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188600 08/04/2010
a 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: $2,640.42 NOBLESVILLE IN 46061 CHECK NUMBER: 188600 CHECK DATE: 814/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231500 GTO17454 515.90 OIL 1207 4231400 GTO17457 1,301.02 GASOLINE 2201 4231300 GTO17507 823.50 DIESEL FUEL SALE 1534 DATE 07/23/10 08:17 :40 COUNT: START 0.0 END 257.8 GROSS DELIVERY 257.8 GALLONS 4817 UNLEADED GAS GOVGASOLINE 1 MULTIPLE DELIVERIES AT SITE SALE 2325 DATE 07/23/i0 08:15:54 COUNT: START 0.0 END 268.8 GROSS DELIVERY 268.8 GALLONS 4040 DIESELEX ULS UN DISTILLATI MULTIPLE DELIVERIES AT SITE MILTON COUNTY CO-OP PO BOX 110fs NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: GT GARY TEETERS Custooer: 0000028761 Invoice GT 017451 BROOKSHIRE GOLF CLUB Date: 7/23/2010 CITY OF CARREL Tine: 08:22 12120 BROOKSHIRE PKWY CARREL, IN 46033 Tras Teras Description Item Description Legend Quantity Unit Price Item Total 0I NORMAL 104817 UNLEADED GAS GOV'T E 257.8000 2.29000 590.36 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 VALUE DETERGENT (I. Y. D. ADDITIVE. CONFORMS TO RErAJIREMENTS FOR A 9.0 P.S.I MAX. RVP GASOLINE DURING THE 'NtI,NTH5 OF NAY IST THROUGH SEPTEMBER 15TH. Federal Road Tax 0.00000 0.00 State Road Tax 0.18200 45.40 01 NORMAL 154040 DIESELEX ULS UN 19 E 268.8000 2.53W 680.06 01 NORMAL 194070 PETRO VOLUME DISCOUN 526.6000 0.03000 -15.80 Legend: Invoice Subtotal: 1,301.02 E=Metered, T= Taxable, Entered by'Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 1,301.62 WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATIN6 OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT I- 800 424 -93@@ WE APPRECIATE YOUR BUSINESS'!! VOUCHER NO, WARRANT NO. ALLOWED 20 ,.Hamilton County CO -OP IN SUM OF P.O. Box 11106 Noblesville, IN 46061 $1,301.02 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 GT 017457 42- 314.00 $1,301.02 1 hereby certify that the attached invoice(s), or bil!(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 30, 2010 Director, Br oo hire 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 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)) 07/23/10 GT 017457 Fuel $1,301.02 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 5r ..t ,1 t..... t ..a rrf //f./ HA COUNTY CO-OP PO BOX 1106 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: GT GARY TEETERS: Customer: 0000031175 Invoice GT 017454 CARMEL STREET DEPT i Date: 712312010 3400 W 131ST STREET Tiae: 06:06 CARMEL, IN 46074 Tras,Teros Description Item Description Legend Quantity Unit Price Item Total 01 NORMAL 194050 LUBE OIL 55.0000 9,38000 515.90 Legend: Invoice Subtotal: 515.90 E=Netered, T= Taxable, Entered by Fund Indiana Sales Tax On: 0.00 0.00 Invoice Total: 515.90 1 drun of 1500 uot'dti^ oil delivered on 7/2212010/ 4 YARNING PETROLEUM PRODUCTS NOT TO BE USED FOR START114G OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMIRATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800- 424 -9300 WE APPRECIATE YOUR BUSINESS!! i r t VOUCHER NO. WARRANT NO. ALLOWED 20 Hamilton Co. Co -op IN SUM OF P. O. Box 1106 Noblesville, IN 46061 $515.90 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 GTO17454 42 315.00 $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 iTtlesd ;July 27, 2010 I Street Commission er Street C nhr Y;;!Z'%i 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)) 07/23/10 GT017454 $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 SALE 2568 DOTE 07/30/10 13:36:16 COUNT: START 0.0 END 325.4 GROSS DELIVERY 329.4 GALLONS 4040 DIESELER ULS UN DISTILLATI MULTIPLE DELIVERIES AT SITE HAMILTON COUNTY CO-OP PO BOX 1106 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: ST GARY TEETERS Customer: 0000031175 Invoice GT 017507 CARMEL STREET DEPT Date. 7/30/2010 3400 W 131ST STREET Tiae: 13:43 CARMEL, IN 46074 Tros Ter ©s Description Item Description Legend Guantity Unit Price Item Total 01 NORMAL 154040 DIESELEX ULS UN 19 E 3 2.536N 833.38 01 NORMAL 154070 PETRO VOLUME DISCOUN 329.4000 0.03000 —5.88 Legend: I Invoice Subtotal: 823.50 E T= Taxable, by hand Indiana Sales Tax On; 0.N 0.00 Invoice Total: 823.50 s 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 i- 8&x-424 -9300 WE APPRECIATE YOUR BUSINESS I I I VOUCHER N O.. WARRANT NO. ALLOWED 20 Hamilton Co. Co -op IN SUM OF P. O. Box 1106 Noblesville, IN 46061 $823.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. I ACCT #!TITLE AMOUNT Board Members 2201 GTO17507 42- 313.00 $823.50 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 Monday, Ayg u5t 02, 2010 Street Commissione C� A e t ut noJl i 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)) 07/30/10 GTO17507 $823.50 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