319442 12/12/17 R 4/u.Cgq�R( I z
CITY OF CARMEL, INDIANA VENDOR: 042595
ONE CIVIC SQUARE CARMEL CLAY SCHOOLS-FUEL PAYMEKMECK AMOUNT: $**'****706.21
x. r° CARMEL, INDIANA 46032 EDUCATION SERVICE CENTER CHECK NUMBER: 319442
5201 E MAIN ST CHECK DATE: 12/12/17
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION_
1192 4231400 2017121 466.56 GASOLINE
2200 4231400 2017121 239.65 GASOLINE
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 042595 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CARMEL CLAY SCHOOLS-FUEL PAYMENT IN SUM OF$ CITY OF CARMEL
EDUCATION SERVICE CENTER An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
5201 E MAIN ST rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46033
Payee
$239.65
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering 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
2017-121 42-314.00 $239.65 1 hereby certify that the attached invoice(s),or 12/4/17 2017-121 Fuel for City vehicles $239.65
2200 2200 2200 2200
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
Thursday, December 07,2017
Jeremy Kashman
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
Carmel Clay Schools 4 -
5201 E. Main Street Invoice 2017-121
Carmel, Indiana 46033 Date. 12/4/2017
317-844-9961
Attn: Diane Todd
City of Carmel
Account#8- Engineering Dept: 220 0 '4 Z3 1 L+ ob
Kate Lustig
December 2017
Quantity Cost Each - Total Cost
Fuel-T1 1 $109.35
Fuel-T2a 1 $130.30
Fuel.Card $5.00
TOTAL: $239.65
Please make checks Payable to:
Carmel Clay Schools
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' Account �.
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` Account ����--- : CARMEL ENGINEERING KATIE NEVI �
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Account address : 1 CIVIC SQUARE CARMEL
'`` 571-2432
,
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D«te Time Tran Acnt Drivr Vehcl Odomtr Keyboard Type ��p Prnd Quantib/ Price �munt
�N 16, 2017 1Q�28 0Q2 �0 1068 0408 10870,
�* 17, 20i7 11�23 08J1 Q88 6436 0528 02�436 ?????????? 0-Norma\ 02 01- UNLEADED 8Q012.00W $ 2.172 $ 8026.06 `
N0Y 27, 2W17 16�l0 0069 N88 6901 0569 00367� ?????????? 0-Normai 02 0l- UNLEADED 000l2.600 $ 1.959 $ ��4.68
NOV 2O` 2Q17 11�24 0024 00O 1Q68 0408 1089O9 ?????????? D-Norma� 02 01- UNL[ADED 0001�.0QN $ 1.959 $ 0021.55
NOV 38� 2017 18�19 002Q 0Q8 2952 0569 004096 ?????????? 8'Normal 02 01- UNLEADED 0Q��.5Q0 $ 1.95Y $ 00\4.69
Usage Total
Product 01 - ULEADED 53. 400 Gallon $ 109 . 35
` ...........
__
$
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�
�
- - --
—
V�hicle #0��9
Daie Time Tra ivr Vehc} Odomtr kevhoa,d T"pe Pyno Prod Quanti�v �rice Amoun�
NOV 27. 2Q1� 16�10 8Q69 D1 0569 00367� �???�?�??7 D'Norual N2 01- UNL[�DED 0&012.6@0 � L.959 $ Q024.68
�N 30 2Q17 10�1q �N20 ����r952 Q569 �0409� 00007.50� $ 1.959 $ 0014.6Y
Usage Total
Product 01 - UNLEAD�D 2�. � ... O Gallon $ 3.....
.37
... _.....______.....
$ 39 .37
Mileage Total
Beginning 3670 Ending 40�6 rra .e�ed Z� �pG 56 .80 CPM .0344
'
Vehicle #05�3 /
Dat Time Tran Drivr Vehcl Odcm�r Knvboa'd Tvpe Fumc prou ntitv Prio AmouP.t
�Np17. 20D U�23 0031 �4J6 052 021436 ??----??`?- 0-4sr�al 02 01- �KEAOED ��12.0@0 $ 2.172 $ 0�26.06
Usage Total 1 - 0�� Oallo� � 26 �6
Product 01 - UNLEADEU �. .
- ---------
s 26.06
Mileage Total �
e] e d
inning 21�36 Erding 21�36 ra;
Beg .
,
QccuunL nama v CARPTY MRINFERIN& Potle Nev0K
Accuont andress a 1 CTUTE SWWARE CARM..
