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Home My WebLink About305242 11/14/16 +uj.CLAM CITY OF CARMEL, INDIANA VENDOR: 366089 I ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $****"3,813.59* CARMEL, INDIANA 46032 PO BOX 1106 CHECK NUMBER: 305242 NOBLESVILLE IN 46061-1106 CHECK DATE: 11/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232100 00006833 2,174.70 GARAGE & MOTOR SUPPIE 1120 4231300 00411748 267.91 DIESEL FUEL 1207 4231300 GT 411616 361.57 DIESEL FUEL 1207 4231400 GT 411616 485.41 GASOLINE 2201 4231300 GT 411639 524.00 DIESEL FUEL VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) NORTH CENTRAL CO-OP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 1106 _ IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NOBLESVILLE, IN 46061-1106 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $524.00 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 GT 411639 42-313.00 $524.00 1 hereby certify that the attached invoice(s),or 10/25/16 GT 411639 $524.00 2201 201 2201 201 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday, November 01,2016 Dave Huffman Director I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer ! � North Central Co-op P.O. BOX 299 - WABASH IN 46992 699 SALE 10585 DATE 10/25/16 14:35:30 COUNT: START 0.0 END 251.1 Centered on you. GROSS DELIVERY 251.1 GALLONS 4040 PREMIUM DX-4 off rDISTILLATI MULTIPLE DELIVERIES AT SITE ** CHARGE INVOICE Driver: GT GARY TEETERS Customer:-H00921720 Invoice D: GT 411639 CARMEL STREET DEPT Date: 10/25/2016 3400 W 131ST STREET Time: 13:25 CARMEL, IN 46074 Tris Terms Description Item # Description Legend Quantity Unit Price Item Total 02 DUE 11/20/2016 4040 PREMIUM DX-4 off rd E 251.1000 2.09000 524.80 Legend: Invoice Subtotal: 524.80 E--Metered, T=Taxable, *--Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 524.80 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: i J Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Star City Kokomo Huntington Auburn Constantine 574-753-3673 Call:574-224-2667 Call:800-720-0550 Call: 800-234-0573 800-807-3673 877-615-2667 Branch Co. MI Hart MI Berrien Co. MI Noblesville 517-278-4561 231-873-2158 269-461-4222 855-773-0870 800-942-6765 888-591-8211 800-761-4222 317-773-0870 CUSTOMER VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) NORTH CENTRAL CO-OP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 1106 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NOBLESVI LLE, IN 46061-1106 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $846.98 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 411616 42-3100 $485.41 1 hereby certify that the attached invoice(s),or 10/24/16 GT 411616 Gas $485.41 1207 101 1207 101 GT 411616 42-313.00 $361.57 bill(s)is(are)true and correct and that the 10/24/16 I GT 411616 I Diesel Fuel I $361.57 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Monday, October 31, 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. .O. BOX 299 WABASH, IN 46992 SALE 4902 DATE 10/24/16 08:41:42 COUNT: START 0.0 END 246.4 CROS DELIVERY 246.4 GALLONS Centered on you, 4011 87 E-10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE SALE 10568 DATE 10/24/16 08:27:49 COUNT: START 0.0 END 173.0 GROSS DELIVERY 173.0 GALLONS 4040 PREMIUM DX-4 off rDISTILLATI * MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice #: GT 411616 BROOKSHIRE GOLF CLUB Date: 10/24/2016 CITY OF CARMEL Time: 07:19 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 DUE 11/20/2016 4011 87 E-10 PLUS E 246.4000 1.79000 441.06 STATE EXCISE TAX 0.18000 44.35 02 DUE 11/20/2016 4040 PREMIUM DX-4 off rd E 173.0000 2.09060 361.57 Legend: Invoice Subtotal: 846.98 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 846.98 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 1-800-424-9300 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 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 1106 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NOBLESVILLE, IN 46061-1106 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $267.91 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 411748 42-313.00 $267.91 1 hereby certify that the attached invoice(s),or 11/9/16 411748 $267.91 1120 101 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, November 09, 2016 U®r David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer b North Central Co-op, P.O. Box 1106 * Noblesville,IN 46061-1106 Centered on you. PH: 317-773-0870 Fax: 317-7764149 NCC - Hamilton County Petro =_________= PAGE 1 16222 Allisonville Road INVOICE INVOICE NO. 00411748 PO Box 1106 =_________= ORDER DATE 11/08/16 Noblesville IN 46060 ACCOUNT NO. 0000921744 317-773-0870 BATCH 482 GT CARMEL FIRE DEPT 2 CIVIC SQUARE CARMEL IN 46032 P.O.$# SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- 11/08/16 DUE 12/20/20,16 GT 256 ------------------------------------------------------ ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4040 PREMIUM DX-4 off rd 82 GAL 2 . 09000 171.38 4031 Heater Oil 35 . 1000 GAL 2 . 75000 96 .53 TOTAL DUE $$ 267 . 91 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 1106 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NOBLESVILLE, IN 46061-1106 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,174.70 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 00006833 42-321.00 $2,174.70 1 hereby certify that the attached invoice(s),or 11/4/16 00006833 $2,174.70 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 Tuesday, November 08, 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 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. 00006833 PO Box 1106 =_________= ORDER DATE 11/04/16 Noblesville IN 46060 ACCOUNT NO. 0000921720 317-773-0870 BATCH 405 LGB CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- P.O.# SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- Jim Bentley 11/04/16 DUE 12/20/2016 GT 256 Gary will deliver -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ITEM NO DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 5573703 ADV AW 32 - DRUM 110 GAL 8 .74000 961.40 5574001 ADV PREM THF-DRUM 110 GAL 9. 95000 1094.50 5575101 WINDSHIELD WASHER (-25) -DRUM 55 GAL 2 . 16000 118 . 80 TOTAL DUE $$ 2174 .70