315095 08/22/17 Coq
CITY OF CARMEL, INDIANA VENDOR: 042595
ONE CIVIC SQUARE CARMEL CLAY SCHOOLS-FUEL PAYMERFIECK AMOUNT: $"*"'1,309.36'
s r� CARMEL, INDIANA 46032 EDUCATION SERVICE CENTER CHECK NUMBER: 315095
•«�TON. 5201 E MAIN ST CHECK DATE: 08/22/17
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4231300 2017081 140.00 DIESEL FUEL
1125 4231400 2017081 1,169.36 GASOLINE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
042595 Carmel Clay Schools Terms
5201 E. Main St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/9/17 2017081 Gas $ 1,169.36
8/9/17 2017081 Diesel $ 140.00
Total j $ 1,309.36
1 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
Fi .r✓
CLAY AUG 1 72017
Carmel Clay Schools
5201 E. Main Street Invoice 2017-081
Carmel, Indiana 46033 Date 8/9/2017
317-844-9961
Attn: Diane Todd
City of Carmel
Account#9 - Parks Dept.
Paula Schlemmer
August 2017
Quantity Cost Each Total Cost
Fuel-T1 1 $873.12
Fuel -T2a 1 $436.24
Fuel -T2b 0
Fuel Card 1 0 $5.00 1 $0.00
TOTAL $1,309.36
Please make checks Payable to
Carmel Clay Schools