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Home My WebLink About257987 04/26/16 ��";F� , CITY OF CARMEL, INDIANA VENDOR: 366089 t ® ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $.....2,598.37" r. CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 257987 9M.. �%_' WABASH IN 46992 CHECK DATE: 04/26/16 �rpN cQ' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231300 00410222 432.77 DIESEL FUEL 1120 4231100 00706954 239.93 BOTTLED GAS 1207 4231300 GT 410155 865.06 DIESEL FUEL 1207 4231400 GT 410155 593.67 GASOLINE 2201 4231300 GT 410261 466.94 DIESEL FUEL 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)) 04/19/16 GT 410261 $466.94 2201 201 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. NORTH CENTRAL CO-OP ALLOWED 20 PO BOX 299 I d` IN SUM OF$ ,V 1V WABASH, IN 46992 $466.94 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Memben I GT 410261 I 42-313.00 I $466.94 1 hereby certify that the attached invoice(s), or 2201 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 Wednesday, April 20, 2016 ua" Street Gomrnia®inner Cost distribution ledger classification if claim paid motor vehicle highway fund North Central Co-op P.O. BOX 2 99 WABASH, IN 46992 SALE 13615 DATE 04/19/16 11:38:00 COUNT: START 0.0 END 252.4 GROSS DELIVERY 252.4 GALLONS Centered on you. 4040 PREMIUM DX-4 off rDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 0000921720 Invoice #: 6T 410261 CARMEL STREET DEPT Date: 4/19/2016 3400 N 131ST STREET Time: 12:28 CARMEL, IN 46074 Tris Terms Description Item # Description Legend Quantity Unit Price Item Total 02 DUE 05/20/2016 4040 PREMIUM DX-4 off rd E 252.4000 1.85000 466.94 Legend: Invoice Subtotal: 466.94 Wetered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 466.94 WARNING — PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 6ASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800-424-9300 HE APPRECIATE YOUR BUSINESS!!! Customer Signature: Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Star City Kokomo Huntington Auburn Constantine 574-753-3673 Call:574-224-2667 Call: 800-720-0550 Call: 800-234-0573 800-807-3673 877-615-2667 Branch Co. MI Hart MI Berrien Co. MI Noblesville 517-278-4561 231-873-2158 269-461-4222 855-773-0870 800-942-6765 888-591-8211 800-761-4222 317-773-0870 CUSTOMER rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Ln invoice or bill to be properly itemized must show:kind of service,where performed, dates service rendered, by Thom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due lvoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 04/04/16 GT 410155 Fuel $593.67 1207 101 04/04/16 GT 410155 Diesel Fuel $865.06 1207 101 hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance roith IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. NORTH CENTRAL CO-OP ALLOWED 20 PO BOX 299 IN SUM OF$ WABASH, IN 46992 $1,458.73 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members GT 410155 42-314.00 $593.67 I hereby certify that the attached invoice(s), or 1207 101 GT 410155 42-313.00 $865.06 bill(s) is(are)true and correct and that the 1207 101 materials or services itemized thereon for which charge is made were ordered and received except Monday,April 11, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund f North Central Co-op ® P.O. BOX 2 99 • WABASH, IN 46992 SALE 13546 DATE 04/04/16 14:22:59 COUNT: START 0.0 END 467.6 Centered on you. GROSS DELIVERY 467.6 GALLONS 4040 PREMIUM DX-4 off rDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 0000918936 Invoice O: GT 410155 BROOKSHIRE GOLF CLUB Date: 4/4/2016 CITY OF CARMEL Time: 15:18 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Trms Terms Description Item D Description Legend Quantity Unit Price Item Total 02 DUE 05/20/2016 4011 87 E-10 PLUS E 307.6000 1.75M 538.30 STATE EXCISE TAX 0.18000 55.37 02 DUE 05/20/2016 4040 PREMIUM DX-4 off rd E 467.6000 1.85000 865.06 Legend: Invoice Subtotal: 11458.73 Wetered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.N ..... 0.N Invoice Total: 1,458.73 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 6ASOLINES 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 Star City Kokomo Huntington Auburn Constantine 574-753-3673 Call:574-224-2667 Call: 800-720-0550 Call:800-234-0573 800-807-3673 877-615-2667 Branch Co. MI-- - Hart MI - -Berrien-Co. MI -- -Noblesville— - 517-278-4561 231-873-2158 269-461-4222 855-773-0870 800-942-6765 888-591-8211 800-761-4222 317-773-0870 CUSTOMER #;•i�.f i in OTT ,Sti- 'rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Nn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by n►hom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due nvoice Date invoice# Description Amount Dept. Fund# (or note attached invoice(s) or bill(s)) 04/06/16 I 706954 I I $239.93 1120 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 NORTH CENTRAL CO-OP PO BOX 299 IN SUM OF $ WABASH, IN 46992 $239.93 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire PO#/Dept. INVOICE NO. I ACCT#/Fund' AMOUNT Board Members 706954 I 42-311.00 I $239.93 1 hereby certify that the attached invoice(s), or 1120 101 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, April 14, 2016 Denise Snyder Budget&Accreditation Manager Cost distribution ledger classification if claim paid motor vehicle highway fund North Central Co-op (:p P.O. Box 1106 * Noblesville, IN 46061-1106 Centered on you. PH: 317-773-0870 Fax: 317-776-4149 NCC - Hamilton County LP Gas =_________= PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00706954 PO Box 1106 =_________= ORDER DATE 04/06/16 Noblesville IN 46060 ACCOUNT NO. 0000921744 317-773 . 0870 BATCH 433 JBA CARMEL FIRE DEPT 2 CIVIC SQUARE CARMEL IN 46032 P O # SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- 04/06/16 DUE 05/20/2016 JBA 257 ------------------------------------------------------- ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4020 L. P. GAS 150 . 9000 GAL 1 . 59000 239 . 93 TANK: 0001 500 TOTAL DUE $$ 239 . 93 'rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn 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 nvoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s) or bill(s)) 04/14/16 I 00410222 I I $432.77 1120 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 NORTH CENTRAL CO-OP PO BOX 299 IN SUM OF$ WABASH, IN 46992 $432.77 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 00410222 I 42-313.00 I $432.77 1 hereby certify that the attached invoice(s), or 1120 101 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, April 14, 2016 Denise Snyder Budget&Accreditation Manager Cost distribution ledger classification if claim paid motor vehicle highway fund North Central Co-op P.O. Box 1106 * Noblesville, IN 46061-1106 Centered on you. PH: 317-773-0570 Fax: 317-776-4149 NCC - Hamilton County Petro =_________= PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00410222 PO Box 1106 =_________= ORDER DATE 04/13/16 Noblesville IN 46060 ACCOUNT NO. 0000921744 317-773-0870 BATCH 483 GT CARMEL FIRE DEPT 2 CIVIC SQUARE CARMEL IN 46032 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- P.O.# SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- 04/13/16 DUE 05/20/2016 GT 256 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4049 PREMIUM DX-4 on rd 192 GAL 1 . 85000 355 .20 FEDERAL EXCISE TAX 192 GAL 0 .24400 46 .85 STATE EXCISE TAX 192 GAL 0 . 16000 30 .72 TOTAL DUE $$ 432 .77