HomeMy WebLinkAbout187843 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $1,694.54
CARMEL, INDIANA 46032 PO BOX 1106
NOBLESVILLE IN 46061 CHECK NUMBER: 187843
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4231400 GTO17336 1,440.04 GASOLINE
2201 4231300 GTO17344 254.50 DIESEL FUEL
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SALE 1470 DATE 07101110 14:39:04
COUNT: START 0.0 END 263.6 I
GROSS DELIVERY 263.6 GALLONS
4817 UNLEADED GAS GOVGASOLINE 1
...'.4 MULTIPLE DELIVERIES AT SITE
SALE 2832 DATE 07101110 1427:27
COUNT: START 0.0 END 305.8
GROSS DELIVERY 305.8 GALLONS
4040 DIESELEX ULS DISTILLATI I
e MULTIPLE DELIVERIES AT SITE
a
HAMILTON COUNTY CO -OP
PD Box 1106
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: BT GARY TEETERS;
Customer: OCM?8761 Invoice GT 017336
BROOKSHIRE GOLF CLUB Date: 711/2010
CITY OF CARPEL Tine: 14 :47
12120 BROOKSHIRE PKHY
CARMEL, IN 46033
Tr ®s Terns Description Item Description Legend Quantity Unit Price Itea Total
01 NORMAL 104917 UNLEADED GAS GOV'T E 263.5000 2.29000 603.42
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, RVP GASOLINE DURING THE MONTHS OF MAY 1ST
THROUGH SEPTEMBER 15TH.
Federal Road Tax 0.00000 0.09
State Road Tax 0.19000 47.43
01 NORMAL 154040 DIESELEX ULS E 305.8000 2.53000 773.67
01 NORMAL 194050 GREASE 10.0000 3.26000 32.60
01 NORMAL 194070 PETRO VOLUME DISCOUNs -569.3000 0.03000 -17.08
Legend: Invoice Subtotal: 1
E- Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total; 1,440.04
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WARNING PETROLEUM PRODUCT'S NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERG Y CO T C RE AT 1- 900 424 -9300 RE
APPRECIATE YOUR BUSINESS!!!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton County CO -OP
IN SUM OF
P.O. Box 1106
Noblesville, IN 46061
$1,440.04
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 GT 017336 42- 314.00 $1,440.04 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, July 09, 2010
Director, BrookshdYGolf 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
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))
07/01/10 GT 017336 Fuel $1,440.04
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
SALE 2841 HATE 07/02110 13:32:05
COUNT: START 0.0 END 101.8
GROSS DELIVERY 101.8 GALLONS
4040 DIESELEX ULS DISTILLATI
MULTIPLE DELIVERIES AT SITE
MILTON COUNTY CO -OP
PO BOX 1106
NOBLESVILLE, IN 46051
CHARGE INVOICE
Driver: GT GARY TEETERS
Custoaer: 00006131175 Invoice I#: GT 017344
CARMEL STREET DEPT Date: 7/2/2010
3400 W 131ST STREET Tice: 13:34
WESTFIELD, IN 45074
Trus Terns Description Item Description Legend Quantity Unit Price Item Total
01 NORMAL 154040 DIESELEX ULS 101.8000 2.53000 257.55
01 NORMAL 194070 PETRO VOLU94E DISCOUN .•101.8000 0.0 w -3.05
Legend; Invoice Subtotal: 2554.50
E=Metered, T= Taxable, Entered by Hand Indiana Sales Tan On: @.N 0.00
Invoice Total: 254.50
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILLUMINATI ING OR CLEANING PURPOSES. IN CASE OF EKERGENCY CONTACT CHEMTREC AT 1 -800- 424 -9300 WE
APPRECIATE YOUR BUSINESS!!'
r
e
VOUCHER NO. WARRANT NO"
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$254.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
2201 GT 017344 42- 313.00 $254.50 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
0
Thu`rsdaf ly 15, 2010
Street Commissrarr
Ztre�� �'�T�le �sioner
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))
07/02/10 GT 017344 $254.50
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
20
Clerk- Treasurer