Late Time Trap Ack DAvr Yet! OWNY Keywin Type Poop Prod Quoit Price houn
NOV A 2H7 090 0013 000 M OCT i T7 5 to r 0- n I t_, 0,{ :7.'l. 2,1,28 7
MOV Oq 2M 7 13:19 0022 00a 6136 0528 MAI ??????XV 04wpal 03 Awleaded OONK 100 1 2;126 1 0000.00
NitOY' 06� 2011 1021 0023 OOS 606 008 VMS MUM? OWN! 01 Okn!H&d ONE.50 A 2726 1 ON417
NOV it 2A7 1013 0013 009 1H] 058 109200 MW??? AWN 1 03 Winvieded HOD!79 s _,ire: 1 H21 24
NOV 11 W 1400 OK7 008 543 0517 TYK77007 0-NwA 03 Opukamen ON3100 1 2.F2 MA
Product 01 wnlamw; S- hon 130. 0)
Vehicle WM�:i
AIR
ate Time 7rap iv.-- Pon: Price Apount
MR 16, 2017 10:23 ONO 06S 0408 10007 777077? INGMI 0: K_ "A" 30011HO 1 2AR 1 ONM-7
012 24p 1@2?2: ?v7?wow eqowa 2: 21- ALEADED OHMO 109 1 50210
NOV M 2M7 110 2024 1
Usage Total l 1 in 1 41 ,92
produLt 01 Ea
-
MileagE TotaI Ali NPE is ETON 04 47�:
Beginning 1OB503 Fr� imq
Sty Tiny T o on"r Mn! Oil-, ' TTnY1 To j
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 042595 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CARMEL CLAY SCHOOLS-FUEL PAYMENT IN SUM OF$ CITY OF CARMEL
EDUCATION SERVICE CENTER An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
5201 E MAIN ST rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46033
Payee
$466.56
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
2017-121 42-314.00 $466.56 1 hereby certify that the attached invoice(s),or 12/4/17 2017-121 Fuel for City vehicles for December 2017 $466.56
1192 101 1192 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
Thursday, December 07, 2017
Mike Hollibaugh
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 I 1assification if claim paid motor vehicle highway fund. Clerk-Tres
LA
Carmel Clay Schools 4 , '
5201 E. Main Street Invoice 2017-:121
Carmel, Indiana 46033 Date 12/4/2017
317-844-9961
Attn: Diane Todd
City of Carmel
Account#7- DOCS Dept.
Lisa Motz
December 2017
Quantity Cost Each - -:Total Cost
Fuel-T1 1 $202.30
Fuel-T2a 1 $2.64.26
Fuel,Card @$5.00 ea
0 $5.00
TOTAL_ .$466.56
Please:make checks Payable to:
Carmel Clay Schools
Account name : DOCS LISA STEWART
Account address : 1 Civic Square Carmel
571 -2418
Date Time Tnm Amt 8rivr Vehcl 0domtr ����rd Type Pump Pmd Quaotity Pricc �munt
20l7 13�02 002
NOV 20` 20D D�04 8830 Q07 242l 0J36 0\921� ?????????? O-Nnrma} 02 01- UNLEADEU �a31.700
NOV 27. 2�D 13/J� Q�50 0Q7 5128 84B6 0003l9 ?????????? 0-Norma� 01 01' UNLEADEU 00Q13.508 $ 1.959 $ QQ26.45
NOV 3Q` 2Q17 \4�39 ���3 007 10Q5 0644 0Q0867 ?????????? W-Normal 02 0L- UNLEADEU 00012.90Q $ 1.959 $ 0N25.27
NOY 38' 20D l5�13 0047 N07 242! Q277 Q08Y59 ?????????? 0-Normal 02 01- UULEAD[D 008J4.�N0 $ 1.959 $ W067.JY
Usage Total
Product 01 - UNLEADED 99 . 100 Gallon $ 202 .30
............._____
$
"Man__
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�ccount
Account ��n'a : D /l C 5 Lisa 6��:�rt
Account address : 1 Civic Square Carmel
571-2418
8ats !imn Tran Acnt Dri', Vehd Udomir Whnarj Type Pomp Prod Ouaotity Price Mount
NOV Q 2V17 11G0 037 007 2421 0N9 00Y93) 0-11/md A 01-un/eaoed 0ND6.14 $ 2.D6 i O055.4Y
kOY As. 2017 1033 0018 007 221 0508 006542 00"70" Y-Knrma} 92 Minse) 0N3.600 $ 2.581 1 (045A.-.
NOV It 2017 13u1 0014 HE ]0?3 VX 000240 007 777 u'Nons\ 0 01'unleadm AM,200 $ 2.172 $ 0921.50
NOV 01 0D MAO N21 007 2129 Ott Q<15 ???? 0001 Momel K 01'uoieked i)N)-,V. F� 2.172 $ �!2J.46
NOV 1C I0z7 14:40 009 V8 2251 0404 025333 ??O!??M M70 0 01'o0244 0VOV9.6V0 1 2.172 S V020Y
X 1/. IM7 M 4? ND{ 007 1023 0389 00079 W????n VN�rom} 00 0l-un!ead*d 90M 2,200 s 2.172 $ 0021,50
NOV ��. 2011 11:10 0016 007 6071 0560 V00335 NO? Mural A Vbumloadeo V000T.500 5 2.172 $ 0N2.29
K01 2L 101 inG O09 W7 033 0762 (OM29 7rnrmn �'Vormd K 0'-udeaf,,ed 0C0 0 $ 2.172 0V23.0
W 22 20i7 1n!6 001 00 COS 004 00*51 ??40 0 7?7 u'Hnw! 01 Mnle� 0@2.172 00,26.72
Usage Total
Product 01 — unleaded 101 , 701 G+/ lon v 218 .8'':
Product 02 — diesel 17 .606 Galicn $ 45. 43