186528 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 298350 Page 1 of 1
ONE CIVIC SQUARE TAYLOR OIL CO INC
CHECK AMOUNT: $960.00
CARMEN., INDIANA 46032 PO BOX 41
ZIONSVILLE IN 46077 CHECK NUMBER: 186528
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
651 5023990 S12174 1007795 960.00 GAS
PIP11
INVOICE NUMBER
TAYLOR OIL CO., INC. 100775
COMPLETE GASOLINE, FUEL OIL LUBRICANT SERVICE
P.O. BOX 41 10702 ZIONSVILLE ROAD LI ZIONSVILLE, INDIANA 46077 1 f
PHONE: 317 873 -2300 FAX 317- 873 -4971 0�
DELIVERY DATE
SOLD S a,6 t it>
TO CUSTOMER ORDER NO.
ADDRESS recL� SALESMAN NO.
CITY
STATE
DELIVER
TO
PACKAGES GALS. OR
PRODUCTS LBS PRICE AMOUNT
NO. KIND
Gasoline a
Fed. Ex. Tax J
St. Rd. Tax
USLD Clear Fuel
Fed. Ex. Tax
St. Rd. Tax
Dyed Fuel
PAYMENT RECEIVED AT TAYLOR OIL CO. SUBTOTAL
DRUM CHARGE
DEL. RET. NET CHG.
BY
1 interest per month may be added to any
past due account. Any collection, court, or
attorney's fees and/or costs may be added to SALES TAX
any delinquent account. DYED DIESEL FUEL.
Non taxable use only. Penalty for taxable use.
GOODS REC IN GOOD CONDITION
BY I TOTAL AMOUNT DUE I Leo 0 t7
VOUCHER 105576 WARRANT ALLOWED
298350 IN SUM OF
TAYLOR OIL CO INC
PO BOX 41
ZIONSVILLE, IN 46077
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1007795 01- 7502 -06 $960.00
Voucher Total $960.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 241 (Rev 1995)"
fR
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
298350
TAYLOR OIL CO INC Purchase Order No.
PO BOX 41 Terms
ZIONSVILLE, IN 46077 Due Date 6/2/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2010 1007796 $960.00
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
i