL 000J3.300 $ 1.570 $ 0052.28 DEC &7' 2015 \i 0042 002 5568 05J8 022222 ?????????? 0-Normal 03 02- 0IESEL NN032.70N $ 1.570 $ 005l.34 DEC 07, 2@15 15�19 MA002 5747 0230 088000 ?????????? 0-Normal 03 02- DIESEL 00021.J00 $ 1.570 $ 00J3.44 DEC 07. 20\5 15�27 00�5 Q02 5415 0732 1-j L5 ?????????? 0-Normal 02 Q1' UNLEAUED 00006.000 $ 1.J74 $ 0008.24 0EC 07. 2015 18�53 8065 002 5101 0568 075310 ?????????? 0-Nurma1 02 01- IMF8)11 00020.900 $ 1.J74 $ W02O.72 D % 07/ 2015 0067 002 57J6 W527 057645 ?????????? 0-Normal 02 01- 0&EAD[D 0WW24.400 $ \.374 $ 0033.53 DE, 07 2015 22�l5 0069 002 5733 0545 0n8684 ?????????? 0-Norma! 0J 02- Dl[SEL 00021.500 $ 1.570 $ 0YS�.76 DEC 08' 2W 06 39 Q010 082 5867 0231 000l3� ?????????? 0-Normal 0l 01- UNLEADEU 00013.700 $ 1.374 $ 0018.82 DEC QR. 2015 07�33 0014 002 5295 0736 079417 ?????????? 0-Normal 02 01- UML[ADEU 0Q013.000 $ 1.374 $ 00D.86 DEC 08. 2015 10,11 0031 002 7986 0723 N61832 ?????????? 8-Normal 02 01- UNLEAU[U 00019300 $ 1.374 $ 0027.34 DEC W8. 2815 11�57 N038 002 5940 0534 555555 ?????????? 0'Normal 02 01- UNLEADED 00009.600 $ 1.374 $ 00O.19 UEC 08' 201� 12��0 004O 002 5101 0539 0J6881 ?????????? 4-HPD O3 02' Ul[SEL 00020.4NN $ 1.570 $ W032.03 DEC 08, 2015 12�12 N041 002 5101 0539 037881 ?????????? 0-Normal 03 Q2- DlES[L 00000.400 $ 1.570 $ 0000.63 DEC 09' 2015 07�J3 0W�8 002 5931 0543 101578 ?????????? 0-Normal 02 01- UNLEADED 00009.1B0 $ 1.374 $ 00l2.50 DEC 09, 2015 0R;54 0030 0W2 2170 072A 079153 ?????????? 0-Normal 02 01- UNLEADED 00025.180 $ 1.J94 $ 0N34.99 DEC 09' 2015 09 0W40 002 2336 0250 099000 ?????????? 0-Nnrma1 03 02- UlESEL 00W1Y.J00 V 1,57N $ 0N30.J0 UEC 09, 2015 10�5D 00�3 002 5539 0252 0J6W3\ ?????????? 0-Nrmal 02 Nl- UNLEADED 00025.800 $ 1,394 $ WWJ5.97 B- 0Y. 2015 13�09 005J 0N2 5750 0539 001852 ?????????? 0-Normal 04 02- 0l[SEL 00025.200 � 1.570 $ MW39.56 DEC 09` 2015 1R�52 0073 002 5067 0732 035369 ?????????? Q-Normal 01 � 01' UNLEAD[U 00007.500 $ 1.J94 $ 0010.46 8EC l0. 2015 12�x8 0023 0W2 5594 0440 056618 ?????????? 8-Normal 01 01- UNLEADED 00013.300 $ 1.J94 $ 0W18.54 DEC ]0, 2015 AY 0Q24 002 5933 0236 01R975 ?????????? 0-Normal 02 0\- UNiEADED 0WWFri 8.600 $ 1.394 $ 00U.99 UEC 11/ 2N15 06�58 W009 002 5931 W�4J 101802 ?????????? 0-Norma\ 02 01- UNLEADED 0W010.400 $ 1.394 $ 0014.50 DEC li, 2015 U. 0W10 002 5414 W737 106681 ?????????? 0-Normal 02 01- UNLEADED W0009.300 $ 1.394 $ 0012.96 DEC 11. 2015 0D:47 0020 082 5110 B237 0Q366J ?????????? 0-Nurma| 01 01- UNLEAUED 00013.500 $ 1.J94 $ 0018.82 rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL m invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by vhom, 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)) 2015-122 $855.79 2015-122 $742.48 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 Carmel Clay Schools IN SUM OF $ 5201 East 131st Street { Carmel, IN 46032 $1,598.27 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department r PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 