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190781 10/13/2010 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: $2,985.07 NOBLESVILLE IN 46061 CHECK NUMBER: 190781 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 72947 31.00 OTHER MAINT SUPPLIES 1207 4231400 73144 -95.79 GASOLINE 1207 4231400 GT 017874 1,226.18 GASOLINE 2201 4231500 GT107973 1,078.00 OIL 2201 4231300 GT17906 745.68 DIESEL FUEL DEPT. C-0-01' 9j l H amhon MO DAY YR. 72957 C N EUnty A N T A -S� 0 M FARM BUREAU COOPERATIVE e ASSOCIATION, INC. n P.O. Box 1106 U. 16222 Allisonville Road Noblesville, Indiana 46060 EMERGENCY CONTACT: 1- 800-424-9300 SOLD BV CASH CHARGE ON ACCT. MDSE. RET, TERMS OTV DESCRIPTION 7 MIN. COMM. UNIT PRICE—_ AMOUNT o SUB TOTAL SALES TAX ON �f. t e 7 Received By P� 2 TOTAL `I Additional finance charges may accrue at the rate of 1 per month (21�i APRO) if payment in full is not received by the 30th. Minimum $.50. FERTILIZER /PETROLEUM GRAIN MERCHANDISING SHERIDAN HORTON ELEVATOR 776 -4143 773 -2685 758 -4181 758 -4463 SALE 3301 DATE 09128110 15:25:06 COUNT: START 0.0 END 285.7 GROSS DELIVERY 285.7 SALONS 4040 DIESELEX ULS UN DISTILLATi MULTIPLE DELIVERIES AT SITE e# HAMILTON COUNTY CO -OP PO BOY 1106 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: ST GARY TEETERS Customer: 0000031175 Invoice i4: GT 017905 CARNET. STREET DEPT Date: 9/28/2010 3400 W 131ST STREET Tine: 15:30 CARKEL, IN 46074 Tros Terms Description Item B Description Legend Quantity Unit Price Ite© Total 01 NORMAL 154040 DIESELEX ULS UN 19 E 2$5.7000 2.64000 754.25 01 NORMAL 194070 PETRO VOLUME DISCOUN g --285.7000 0.03000 -8.57 Legend: Invoice Subtotal: 745.68 E= Metered, T =Taxable, Entered by Hand Indiana Sales Tax On: 0.00 6.00 Invoice Total: 745.58 WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLIN£S NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1- 800-424 -9300 WE APPRECIATE YOUR BUSINESS!" VOUCHER NO. WARRANT N ALLOWED 20 Hamilton Co. Co -op IN SUM OF P. O. Box 1106 Noblesville, IN 46061 $776.68 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 GT017906 42- 313.00 $745.68 1 hereby certify that the attached invoice(s), or 2201 72947 42- 389.00 $31.00 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 ,Tihursday,,Octo1Ye007, 2010 u Street Commissioner Street flionimissioner 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)) 09/28/10 GT017906 $745.68 09/30/10 72947 $31.00 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 P HAMILTON- COUNTY -CD-OP PO BOX 1106 NOBLESVILLE, IN 46%1 CHARGE INVOICE Driver: GT GARY TEETERS Customer: 8000031175 Invoice GT 017973 CARMEL STREET DEPT Date: 10/5/2010 3400 W 131ST STREET Time: 17:45 CARMEEL, IN 46074 Tros Teras Description Item D Description Legend Duantity Unit Price Item Total 01 NORMAL 194050 LURE OIL 1.16. 0080 9.88880 1078.00 Legend: Invoice Subtotal: 1,078.88 E= Metered, T= Taxable, entered by Hand Indiana Sales Tax On: 0.08 6.00 Invoice Total: 1,078.60 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 1- 888- 424 -9380 WE APPRECIATE YOUR BUSINESS!!! I VOUCHER NO. WARRANT NO. ALLOWED 20 Hamilton Co. Co -op IN SUM OF P. O. Box 1106 Noblesville, IN 46061 $1,078.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 GT107973 42- 315.00 $1,078.00 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 4 )Friday etober 08, 2010 Street Commissioner n ucc" vvi ni,; 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)) 10/05/10 GT107973 $1,078.