HomeMy WebLinkAbout192090 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $740.20
CARMEL, INDIANA 46032 PO BOX 1106
NOBLESVILLE IN 46061 CHECK NUMBER: 192090
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GTO18220 740.20 DIESEL FUEL
SALE 3568 DATE 11110/10 16:05:10
COUNT: START 0.0 END 263.6
GROSS DELIVERY 263.6 GALLONS
4040 DIESELEX ULS UN DISTILLATI
MULTIPLE DELIVERIES AT SITE
HAMILTON COUNTY CO—OP
PC BOX 1106
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: ST GARY TEETERS
Customer: OOOM1175 Invoice GT 018220
CARMEL STREET DEPT Date: 11/10/2010
33400 W 131ST STREET Time: 15:05
CARMEL, IN 46074
Tros Terms Description Ite® Description Legend fluantity Unit Price Item Total
01 NORMAL 154040 DIESELEX ULS LN 19 E 184.5000 2.79000 514.76
01 NORMAL 124029 HEATER OIL—UN 1993 E 79.1000 2.95000 233.35
01 NORMAL 194070 PETRO VOLUME DISCOUN 263.6000 0.03000 —7.91
Legend: Invoice Subtotal: 740.20
E= Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.430 0.00
Invoice Total: 740.20
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 -93300 WE
APPRECIATE YOUR BUSINESS!!!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$740.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 GT 018220 42- 313.00 $740.20 I 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 NovL fi ber 18, 201C
St reet C ,Commissi vier
et Ornnssinr»r
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))
11/10/10 GTO18220 $740.20
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