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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 .......................................................................................................... .......................................................................................................... .......................................................................................................... .......................................................................................................... ......................................................................................................... .......................................................................................................... PetroChoice ........................................................................................................ 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 86955> »> >> ' » '<> 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 ftllatertal €7rdeX Iter a rtt Arnott [ <'> >: ......................................................................... ic ..................... . .t............................n................. .................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................... 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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 .;.>>°:>' : .> >::>><:::>::> PSII..... .oade ...... rder.....�l�. rder..I�cicer......................... 1� ................. ss ss't: :::C<::>:�����sss ss ss i;sD>:::::::::>:<}::;:::>::::<::: ?<>':` > < >< > > ' >' > < [> ; > � > > >::,>':' '<5 >'[< '',,<?::<'> >�''� '�;:.."}<'< «« `''�''' > >'`'::::::,�,as,�...;,:::::'::>:Y:�:;:.:>;:. tt.....t.c ::.... .. escr..pon.... int Q :::::::::::::Qt.:: : ::+Ct We.. ......tY ..... ............Y..................Y................9....... 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