181233 01/13/2010 tea CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
u f, ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
CARMEL, INDIANA 46032 Po Box 1106 CHECK AMOUNT: $205.44
NOBLESVILLE IN 46061 CHECK NUMBER: 181233
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 329714 52.00 GARAGE MOTOR SUPPIE
601 5023990 72678 13.44 MATERIALS SUPPLIES
601 5023990 72680 140.00 MATERIALS SUPPLIES
Noblesville -Office Horton Feed Grain Gray Storage
773 -0870 758 -4463 776 -4155
C0 -0P Haniilton County
Grain Terminal Noblesville Petroleum Merchandising
COOPERATIVE ASSOCIATION, INC. 773 -2599 Plant Food Station 773 -2685
776 -4143
162 egwitvyE e Rcgdp fE)E$Tx 119EpTblesville, Indiana 46061 t CHA RGE SALE>
D 3400 W 131ST STREET
D WESTF I ELD I ICI 46074
T
O
ACCOUNT NCI. r PURCHASE ORDER NO. SALES TAX LICENSE NUMBER SALE TERMS: IN. QJ W D PAG
,1 7 PAYMENT DUE ON THE LAST DAY OF THE G G
MONTH FOLLOWING MONTH OF PURCHASE.
RETURN ITEMS MUST BE ACCOMPANIED BY
THIS INVOICE.
PRODUCT IDENIFIFICA TION QUANTITY PRICE* AMOUNT'
lI
-t 1
U ".b t 3 '�':3 3 o I IkI a J
L. I L,tv
All accounts subject to court RECEIVED IN GOOD ORDER AMOUNT PAID CASH DISCOUNT TOTAL
costs and attorney fees if legal e 00 52. 00
action is necessary to collect CUSTOMER
said amount. SIGNATURE V
Emergency Contact: LATE CHARGE PER MONTH PER ANNUM
Chemtrec 1 -800- 424 -9300 CUSTOMER COPY
VOUCHER NO. WARRANT NO
ALLOWED 20
Hamilton Co. Co op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$52.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /Tin LE AMOUNT Board Members
2201 329714 42- 321.00 $52.00 I hereby certify that the attached invoice(s), or
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
Thursday; January 07, 2010
Street Commissioner G'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. /995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/29/09 329714 $52.00
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
20
Clerk- Treasurer
DEPT.
CO OP /J
amilton MO DAY
lent)/ T h)
J A
.FARM BUREAU COOPERATIVE e
ASSOCIATION, INC. A
p.
P.O. Box 1106
16222 Allisonville.Road
Noblesville, Indiana'46060 EMERGENCY CONTACT:
CHEMTREC -1- 800 -424 -9300
SOLD BY CASH CHARGE ON ACCT. MDSE. RET TERMS
OTY DESCRIPTION MIN. COMM. UNIT PRICE AMOUNT
l/ s -I 1033 4.) 111(14
(07x) f Co
S UB TOTAL
4 Z of
r
SALES TAX ON 1
Received By lv r
TO7A7
Additional finance charges may accrue at the rate of 1 per month (21% APRO)
it payment In full is not received by the 30th. Minimum 50.
FERTILIZER /PETROLEUM GRAIN MERCHANDISING SHERIDAN HORTON ELEVATOR
776 -4143 773 -2685 758 4181 758 -4463
DEPT.
CO-OP
MO. DAY 7268
j am il ton
A
C d3 /moo
Ginty 0
FARM BUREAU COOPERATIVE 0 E
ASSOCIATION, INC. o
0.
P.O. Box 1106
16222 Allisonville Road
Noblesville, Indiana 46060” EMERGENCY CONTACT:
CHEMTREC 1- 800 424 -9300
SOLD BY CASH CHARGE ON ACCT i MDSE. RET. TERMS
QTY. DESCRIPTION MIN. COMM. UNITPRICE AMOUNT
(0,
SUB TOTAL
SALES TAX ON
1
Received By 'TOTAL
Additional finance charges may accrue at the rate of 1 per month (21% APR())
if payment in full is nol received by the 3001. Minimum $.50.
FERTILIZER /PETROLEUM GRAIN MERCHANDISING SHERIDAN HORTON ELEVATOR
776 4143 773 -2685 758 4181 758 -4463
VOUCHER 093999 WARRANT ALLOWED
119835 IN SUM OF
HAMILTON COUNTY CO -OP INC
rPO BOX 1106 1),T
_NOBLESVILLE, IN 46061 1t_f
0
a.
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
1 11111111/Nr
Board members
PO INV ACCT AMOUNT Audit Trail Code
72680 01- 6200 -06 $140.00
71 t D 10' [3 1-L/
Voucher Total f 53 .q4-/-
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
119835
HAMILTON COUNTY CO -OP INC Purchase Order No.
PO BOX 1106 Terms
NOBLESVILLE, IN 46061 Due Date 12/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/200 72680 $140.00
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
Date Officer