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Home My WebLink About323172 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 372296 ONE CIVIC SQUARE JACKSON OIL&SOLVENTS, INC. CHECK AMOUNT: $*****8,433.09' ?� CARMEL, INDIANA 46032 75 REMITTANCE DRIVE,DEPT 6988 CHECK NUMBER: 323172 vM_TON CHICAGO IL 60675-6988 CHECK DATE: 03/21/18 DEPARTMENT ACCOUNT PO NUMBERINVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 001083758 97.80 OTHER EXPENSES 651 5023990 001084409 1,500.00 OTHER EXPENSES 651 5023990 001085360 6,835.29 OTHER EXPENSES VOUCHER NO. 185060 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 372296 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER JACKSON OIL&SOLVENTS INC CITY OF CARMEL 75 REMITTANCE DRIVE An invoice or bill to be properly itemized must show: kind of service,where performed, DEPT 6988 dates service rendered, by whom, rates per day, number of hours, rate per hour, CHICAGO, IL 60675-6988 numbers of units, price per unit,etc. Payee $8,433.09 372296 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR JACKSON OIL&SOLVENTS INC Terms Carmel Wasterwater Utility 75 REMITTANCE DRIVE Due Date BOARD MEMBERS DEPT 6988 I hereby certify that that attached invoice CHICAGO, IL 60675-6988 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 001083758 01-7163-05 $97,80 and received except 3/14/2018 001083758 $97.80 001084409 01-7362-06 $1,500.00 3/14/2018 001084409 $1,500.00 001085360 01-7203-06 $5,085.00 3/14/2018 001085360 $5,085.00 001085360 01-73,V-06 $1,500.29 3/14/2018 001085360 $1,500.29 001085360 1-7163-05 $250.00 3/14/2018 001085360 $250.00 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. , 20_ Clerk-Treasurer JACKSON OIL & SOLVENTS, INC. Original Invoice 75 REMITTANCE DRIVE DEPT 6988 Page 1 CHICAGO,IL 60675-6988 (317)636-4421 * (800)221-4603 Invoice No: 001085360 Invoice Date: 02/27/2018 Order No: 126734500 Load Date: 02/12/2018 Purchase Order No: S 18120 Reference No: 0 Bill of Lading No: 0 Shipped Via: JACKSON OIL GEN DEL. 1BIOCIDE&FILTER 250OG GEN TANK Bill To: 742600 Ship To: 742600 CARMEL WASTEWATER-SEWER CARMEL WWTP 9609 HAZEL DELL PARKWAY 10601 HAZEL DELL PKWY INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 462800000 Product Description Price Order Qty Ship Qty Extended Price 98FFS EA FUEL FILTERING SERVICE 1,500.000 1.00 1.00 $1,500.00 05ETI 140 00 KATHON FP 1.5 BIOCIDE[BULK] 0.000' ; i.00 1.00 $0.00 98FFS EA METHANOL/DIESEL PUMPOUT(WAST 1.500 1,390.00 1,390.00 $2,085.00 02M 00 METHANOL CUST PICKUP 3.000 1,000.00 1,000.00 $3,000.00 UN1230,METHYL ALCOHOL,3,PGII 02PD 00 DYED#2 ULS PREM DIESEL OFF-ROAD 2.500 100.00 100.00 $250.00 NA 1993,FUEL OIL,3,PGIII COMBUSTIBLE LIQUID,THIS PRODUCT IS DYED DIESEL FUEL, NON-TAXABLE USE ONLY,PENALTY FOR TAXABLE OFF HIGHWAY USE, 15 PPM SULFUR INSX IN SALES TAX EXEMPT 0.000% 6,585.00 $0.00 LUST L.U.S.T.TAX 0.001. 100.00 $0.10 SFD FEDERAL OIL SPILL DISTIL.FEE 0.0019 100.00 $0.19 Date Due: 03/29/2018 Invoice Total: $6,835.29 Please pay from invoice and remit to address above. JACKSON OIL & SOLVENTS, INC. Original Invoice 75 REMITTANCE DRIVE DEPT 6988 Page 1 (CHICAGO,IL 60675-6988 (317)636-4421 * (800)221-4603 Invoice No: 001084409 Invoice Date: 02/21/2018 Order No: 126854100 Load Date: 02/21/2018 Purchase Order No: S18152 Reference No: 0 Bill of Lading No: 0 Shipped Via: JACKSON OIL GEN DEL. 1 GEN TANK Bill To: 742600 Ship To: 742600 CARMEL WASTEWATER-SEWER CARMEL WASTEWATER-SEWE 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 46280 Product Description Price Order Qty Ship Qty Extended Price 98FFS EA FUEL FILTERING SERVICE 1,500.000 1.00 1.00 $1,500.00 05ET1140 00 KATHON FP 1.5 BIOCIDE[BULK] 0.000 1.00 1.00 $0.00 INSX IN SALES TAX EXEMPT 0.000% 1,500.00 $0.00 Date Due: 03/23/2018 Invoice Total: $1,500.00 Please pay from invoice and remit to address above. JACKSON OIC, & SOLVENTS, INC. Original Invoice 75 REMITTANCE DRIVE DEPT 6988 Page 1 CHICAGO,IL 60675-6988 (317)636-4421 * (800)221-4603 Invoice No: 001083758 Invoice Date: 02/16/2018 Order No: 126764900 Load Date: 02/16/2018 Purchase Order No: S 18120 Reference No: 0 Bill of Lading No: Q Shipped Via: JACKSON OIL CUST P/U 1 J1 WILL TAKE Bill To: 742600 Ship To: 742600 CARMEL WASTEWATER-SEWER CARMEL WWTP 9609 HAZEL DELL PARKWAY 10601 HAZEL DELL PKWY INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 462800000 Product Description Price Order Qty Ship Qty Extended Price 05103067 12 HOWES MEANER POWER KLEAN[12/32OZ] 8.150 1.00 12.00 $97.80 INSX IN SALES TAX EXEMPT 0.000% 97.80 $0.00 Date Due: 03/18/2018 Invoice Total: $97.80 Please pay from invoice and remit to address above.