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Home My WebLink About302651 08/31/16 CITY OF CARMEL, INDIANA VENDOR: 366089 ® ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****3,654.94* CARMEL, INDIANA 46032 PO Box 299 CHECK NUMBER: 302651 9.y��ioN moo. WABASH IN 46992 CHECK DATE: 08/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201. 4231500 00006548 2,189.23 OIL 1207 4231300 GT 411076 674.44 DIESEL FUEL 1207 4231400 GT 411076 562.21 GASOLINE 2201 4231300 GT 411086 229.06 DIESEL FUEL VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) NORTH CENTRAL CO-OP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 299 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service WABASH, IN 46992 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,418.29 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT GT 411086 42-313.00 $229.06 1 hereby certify that the attached invoice(s),or 8/16/16 GT 411086 $229.06 2201 201 2201 201 00006548 42-315.00 $2,189.23 bill(s)is(are)true and correct and that the 8/16/16 00006548 $2,189.23 2201 1 1 201 materials or services itemized thereon for 2201 201 which charge is made were ordered and received except Tuesday,August 23, 2016 Dave Huffman Director 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer North Central Co-op ® P.O. BOX 299 • WABASH IN 46992 SALE 10226 DATE 08/16/16 12:52:08 COUNT: START 0.0 END 109.6 GROSS DELIVERY 109.6 BALLDNS Centered on you. 4040 PREMIUM DX-4 off rDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: ST GARY TEETERS Customer: @@00921720 Invoice #: GT 411086 CARMEL STREET DEPT Date: 8/16/2016 3400 W 131ST STREET Time: 11:46 CARMEL, IN 46074 Tris Terms Description Ite■ B Description Legend Quantity Unit Price Item Total 02 DUE 09/20/2016 4040 PREMIUM DX-4 off rd E 109.6000 2.09000 229.06 Legend: Invoice Subtotal: 229.06 .E-Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.N ..... 0.00 Invoice Total: 229.06 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASDLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHENTREC AT i-BW424-9300 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 v : North. Central Co-op P.O. Box 1106 * Noblesville,IN 46061-1106 Centered on you. PH: 317-773-0870 Fax: 317-776-4149 NCC - Hamilton County Petro =_________= PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00006548 PO Box 1106 =_________= ORDER DATE 08/16/16 Noblesville IN 46060 ACCOUNT 'NO. 0000921720 317-773-0870 BATCH 402 LGB CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- P.O.# SHIP DATE TERMS SLS LOC --------------------=----------------------------------------------------------- 08/16/16 DUE 09/20/2016 AG 256 delivered 8/15/16 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 26574301 ADV HD DEO 15W40-265 GL TOTE 208 .3000 GAL 10 .51000 2189.23 TOTAL DUE $$ 2189 .23 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) NORTH CENTRAL CO-OP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 299 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service WABASH, IN 46992 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,236.65 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT GT 411076 42-313.00 $674.44 1 hereby certify that the attached invoice(s),or 5/15/16 GT 411076 Diesel $674.44 1207 101 1207 101 GT 411076 .tpr $562.21 bill(s)is(are)true and correct and that the 8/15/16 GT 411076 Fuel $562.21 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and �1,51Vezd received except Friday,August 19, 2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer North Central Co-op P.O. BOX 299 • WABASH IN 46992 SALE 10220 DATE 08/15/16 14:06:21 COUNT: START 0.0 END 322.7 Centered on you. GROSS DELIVERY 322.7 GALLONS 4040 PREMIUM DX-4 off rDISTILLATI MULTIPLE DELIVERIES AT SITE SALE 4624 DATE 08/15/16 14:19:34 COUNT: START 0.0 END 271.6 GROSS DELIVERY 271.6 GUM 4011 87 E-10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT. .GARY TEETERS Customer: 0000918936 Invoice R: GT 411076 BROOKSHIRE GOLF CLUB Date: 8/15/2016 CITY OF CARMEL Time: 13:05 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Tres Terms Description Item B Description Legend Quantity Unit Price Item Total 02 DUE19/20/2016 4011 871-10 PLUS E 271.6000 1.89000 513.32 STATE EXCISE TAX 0.18000 48.89 02 DUE 09/20/2016 4040 PREMIUM DX-4 off rd E 322.7000 2.09008 674.44 Legend: Invoice Subtotal: 1,236.65 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 11236.65 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIBS. 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 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