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Home My WebLink About188830 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1 ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $1,490.84 CARMEL, INDIANA 46032 PO BOX 1106 NOBLESVILLE IN 46061 CHECK NUMBER: 188830 CHECK DATE: 8/18/2010 DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4231400 GTO17611 1,117.88 GASOLINE 2201 4231300 GTO17624 372.96 DIESEL FUEL f SALE 3064 DATE 08/13/10 09:25:57 COUNT: START 0.0 END 144.0 GROSS DELIVERY 144.0 GALLONS 4040 DIESELER ULS UN DISTILLATI MULTIPLE DELIVERIES AT SITE HAMILTON COUNTY CO-OP PO BOX 1106 NOBLESVILLE, IN 45061 CHARGE'INVOICE Driver: GT GARY TEETERS Custooer: 0000031175 Invoice D: GT 017624 CAM STREET DEPT Date: 8/13/2010 3400 W 1315T STREET Tine: 09:27 CARMEL, IN 46074 Tras Terms Description Item Description Legend Quantity Unit Price Item Total 01. NORMAL 154040 DIESELEX ULS LIN 19 E 144.0000 2.62000 377.28 01 NORMAL 194070 PETRO VOLUME DISCOUN 144.0000 0.03000 -4.32 Legend; Invoice Subtotal: 372.96 E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 372.96 WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANINN13 PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1- 800 424 -9300 WE APPRECIATE YOUR BUSINESS!!! VOUCHER NO. WARRANT NO. Hamilton Co. Co -op ALLOWED 20 IN SUM OF P. O. Box 1106 Noblesville, IN 46061 $372.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 GTO17624 42- 313.00 $372.96 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 Fri ay, st 13, 2010 e Street CommissA r Street Corlowissioner 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)) 08/13/10 GTO17624 $372.96 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 1603 DATE 08/11/10 16:27:55 COUNT: START 0.0 END 188.2 GROSS DELIVERY 198.2 GALLONS 4817 UNLEADED GAS GOVGASOLINE 1 MULTIPLE DELIVERIES AT SITE SALE 3053 DATE 08/11/10 16:26:01 COUNT: START 0.0 END 248.5 GROSS DELIVERY 248.5 GALLONS 4640 DIESELEX ULS UN DISTILLATI MULTIPLE DELIVERIES AT SITE HAMILTON COUNTY CO -OP PO BOX 1105 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: GT GARY TEETERS Custoner: 0000028761 Invoice 1f: GT 017611 BROOKSHIRE GOLF CLUB Date: 8111/2010 CITY OF CAME Tim 16:34 12120 BROOKSHIRE PKWY CARMEL, IN 46033 t Tros Terns Description Ite® b Description Legend Quantity Unit Price Iten Total 01 NORMAL 104817 UNLEADED GAS GOV °T E 188.2000 2.37000 446.03 WARNING CONVENTIONAL GASOLINE -'THIS PRODUCT DOES NOT MEET THE REQUIREMENTS FOR REFORMULATED GASOLINE AND rAY 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 REQUIRBIENTS FOR A 9.0 P.S.I MAX. RVP GAMINE DURING THE MONTHS OF [MY 1ST THROUGH SEPTEMBER 15TH. Federal Road Tax 0.00000 0,00 State Road Tax 0.18000 33.88 01 NORMAL 154040 DIESELEX ULS UN 19 E 248.5000 2.62000 651.07 01 NORMAL 194070 PETRO VOLUME DISCOUN 436.7000 0.03000 -13.10 Legend: Invoice Subtotal: 1,117.88 E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 1,117.88 WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. SASOLINES NOT 'SOLD FOR ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTR €C AT 1- 800--424 -9300 WE APPRECIATE YOUR BUSINESS!!! f 1. .VOUCHER NO. WARRANT NO. s ALLOWED 20 Hamilton County CO -OP IN SUM OF P.O. Box 1106 Noblesville, IN 46061 $1,117.88 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 GT 017611 42- 314.00 $1,117.88 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, August 12, 2010 Director, Brock 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 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)) 08/11/10 GT 017611 Fuel $1,117.88 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