HomeMy WebLinkAbout329339 08/27/18 ♦�r_4�x,MFi
c.. CITY OF CARMEL, INDIANA VENDOR: 367949
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ONE CIVIC SQUARE PETROCHOICE LLC CHECK AMOUNT: $********55.50*
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CARMEL, INDIANA 46032 1751 N RAYMOND ST CHECK NUMBER: 329339
94jio.; a' INDIANAPOLIS IN 46221 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 11240515 55.50 OTHER EXPENSES
VOUCHER NO. 182454 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 367949 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
PETROCHOICE LLC CITY OF CARMEL
1751 W RAYMOND ST An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46221 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
55.50 367949 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR PETROCHOICE LLC Terms
Carmel Water Utility 1751 W RAYMOND ST Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS,IN 46221
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
11240515 01-6200-04 $55.50 and received except 8/15/2018 11240515
$55.50
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
PetroChoice Invoice
LUBRICATION SOLUTIONS INTERNAL USE ONLY: 515- 55-1-1 Page: 1 of 1
P
etroChoi
ce
1751 W. Raymond St
Indianapolis IN 46221 Invoice'Number: 11240515
317-634-7300 Document Date: 07/31/2018
Delivery Note: 501255340
Order number: 101271848
Purchase Order No: 073118 LS
Purchase Order Date: 07/31/2018
* * * PLEASE RETURN ONE COPY OF INVOICE WITH PAYMENT * * Payment Terms: NET 30- NDA
Billing Date:
07/31/2018
drex:1 ¢,:(1GC : ' },<«<;:;<.;:<:«::;«.:<.;.::.;:.;:; ::::<.:« Salesperson: Herb Simpson
City of Carmel Utilities Invoice Amount: 55.50 USD
3450 W 131 st St
Carmel IN 46074
.................................................... City of Carmel/Water Treatment Plant
4915 9 5 E 106th St
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._PetroChoice_
1751 W. Raymond St.
Indianapolis IN 46221
Shipping Instructions:
**** CPU 1/2:45 pm ****
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10000016192 1 EA 1 EA 55.50 55.50
5 GAL DPLX 21 C PRIORITY WR 10
Tax 0.00
---------------
Total $ 55.50
A FINANCE CHARGE of 1 1/2%per month which is an ANNUAL PERCENTAGE RATE of 18%will be added to all accounts past due.
Pet-,--o-Choice Delivery Note
LUB'kICATION SOLUTIONS
Number / date: 501255340 / 07/31/2018
Order#/date: 101271848 / 07/31/2018
Customer PO: 073118 LS
Page: 1 of 1
SOLD TO: 1026940 SHIP TO: 2018955
City of Carmel Utilities City of Carmel/Water Treatment Plant
3450 W 131 st St 4915 E 106th St
Carmel IN 46074 Carmel IN 46033
Shipping Instructions:
**** CPU 12:45 pm ****
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0010 10000016192 1 1 41
5 GAL DPLX 21 C PRIORITY WR 10 EA LB
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Rec ived : ; e
Dat _,1—js
ACCT #:
U se 51q RAW
Route: 100000- Pickup/Drop-off
Stop Sequence: 000
Truck#:
Total Weight: 40.59 LB