HomeMy WebLinkAbout330301 09/21/18 CITY OF CARMEL, INDIANA VENDOR: 366941
ONE CIVIC SQUARE HOOSIER PENN OIL CHECK AMOUNT: $*****1,383.38*
s CARMEL, INDIANA 46032 DEPT 19 CHECK NUMBER: 330301
PO BOX 6069 CHECK DATE: 09/21/18
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231500 1049856IN 1,383.38 OIL
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 366941 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HOOSIER PENN OIL IN SUM OF$ CITY OF CARMEL
DEPT 19 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PO BOX 6069 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46206
Payee
$1,383.38
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
1049856-in 42-315.00 $1,383.38 I hereby certify that the attached invoice(s),or 9/14/18 1049856-in Oils for department fleet $1,383.38
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
Monday, September 17,2018
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
120'
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice Page: 1
Hoosier Penn Oil Co., Inc.
OgCOMPA, Dept. 19 Invoice Number: 1049856-IN
�— P.O. Box 6069 Invoice Date: 8/21/2018
Indianapolis, IN 46206-6069
(317)390-5406
Order Number: JG09164
Order Date 8/20/2018
Customer Number: CARMEFI
Sold To: Ship To:
Carmel Fire Department Carmel Fire Department
4925 E 106th St 4925 E 106th St
Carmel,IN 46033 Carmel,IN 46033
Confirm To:
Denise Snyder
Customer P.O. Ship VIA F.O.B. Terms
Jason Net 30
Item Number Unit Ordered Shipped Price Amount
1111252 HP FS 5w20 GAL 100.00 100.00 9.11 911.00
7136100 HP dexosl Gent FS 5W30 GAL 50.00 50.20 9.41 472.38
Net Invoice: 1,383.38
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 1,383.38