HomeMy WebLinkAbout258426 05/10/16 CITY OF CARMEL, INDIANA VENDOR: 366941
ONE CIVIC SQUARE HOOSIER PENN OIL CHECK AMOUNT: $*******185.04*
i•. '� CARMEL, INDIANA 46032 DEPT 19 CHECK NUMBER: 258426
'MUTON r PO BOX 6069 CHECK DATE: 05/10/16
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231500 0978465-IN 185.04 OIL
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HOOSIER PENN OIL
DEPT 19 IN SUM OF$ CITY OF CARMEL
PO BOX 6069 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by
INDIANAPOLIS,IN 46206 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$185.04 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
- Carmel Fire Terms
Date Due
Invoice Date Invoice# Description Amount
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s))
978465 I 42-315.00 I $185.04 1 hereby certify that the attached invoice(s),or 04/29/16 978465 $185.04
1120 101 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
Monday,May 02,2016
David Haboush
Fire Chief
Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
,20_
Clerk-Treasurer
I11VOICe Page: 1
Hoosier Penn Oil Co., Inc.
Dept. 19 Invoice Number: 0978465-IN
on coMPA� P.O. Box 6069
Invoice Date: 4/27/2016
Indianapolis, IN 46206-6069
(317)390-5406
Order Number: JG01404
Order Date 4/27/2016
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 46.40 92.80
111125205 HP FS GF5 5W20 1/5 PL 2.00 2.00 46.12 92.24
50010008 3/4"Jumbo Hex Red Tap-Lubes EA 2.00 2.00 0.00 0.00
Net Invoice: 185.04
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 185.04