HomeMy WebLinkAbout333190 12/11/18 +of Coq*
CITY OF CARMEL, INDIANA VENDOR: 367949
ONE CIVIC SQUARE PETROCHOICE LLC CHECK AMOUNT: $*******640.50*
CARMEL, INDIANA 46032 1751 N RAYMOND ST CHECK NUMBER: 333190
INDIANAPOLIS IN 46221 CHECK DATE: 12/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 11276018 640.50 OTHER EXPENSES
VOUCHER NO. 183475 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 367949 IN SUM OF$ 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
640.50 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
PO# ACCT# or bill(s)is(are)true and correct and that
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
11276018 01-6200-04 $640.50 and received except 11/27/2018 11276018 $640.50
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: 018-640-1-1 Page: 1 of 1
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PetroChoice
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1751 W. Raymond St Invoice Number:>:::<:>:...:<:>;>:::1.1276018
Indianapolis IN 46221
317-634-7300 Document Date: 11/19/2018
Delivery Note: 501290255
Order number: 101304328
Purchase Order No: JM102918
Purchase Order Date: 11/08/2018
* * * PLEASE RETURN ONE COPY OF INVOICE WITH PAYMENT * * * Payment Terms: NET 30- NDA
Billing / /
n Date: 11 19 2018
::::::9:.:::: ..................::::.::: :.::..:::::::.::::: ::::::......:::::::::::::::::::.............................. Salesperson: Herb Simpson
City of Carmel Utilities Invoice Amount: 640.50 USD
3450 W 131 st St
Carmel IN 46074
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City of Carmel/Water Treatment Plant
491
5 E 106th St
.......:.....::....Y..............:::::::::::::.:::...............................:.................................................................... Carmel IN 46033
PetroChoice 317-716-6624
—
Indianapolis IN 46221
Shipping Instructions:
* Herb To Deliver
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10000017640 2 EA 2 EA 320.25 640.50
5 GAL SUMMIT SYNGEAR SH-7150
Tax 0.00
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Total Amount $ 640.50
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A FINANCE CHARGE of 1 112%per month which is an ANNUAL PERCENTAGE RATE of 18%will be added to all accounts past due.
PetrOChoice Delivery Note
LUBRICATION SOLUTIONS
Number/ date: 501290255 / 11/16/2018
Order#/date: 101304328 / 11/08/2018
Customer PO: JM102918
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:
* Herb To Deliver
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0010 10000017640 2 2 81
5 GAL SUMMIT SYNGEAR SH-7150 EA LB
Received :
Date :
PO
ACCT # : C
Route: 100000- Pickup/Drop-off
Stop Sequence: 000
Truck#:
Total Weight: 81.21 LB