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 217 Clerk- Treasurer Sep. 27. 2010 1 08P l No. 6946 P. 1 wrrerar kua. E I 1 6asau.(m pGeaas69— altas�s ��'1 69F71D3 t I PLEASE BE D.O YOU ARE MAKING TWO COPIES 1 Y psmr. o-o O lIx, 7314 1 M0. ORY 6 YA. H arr�ilton 1 couClt 11 t I I FARM 13URrAIJ COOFERAVVE n a ASSOCIATION. INC- "o o. •ps7 -Boa 1100 16222 Altlaomgte Road Nableavl0e, India> 40080 ll i 1 SOLO Of CraM CHAHOE ON aLC"L MDR 1%� TERM6 07, y Od$CA(PlIOH 14iti comm. UNITYp� A i our i i k i i I 1 SUB TOTAL SALES TAX ON Received By aaaliaael finanee psasgas ma7 ecctUi atiite rase Of t H. Par mOPIn (2 t 4S APHOt it palmer% h lull Se not ramped by sqe 50M. M10imtAn 7.660. FERTILIZ.ERIPETROLEUM GRAIN MERCHANDISING' SHERIDAN MORTON ELEVATOR 776-4143 773.2685 756.4161 768 4463 Sep.27. 2010 1:08PM f No. 6906 P. I I G egKaao_Eear..�, enure kvu. hla ppely 504— d9E -76 Y9 ��w-A BBF?lOO PLEASE BEAR DOWNI YOU ARF M AKING T wo coPlFs 1 S o6 t Mt>` oAr TT+. 73144 amilton I QUl1t 1 A N 1 I FARM DURSAV COOPERATIVE n e ASSOCIATION. INC. o P.O. Boa ties 16222 AliieanvUla Ru*d NaSleettile,lndt>•tb4eDBD 11 1 0 t TERME I 6DL0 e t OA" Ct+aRne ON AGC T MUSE RE r OTV. oESCNP7 MOL COWL UNIT PRICE AMOUNT e lk- cur k- 50 6 TDTAL SALES TAX ON Aaaaived By Anodiwel Gnenee ryrargns are? 9CCNA oI tho role oI r4,%per mopin (21 APRO) it p2ymem N full k nay raceFrcd M It19 SOIn_ Mieimvn &O. FER11LIZERIPETROLEUM GRAIN MERCtIANDISING' SHERIDAN MORTON ELEVATOR 776-4143 773.2685 76 64181 769-4463 SALE 1733 DATE 69/23/10 14:30:37 COUNT: START 0.0 END 21819 GROSS DELIVERY 218.9 GALLONS 4817 UNLEADED GAS GOVGASOLINE 1 MULTIPLE DELIVERIES AT SITE a# SALE 3274 DATE 09/23110 14:28:27 COUNT.. START 0.0 END 266.0 GROSS DELIVERY 266.0 GALLONS NDIS DISTILLATE DISTILLATI MULTIPLE DELIVERIES AT SITE MILTON COUNTY CO-OP PO BOX 1106 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: GT GARY TEETERS Custower: 00HN8761 Invoice D: GT 017874 BROOKSHIRE GOLF CLUB- Date: 9/23/2010 CITY OF CARMEL Time: 14:32 12120 BROOKSHIRE PKWY CARMEL, IN 46033 Tres Teros Description Item B Description Legend Quantity Unit Price Item Total 01 NORMAL 104817 UNLEADED GAS GOV'T E 218.9600 2.28M 499.09 WARNING CONVENTIONAL GASOLINE THIS PRODUCT DOES NOT MEET THE REQUIREMENTS FOR REFORMULATED GASOLINE AND NAY 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 0.00 State Road Tax 0.18600 39.40 01 NORMAL 154040 DIESELEX ULS UN 19 E 266.000 2.64M 702.24 01 NORMAL 194070 PETRO VOLUKE DISCOUN ff 484.9000 0.0 e@ -14.55 Legend: Invoice Subtotal: 1,226.18 E=Ketered, T= Taxable, by Hand. Indiana Sales Tax One 0.00 0.00 Invoice Total: 1,2216.18 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!!! VOUCHER NO. WARRANT NO. ALLOWED 20 Hamilton County CO -OP IN SUM OF P.O. Box 1106 Noblesville, IN 46061 $1,130.39 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TiTLE AMOUNT Board Members 1207 GT 017874 42- 314.00 $1,226.18 1 hereby certify that the attached invoice(s), or 1207 73144 42 -314,00 ($95.79) 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, October 07, 2010 Director, Brookshil 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 vhom, 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)) 09/23/10 GT 017874 Fuel $1,226.18 09/27/10 73144 Credit for Fuel ($95.79) hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance mith IC 5- 11- 10 -1.6 20 Clerk- Treasurer