2015-122 42-313.00 $855.79 I.hereby certify that the attached invoice(s), or 1120 2015-122 42-314.00 $742.48 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 AN UP R � L-0� Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund ..LA r Carmel.Clay Schools 5201 E. Main Street Invoice 2015-122 Carmel, Indiana 46033 Date 12/17/2015 317-844-9961 Attn: Diane Todd City of.Carmel Account#8- Engineering Dept: �1� 31 -4oiJ Kate Lustig- ' December 2015 Quantity Cost Each Total Cost Fuel-T1 1 $55.63 Fuel-T2 . 1 Fuel Card 0 $5.00 $0.00 TOTAL $55.63 Please:make checks Payable to: Carmel Clay Schools I I 1 :I r... l' I,.•t r,:._' � !-; 'r."' El' .., `..I I. -I-.., I f'.i[.� !.-t!-t.f..:i_(1'? t.. {:'.Cfi�!• t:•:"�i:�* S .3_ 1..:.. ,:..!...: _.....�_�!� :. ! If - : L" !117= bran 4-n _r1Sr ._:fLl G!l iI!'ir p,ru bna r;i !4[IF i!�art frod tji»ri Li Ty Frire i+ET!1HI FIT y� '• PP r es{ ^r_^ --r r, -- 1irL. Li Li.1 tJcio ;0'„ G 01- "N'llE DED Li r�j"L!i�:�!:iJ = i._,- DEC 04 ii I j 1!8_'_ rt92i v 71 63'6 0 0§i0- 7 0: of n,ti-, , Nor,{{_i 0_'i 0 1D 5 li':o'=7"no _ t. -A+, = _� _L !! � � I i - di, _0 nr' l!i n _ _ -1 '= _�e i IFS: i.9 �0, 5 4_l :u 6 !P,LL .,�� =..ten vI� ti r, r'�i'.���.�-: r-!Il-Normal l_J i i,: E j.rii � i4,,�flyi = t..jj� _ «i1 k.2�` F i.i i' ! f NI 1 !,'f 9 O r f tj ' !...!:..t..,i"!i i_..�. j_:( ! .._. 1 !{'•.r ...r..i"I...r 1 ::.!.j:''s :'1;'!:'i j•i,._ - T- - _7 Lid_p jilt !r.y!! c'4n_ 7if lrff 'rrCV!'1 ��Ill'l; -5Fd Type ful-.-a rod 0u T.,!i i'':'4 j-`ft-fa ii?,!?Ir?I .�:+..{� �.•- ^ an „ ,, �- ^.fir:�!.�-'�'-�:R : ri { I{.y 1 _ it_ _i. {i1 i :Jo 0.101:. FR-torgA'.1 1; 0'- If," .-A.D. 000,99;0100 f.-q. C`._5 ti{ E_ L. E L U - .=, _;r _. _- j i .1.. .. " _..:. ci tai Ti i -ri ? iiiwr !"!e. i Otdo?_ my Lfoa rd Tvnp i!T:f Q{i 0!!Rt�1i'; ie f!ir!!nL -._ Tr.=.l @ i. rl n i•.•_'. i -- _ _ Y ri_ rice '+A?� eiirr. ! ,^j{ A:—,^,1-4 .—:lil.:':i^.i 1' ti —3i r ! ,!! l li 4' .i r.; _ IM 1,3 tk .�: ,_:`� �:_ _ Ill Ull_.(_ .......... ei',l'..._ 02 C. UNLf;!it_ 00111,_0 _ _._. ' _...._ 1 _.. i.... i.y j_',..:.1_i ..t..... .,.::` _i.. c: r•i ;...,r...<..! � 1�!..,.1.i lt.l �' :_I !�:.!!i..!.S.!...!i�i :':' 1 "j';":::I'•,r r..:'�i ;:.r:! i::'i !.,;...(: Iia L" _i:-� 's !�" it.-}Vr !rr�Ei� ji!_iqu T; 4 '1liLi. TJlP f!4 - ! rj �,Jliarii L, li li L!I!li Tr n Fs _ r'.e: and ;F_ r?!L! F`-C , rr__e i --. D>-C. _is ~t!1_ i�.•' , e -� NU i(=! _b ii- i3E{E , t jr.1 ^. ii: �gl is-� rc -- - r r r• - d GA1 - !r!. h.6 ___ !_!_�___ ...... .. .. jti[t'!yy1 __._t:_Ll_i _ i;.iY; C. r::1!!r....l.. iij!.!I ! i:: : i..'