188078 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 298350 Page 1 of 1
t, ONE CIVIC SQUARE TAYLOR OIL CO INC
CARMEL, INDIANA 46032 PO BOX 41 CHECK AMOUNT: $481.00
ZIONSVILLE IN 46077 CHECK NUMBER: 188078
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S12210 1008296 242.00 GAS
651 5023990 512210 1008297 239.00 GAS
INVOICE NUMBER
TAYLOR OIL CO., INC. 1 0082E
COMPLETE GASOLINE, FUEL OIL LUBRICANT SERVICE
P.O. BOX 41 10702 ZIONSVILLE ROAD
ZIONSVILLE, INDIANA 46077
PHONE: 317- 873 -2300 FAX 317 -873 -4971
DELIVERY DATE
SOLD I
TO CUS MER ORDER NO.
ADDRESS SALESMAN NO.
CITY 8
STATE
DELIVEi\ t P u5as
DE w W
PACKAGES GALS. OR
PRODUCTS LBS PRICE AMOUNT
NO. KIND
Gasoline
Fed. Ex. Tax
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 1 /2% 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.
7
GOODS R VED IN G r O OO DCONDITION
BY TOTAL AMOUNT DUE Qy�
INVOICE NUMBER
TAYLOR OIL CO., INC. 100829.7
COMPLETE GASOLINE, FUEL OIL LUBRICANT SERVICE
P.O. BOX 41 10702 ZIONSVILLE ROAD
ZIONSVILLE, INDIANA 46077
PHONE: 317- 873 -2300 FAX 317 873 -4971
D LIVERY DATE
SOLD r
TO C CUS OMER ORDER NO.
ADDRESS SALESMAN NO.
CITY 8
STATE
DELIVER
TO
PACKAGES GALS. OR
PRODUCTS LBS PRICE AMOUNT
NO. KIND
Gasoline
Fed. Ex. Tax
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 1 /2% 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 R E N G D CONDITION
BY TOTAL AMOUNT DUE
eyv
VOUCHER .10,5822 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
1008296 01- 7502 -06 $224.00
1008296 01- 7502 -06
jd08247 �1- 75o2.n6 23.00
Voucher Total
Cost distribution ledger classification if
claim Paid under 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 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 7/12/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2010 1008296 $242.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I hav e audited same in accordance with IC 5-11-10-1.6
Date Date Officer