HomeMy WebLinkAbout186844 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
CARMEL, INDIANA 46032 PO Box 1106 CHECK AMOUNT: $2,877.12
NOBLESVILLE IN 46061
CHECK NUMBER: 186844
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1207 4231400 GT 017174 1,328.05 GASOLINE
2201 4231300 GT 017192 1,033.17 DIESEL FUEL
1207 4238900 GT 017228 515.90 OTHER MAINT SUPPLIES
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SALE 2713 DATE 06/14/10 09:23:45
COUNT START 0.0 END 416.6
GROSS DELIVERY 416.6 GALLONS
4040 DIESELEX ULS DISTILLATI
MULTIPLE DELIVERIES AT SITE
HPAILTON COUNTY CO-OP
Pb BOX 1106
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: GT GARY TEETERS
Custoner: UM31175 Invoice 6T 017192
CARMEL STREET DEPT Date: 6/14/2010
3400 11 131ST STREET Tice: 08:31
W'ESTFIELD, IN 46074
Tras Teras Description Itea Description Legend Quantity Unit Price Itea Total
01 NORMAL 154040 DIESELEX ULS 416.60M 2.53000 1054.00
01 NORMAL 194070 PETRO VOLUME DISCOUN 416.6000 0.05000 -20.83
r
4�T Legend: Invoice Subtotal: 1,033.17
E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
'a Invoice Total: 1,033:17
b WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILLUMINATING OR CLEANING PURPOSES.: IN CASE OF EMERGENCY CONTACT CHEMTREC AT I -901 -424 -9300 WE
4PPRECIATE YOUR BUSINESS
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$1,033.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITf_E AMOUNT
Board Members
2201 GTO17192 42 313.00 $1,033.17 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
Thurs. �d��, J� 7, 2010
Street Commissioner
Strg4Titl6) Ongr
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))
06/14/10 GT017192 $1,033.17
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
SALE 1401 DATE 06/10/10 15:13:25
COUNT: START 0.0 END 211.8
GROSS DELIVERY 211.6 GALLONS
4817 UNLEADED GAS GOVGASOLINE 1
MULTIPLE DELIVERIES AT SITE
SALE 2700 DATE 06/19/10 15:11:46
COUNT: START 0.0 END 324.6
GROSS DELIVERY 324.6 GALLONS
4040 DIESELEX ULS DISTIL.LRTI
MULTIPLE DELIVERIES AT SITE
HAMILTON COUNTY CO -OP
PO BOX 1106
NOBL.ESVILLE, IN 46061
CHARGE INVOICE
Driver: GT GARY TEETERS
Custooer: @000028761 Invoice D: GT 017174
BROOKSHIRE GOLF CLUB Date: 6/10/2010
CITY OF CARMEL Tine: 15:20
12120 BROOKSHIRE PKWY
CARMEL, IN 46033
Tres Teras Description Itea g Description Legend Quantity Unit Price Iten Total
01 NORMAL IM17 UNLEADED GAS GOVT E 211,7008 2.29000 484.79
WARNING CONVENTIONAL GASOLINE THIS PRODUCT DOES NOT MEET THE REQUIREMENTS FOR REFORMULATED GASOLINE AND MAY NOT BE
USED IN ANY REFORMULATED GASOLINE COVERED AREA. THIS PRODUC T CONTAINS PRESCRIBED LEVELS OF INTAKE VALVE DETERGENT
(I.V.D.) ADDITIVE. CONFORMS TO REQUIREMENTS FOR A 9.0 P.S.I MAX. RUP GASOLINE DURING THE MONTHS OF MAY IST
THROUGH SEPTEMBER 15TH.
Federal Road Tax 6.00000 6.m
State Road Tax 0.18000 38.11
01 NORMAL 154040 DIESELEX ULS E 324.6000 2.53000 821.24
01 NORMAL 194070 PETRO VOLUME DISCOU'N 536.3000 0.03000 -16.09
Legend: Invoice Subtotal: 1,328.05
E=Metered, T= Taxable, entered by Hand Indiana Sales Tax On: 0.00 0.a
Invoice Total: 1,328.05
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 6ASOLINES NOT SOLD FOR
ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1- 800-424 -9300 WE
APPRECIATE YOUR BUSINESS!!'
VOUCHER NO. WARRANT NO.
ALLOWED 20
<Hamilton County CO -OP
IN SUM OF
P.O. Box 1106
Noblesville, IN 46061
$1,328.05
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO #1 Dept. INVOICE NO. ACCT #MTLE AMOUNT Board Members
1207 GTO17174 42- 314.00 $1,328.05 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, June 17, 2010
Director, Brookseirt Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I 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))
06/10/10 GT017174 Fuel $1,328.05
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
i
i
r
MILTON COUNTY CO -OP
-PO -BOX- 1106
r
NUMSUILLE, IN 46051
r
j' CHARGE INVOICE
Driver: GT GARY TEETERS
Custoner: 00M8761 Invoice h OT 017228
BROOKSHIRE GOLF CLUB Date: 6117/2010
CITY OF CARNEL Time: 13:29
12120 BROOKSHIRE PKWY
CARMEL, IN 46033
Tras Teres Description Iteo Description Legend Quantity Unit Price Itea Total
01 NORMAL 194050 LUKE OIL 55.0000 9.38M 515.90
Legend: Invoice Subtotal: 515.90
E=14etered, T= Taxable, *=Entered byi Hand Indiana Sales Tax On: 0.00 0. N
Invoice Total: 515.90
1 55 gallon drug of 1500 motor oil delivered an 6/17/2010
fff f�ffff ffff# ffffffff# f## �E# f### ft# f# f## fff�f ##f### #�Ef #�E# #ffffffff# fff' rf# ffff####### f# f### f### f ##f#fffffff #fffff### #iE #dF##
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800- 424 -9300 WE
APPRECIATE YOUR BUSINESS!!
i
i
�;OUCHER NO. WAkRANT NO.
ALLOWED 20
Hamilton County CO -OP
IN SUM OF
f
P.O. Box 1106
Noblesville, IN 46061
$515.90
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 GT 017228 42- 389.00 $515.90 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
Monday, June 21, 2010
Director, Brook ire Golf Club
Title
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 j
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))
06/17/10 GT 017228 Oil $515.90
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