HomeMy WebLinkAbout255828 03/01/16 CITY OF CARMEL, INDIANA VENDOR: 366941
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ONE CIVIC SQUARE HOOSIER PENN OIL CHECK AMOUNT: $*******373.34*
CARMEL, INDIANA 46032 DEPT 19 CHECK NUMBER: 255828
9M�TON PO Box 6069 CHECK DATE: 03/01/16
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4232100 0972212-IN 373.34 GARAGE & MOTOR SUPPIE
Invoice
Page: 1
Hoosier Penn Oil Co., Inc.
Dept. 19 Invoice Number: 0972212-IN
'�O/L CO PAN P.O. Box 6069
Invoice Date: 2/22/2016
Indianapolis, IN 46206-6069
(317)390-5406
Order Number: JG00664
Order Date 2/18/2016
ro,
Customer Number: CARMELF
Sold To: Ship To:
Carmel Fire Dept Carmel Fire Dept
2 Civic Square 2 Civic Square
Carmel,IN 46032 Carmel,IN 46032
Confirm To:
Denise Snyder
Customer P.O. Ship VIA F.O.B. Terms
Net 30
Item Number Unit Ordered Shipped Price Amount
11112535 HP FS GF5 5W30 1/5 PL 2.00 2.00 46.98 93.96
111125205 HP FS GF5 5W20 1/5 PL 2.00 2.00 46.69 93.38
560019913 Rotella T Tri P CJ4 15w40 3/1 CT 4.00 4.00 46.50 186.00
-v.
Net Invoice: 373.34
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 373.34
'rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n 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))
0972212-IN $373.34
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Hoosier Penn Oil ALLOWED 20
IN SUM OF$
Dept. 19
PO Box 6069
Indianapolis, IN 46206
$373.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 0972212-IN 42-321.00 $373.34 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
FEB 2 4 2016
"Ito8h�,:��► A/1" f
z y -
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund