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Home My WebLink About302975 09/12/16 ,0CITYOF CARMEL, INDIANA VENDOR: 366089 /�i ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $*****1,623.45* r. _� CARMEL, INDIANA 46032 PO BOX 299 CHECK NUMBER: 302975 ,,;��TpN� WABASH IN 46992 CHECK DATE: 09/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231500 00006622 718.30 OIL 2201 4231300 00411208 905.15 DIESEL FUEL VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) NORTH CENTRAL CO-OP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 299 IN SUM OF$ 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. $905.15 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 00411208 42-313.00 $905.15 1 hereby certify that the attached invoice(s),or 9/2/16 00411208 $905.15 2201 201 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, September 07, 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 o North Central 'Co-op P.O. Box 1106 * Noblesville,IN 46061-1106 Centered on you. PH: 317-773-0870 Fag: 317-776-4149 NCC - Hamilton County Petro =__________ PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00411208 PO Box 1106 =_________= ORDER DATE, 09/02/16 Noblesville IN 46060 ACCOUNT NO. 0000921720 317-773-0870 BATCH 485 GT CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 -------------------------------------------------------------------------------- P.O.# SHIP DATE TERMS SLS LOC -------------------------------------------------------7------------------------ 09/02/16 DUE 10/20/2016; GT 256 ------------------------------------------------=------------------------------- -------------------------------------------------------------------------------- ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4040 PREMIUM DX-4 off rd 421 GAL 2 .15000 905 . 15 TOTAL DUE $$ 905. 15 North Central Co-op P.O. BOX 299 WABASH, IN 46992 SALE INK DATE 09/02/16 14:34:41 CANT: START 0.0 END 421.0 GROSS DELIVERY 421.0 GALLONS Centered on you. 4040 PREMIUM DX-4 off rDISTILLATi MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 411208 CARMEL STREET DEPT Date: 9/2/2016 3400 N 131ST STREET Time: 13:30 CARMEL, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 .DUE 10/20/2016 4040 PREMIUM DX-4 off rd E 421.0000 2.15000 905.15 Legend: Invoice Subtotal: 90=1.15 E--Metered, T=Taxable, }centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 905.15 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-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 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. $718.30 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 00006622 42-315.00 $718.30 1 hereby certify that the attached invoice(s),or 9/6/16 00006622 $718.30 2201 201 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, September 07,2016 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-olp P.O. Box 11.06 * Noblesville,'IN 46063-1.1,0.6 Centered on you. PH: 317-773-087.0 Pax: 317716-4149 NCC - Hamilton County Petro =_________= PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00006622 PO Box 1106 =_________= ORDER DATE 09/06/16 Noblesville IN 46060 ACCOUNT NO. 0000921720 317-773-0870 BATCH 402 NJN CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 P.O. # SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- 09/06/16 DUE 10/20/2016 CLD 256 ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 5574317 ADV GEO 5W30 FULL SYN-DRUM 55 GAL 13 . 06000 718 . 30 TOTAL DUE $$ 718 . 30