. ::;( i- :!r..::l. ... ..:r", _ L VOUCHER NO. WARRANT NO. CARMEL CLAY SCHOOLS-FUEL PAYMENT ALLOWED 20 EDUCATION SERVICE CENTER IN SUM OF$ 5201 E MAIN ST CARMEL, IN 46033 $55.63 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 2015-122 I 42-314.00 I Prior Year$55.63 I hereby certify that the attached invoice(s), or 2200 201 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, December 31, 2015 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 12/17/15 2015-122 Fuel for City vehicles $55.63 2200 I 201 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 Ii Clerk-Treasurer g � �. i IVSD � DE 2 2 2015 BY:. ( armelFCla, r ScTiools` nuoic 2®x1 `12%2 C U-L` - Jrrdiaha 46033 Date ` K, r7[201'5e� 31 T84 0961 Attn: Diane Todd City of.Carmel Account#9- Parks.Dept. Paula Schlemmer December 2015. Quantity Cost Each : Total Cost Fuel-T1 A $264.22 Fuel-T2 Fuel.Card 0 . .' $5.00 $0.00 TOTAL ` $364;22 <7. Please.make checks Payable to: Carmel Clay Schools ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 042595 Carmel Clay Schools Terms 5201 E. Main St. Date Due Carmel, IN 46033 Invoice Invoice Description . Date Number (or note attached invoice(s)or bill(s)) Amount 12/17/15 2015122 Gas $ 264.22 Total $ 264.22 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with I C 5-11-10-1.6 , 20_ Clerk-Treasurer i Voucher No. Warrant No. I� 042595 Carmel Clay Schools Allowed 20 5201 E. Main St. j Carmel, IN 46033 In Sum of$ $ 264.22 ON ACCOUNT OF APPROPRIATION FOR i 101 -General Fund i PO#or INVOICENO. ACCT#/TlTLE AMOUNT Board Members Dept# 1125 2015122 4231400 $ 264.22 1 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 i December 22, 2015 I Signature $ 264.22 j Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I 1 3rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL M invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Nhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due Invoice Date Invoice# Description Amount Dept. Fund#, (or note attached invoice(s)or bill(s)) 12/17/15 I 2015-122 I I $31.46 1115 101 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 CARMEL CLAY SCHOOLS-FUEL PAYMENT EDUCATION SERVICE CENTER IN SUM OF$ 5201 E MAIN ST CARMEL, IN 46033 $31.46 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 2015-122 I 42-314.00 I $31.46 . 1 hereby certify that the attached invoice(s), or 1115 101 Prior Year 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, January 04, 2016 Terry Crockett, Director Cost distribution ledger classification if claim paid motor vehicle highway fund LA Carmel Clay Schools 5201 E. Main Street Invoice 2015-122 Carmel, Indiana 46033 Date 12/17/2015 317-844-9961 Attn: Diane Todd City of Carmef Account#4-Street:Dept. . Bonnie Callahan December. : 2015 Quantity Cost Each Total Cost Fuel-T1 1 -$915.12 Fuel-T2 1 Fuel Card @$5.00 ea 0 $5.00 LP fuel 0 :.:: 0: TOTAL $915:12 Please make checks Payable to: Carmel'Clay Schools ~ ~ Account name : CARMB- STREET DEPT AMY LUNN Account address I. 3400 W 131 ST WESTFIELD IN 46074 733-2001 Date Time TnAm m t D�xr Vehcl Odomtr �y�erd Tvpe ��p P�� �-a E,ti�v Price Amou � D[C 0�/ 2015 15Q2 W051 0B4 26J8 0754 2\4215 ?????????? 0-Normal 02 01- UNLEADED 0@0J0.000 $ 1.374 $ 0041.22 DEC 02. 2015 0942 0024 004 2197 0731 113543 ?????????? 0-Nomal 04 02- Dl[SEL 00028.5Q0 $ 1.820 $ 005l.87 DEC 02 2815 10J4 0�? 004 1�� 0748 075270 ?????????? 