184772 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
i CHECK AMOUNT: $596.25
CARMEL, INDIANA 46032 PO BOX 1106
NOBLESVILLE IN 46061 CHECK NUMBER: 184772
CHECK DATE: 4/2712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231500 105674 453.75 OIL
651 5023990 401000 142.50 MATERIALS SUPPLIES
4 Noblesville -Office Horton Feed Grain Gray Storage
Yi t 773 -0870 758 -4463 776 -4155
Hamilton County
Grain Terminal Noblesville Petroleum Merchandising
COOPERATIVE ASSOCIATION, INC. 773 -2599 Plant Food Station 773 -2685
776 -4143
16222 Allisonville Road R O. Box 1106 Noblesville, Indiana 46061
S A (CHARGE SALE
0 CARMEL STREET DEPT
0 3400-W'131ST STREET
0 WESTFIELD IN 46074
ACCOUNT NO. PURCHASE ORDER NO. SALES TAX LICENSE NUMBER SALESMAN TERMS: INVOICE NO. DATE PAGE
PAYMENT DUE ON THE LAST DAY OF THE
MONTH FOLLOWING MONTH OF PURCHASE.
c THIS
URN INVOICE. S MUST BE ACCOMPANIED BY
PRODUCT PRICE AMOUNT
LUBE OIL_ 1 54050 55.0000 GAL 8.2500 453.75
RUM OF GEO 1OW30
All accounts subject to court RECEIVED IN GOOD ORDER AMOUNT PAID CASH DISCOUNT
costs and attorney fees if legal
action is necessary to collect CUSTOMER
said amount. SIGNATURE
Emergency Contact: LATE CHARGE PER MONTH PER ANNUM
Chemtrec 1- 800 424 -9300
CUSTOMER COPY
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton Co. Co op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$453.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 105674 42- 315.00 $453.75 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
�/Frid y April 23, 2010
Street Commissioner
St F ft t VVli if i\trl Vi 1:+.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
04/21/10 105674 $453.75
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
2a
Clerk Treasurer
1
cJ
Noblesville -Office Horton Feed Grain Sheridan Plant Food LP
773 -0870 758 -4463 758 -5858
H arnflton C o unt y
Grain Terminal Noblesville Petroleum Gray Storage
COOPERATIVE ASSOCIATION, INC. 773 -2599 Plant Food Station 776 -4155
Merchandising 776 -4143
ZAW4ErLvllle5REWEW. 9DE Noblesville, Indiana 46061 773 -2685 <CHARGE SALE>
S 760 THIRD AVE. SST
D CARMEL IN' 46032'
T
0
ACCOUNTNO. I PURCHASE ORDER NO. SALES TAX LICENSE NUMBER SALESMAN pAVMENi DUE ON TERMS: AST 134Y OF THE INVOICE NO. DATE PAGE
3120'4 66 "278 k r J Cp',k R RE EfURN1ITEMS M BEACioruwANl o BY, 40`10,00 04/06/10 1
•THIS INVOICE.. .r..
•DIUqT IDENTIFICATION AMO
GLYFOS (GEN, ROUNDUP.) 32383�" 5:0000
-GAL 28.5000 142.50
Pd
All accounts subject to court F7 .00 ORDER AMOUNT PAID CASH DISCOUNT 7
costs and attorney fees if legal
action is necessary to collect CUSTOMER 1�
said amount. sicNnruRE l
Emergency Contact: LATE CHARGE PER MONTH PER ANNUM
Chemtrec 1- 800 424 -9300 CUSTOMEUCW
`VOUCHER 115 275 WARRANT ALLOWED
r
`119835 IN SUM OF
HAMILTON COUNTY CO -OP INC
PO BOX 1106
NOBLESVILLE, IN 46061
-Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
401000 01- 7202 -05 $142.50
Voucher Total $142.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
r
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 4/19/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/19/2010 401000 $142.50
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
w
Date Officer