182370 02/17/2010 f CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
`l ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $961.03
CARMEL, INDIANA 46032 PO Box 1106
NOBLESVILLE IN 46061 CHECK NUMBER: 182370
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GTO16394 876.61 DIESEL FUEL
2201 4231500 GTO16421 84.42 OIL
s
s
SALE 2004 DATE 02105/10 14 :34:56
COUNT: START 0.0 END 3357.8
GROSS DELIVERY 357.8 GALLONS
4040 DIESELEX ULS DISTILLATI
i
MULTIPLE DELIVERIES AT SITE
HAMILTON COUNTY CO-OP
PO BOX 1106
140BLESYILLE, IN 46061
CHARGE INVOICE
Driver: ST GARY TEETERS
Custooer: 0000031175 Invoice 11: GT 016394
CARMEL STREET DEPT Date: 215/
3400 N 131ST`STREET Time: 14:36
WESTFIELD, IN 46074
Tras Terms Description Item 0 Bescription Legend Orlantity Unit Price Itee Total
01 NORMAL 154040 DIESELEX ULS E 850.5000 2.39000 598.70
Of NORMAL 124023 HEATER OIL E 107.300@ 2.63000 288.64
01 NORMAL 194070 PETRO VOLUME DISCOUN -357. W9 0.03000 °10.73
Legend: Invoice Subtotal: 876.61
E- T =Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 876.61
WARNING PETROLEUM, PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIBS. GASGLINES NOT SOLD FOR
ILLUNINATING OR CLEANING PURPOSES. IN CAR OF EMERGENCY CONTACT CHEMTREC AT 1- 800 424 -9300 WE
APPRECIATE YOUR BUSINESS!!!
i
II
wl
VOUCHER NO., WARRANT NO.
ALLOWED 20
Hamilton Co. Co op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$876.61
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO #I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 GT 016394 42- 313.00 $876.61 1 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, February 11, 2010
Street Commissioner
Strew ;o ioner
Cost distribution ledger classification if
claim paid motor 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 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))
02/05/10 GT 016394 $876.61
1 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
HAMILTON COMTY CO —OP
PO/BOX 1105
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000031175 Invoice BT 016421
CARMEL STREET DEPT Date: 2/1012010
3400 V 131ST STREET Time: 15:00
I.` HESTFIELD, IN 46074
Trms Terms Description Iten D Description Legend Quantity Unit Price Item Total
01 NORMAL 194050 LUBE OIL 9.0000 9.38000 84.42
Legend: i Invoice Subtotal: 84.42
E=4etered, T= Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 84.42
9 gallons of BED 5x20 oil Delivered
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILL111NATIN6 OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1 -800- 424 -9300 RE
APPRECIATE YOUR BUSINESS!!
i
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$84.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Member;
2201 GT 016421 42- 315.00 $84.42 1 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
Friday, Fe" ry 12, 2010
1
r
Street Commissp r
Srreel COqYPissioner
Cost distribution ledger classification if
claim paid motor 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 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))
02/10/10 GT 016421 $84.42
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