0-Nurmal 07 02- Dl[SEL 00028.900 $ 1,820 $ 0052.60 DC 0J. 2015 0938 ® n5 00- 2120 W454 088486 ?????????? 0-Norma\ 03 02- UlBSBL 00027.500 $ \.565 $ R43.04 DEC 03' 2015 14�32 0048 004 2638 0322 087969 ?????????? 0'Normal 02 N1- UNL[ADED 00020.7W0 $ 1.374 $ W028.44 DEC 04' 20\5 00024 N04 2191 0456 131190 ?????????? 0-Nurmal 04 B2- UI[SEL 00026.7Q0 $ 1.525 $ 0040.72 DEC 07, 2015 09!10 000 004 2373 05l0 l75064 ?????????? 0-Ho rmal 02 01- UNLEADED 0W026,70N $ 1.374 $ 00J6.69 DEC 07. 2015 14�04 0034 004 2194 0749 532\69 ?????????? Q-Normal 04 02- Dl[SEL 00025.JQ0 $ 1.570 $ 0039.72 DEC 08. 2N15 Q9026 0N4 2636 0636 057694 ?????????? 0-Normal 04 02- Dl[SEL 000J9.800 $ 1.570 $ 0062.49 UEC 08. 2015 15�12 N053 004 2J66 W748 075453 ?????????? 0-Normal 04 02- DlES[L 00019.0W0 $ 1.570 $ 0029.8J DEC 09' 2015 09�26 0036 00� 1031 0234 l59300 ?????????? 0-Norma� 02 al- UNLEADED 08015.000 $ 1.J94 $ 0020.91 DEC 09. 2015 09�49 00J8 004 2373 0329 165414 ?????????? 0-Normal 0� 01- UNLEADED 00028.600 $ 1.394 $ 0039.87 DEC 09 2015 09;54 00JY 004 5972 0752 138452 ?????????? fl-Normal 02 01- UNLEADED 0002D.200 $ 1.394 $ O0J9.J1 DEC 09. 2015 15�l2 0N64 004 2179 0510 148961 ?????????? 0-Normal 02 01- UNLEADED a0030.100 $ 1.394 $ 0041.96 D[C 10 2015 10�05 Q0l8 004 2638 0751 15�501 ?????????? 0-Normal 02 W1- UNLEAD[D 00Q22.000 $ 1.JY4 $ 0030.67 DEC 11, 2015 39 0023 0Q4 2364 0322 088268 ?????????? 0-Normal 02 01- UNL[ADED 00026.50N $ l.394 $ 0036.9� 0EC H. 20l5 14-J7 0047 W04 2197 0731 011395 ?????????? 0-Nor7a1 04 02- D][SEL 00029.100 Zl.53W $ 0044.52 UEC 14/ 2015 100027 084 5967 0A55 098130 ?????????? 4-HPD 04 02- Dl[S[L 0Q03J.300 $ 1.530 $ W050.95 DEC 15 2015 1J�41 0039 004 2J73 0391 000368 ?????????? 0-Norma\ 03 02- 8lESEL 0N051.7&0 $ 1.538 $ 0079.10 DEL15, 2815 14:01 0043 004 2366 0589 l23923 ?????????? 0-Nnrmal 82 01- UNiEAD[D 00024.700 $ 1.394 $ 00J4,43 UEC 15` 2015 148 15 00� 6782 L. 15176J ?????????? 0-Normal 02 01- UNLEADED 00025.400 $ 1.394 $ 0035.4l U[C \5` 2015 15�32 0Q53 004 26 � 33 0234 153� 3 ?????????? 0-Normal 02 0l- UNLEADED 0Q824.7Q0 $ 1.394 Usage Total Product 01 - UNLEADED 302 .600 Gallon $ 420.28 Product 02 - DIESEL 309.800 Gallon $ 494 .84 _..................................... VOUCHER NO. WARRANT NO. ALLOWED 20 CARMEL CLAY SCHOOLS-FUEL PAYMENT EDUCATION SERVICE CENTER IN SUM OF$ 5201 E MAIN ST CARMEL, IN 46033 $915.12 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member: 32577 2015-122 42-314.00 $420.28 1 hereby certify that the attached invoice(s), or 2201 Encumbered 201 Prior Year 32576 2015-122 42-313.00 $494.84 bill(s) is(are)true and correct and that the 2201 Encumbered 201 Prior Year materials or services itemized thereon for which charge is made were ordered and 'received except ! v edne ay, Dece�iber , Street Commissioner 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s) or bill(s)) 12/17/15 2015-122 $420.28 2201 201 $494.84 12/30/15 2015-122 2201 201 f 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