HomeMy WebLinkAbout193775 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $717.55
CARMEL, INDIANA 46032 PO BOX 1106,
NOBLESVILLE IN 46061 CHECK NUMBER: 193775
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231500 106137 232.75 OIL
2201 4231300 GTO18595 484.80 DIESEL FUEL
i
SALE 3921 DATE 01107/11 14:22:16
COUNT: START 0.0 END 15818
GROSS DELIVERY 158.8 GALLONS
4W DiESELEX ULS UN DISTILLAT
MULTIPLE DELIVERIES AT SITE
FLgMILTRi COUNTY CO —OP
PO BOX 1106
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: CT GARY TEETERS
Custoeer: 0000031175 Invoice 8T 018595
CARMEL STREET DEPT Date: 1/7/2011
340 W 13151 STREET Tine: 13:22
iCARMEL, IN 46074
Taus Terms description Item Description Legend Quantity Unit Price Itea Total
01 NORMAL 154040 DIESELEX ULS UN 19 E 111.20210 2.930100 325.82
of NORMAL 124029 HEATER ,0IL -IIN 1993 E 47.6006 3.44000 163.74
01 NORMAL 194070 PETRO VOLUME DISCOUN 158.8000 @.030V►0 -4.76
Legend: Invoice Subtotal: 484.80
E=Metered, T= Taxable, t- Entered by Nand Indiana Sales Tax On: 040 0.00
Invoice Total: 484.80
WARNI%G PETROLEUM PRODUCTS NOT T4 BE USED FOR STARTING OR KINDLING FIRES, GASOLINES NOT SOLD FOR
ILLUMINATING OR CLEANING PURPPOSES. IN CASE OF EMERGENCY CONTACT C14F -MTREC AT 1- 800 424- 9M WE it
APPRECIATE YOUR BUSINESS!!!
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VOU NO. WARRANT NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
R. O. Box 1106
Noblesville, IN 46061
$484.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 GT 018595 42- 313.00 $484.80 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. January 13, 2011
Street Commissioner
i
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))
01/07/11 GT 018595 $484.80
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
Noblesville -Office Horton Feed Grain Gray Storage
anulton Count I 773 -0870 758 -4463 776 -4155
it H
Grain Terminal Noblesville Petroleum Merchandising
COOPERATIVE ASSOCIATION, INC. 773 -2599 Plant Food Station 773 -2685
776 -4143
162 6)Mnt R tYii �l� iba��n�g blesville, Indiana 46061 <CHARGE SALE>
s .L
0 3400 W 131ST STREET
CARMEL IN 46074
O
ACCOUNT NO. PURCHASE ORDER NO. SALES TAX LICENSE NUMBER SALESMAN TERMS: INVOICE NO. DATE PAGE
PAYMENT DUE ON THE LAST DAY OF THE
31175 CO MONTH FOLLOWING MONTH OF PURCHASE. 106137 0 S. 10 11 1
RETURN ITEMS MUST BE ACCOMPANIED BY
THIS INVOICE.
PRODUCT QUANTITY PRICE
LUBE OIL 194050 25.0000 GAL 913100 232.75
ATF
All accounts subject to court RECEIVED IN GOOD ORDER AMOUNT PAID CASH UN TOTAL
costs and attorney tees it legal
action is necessary to collect CUSTOMER .00 232.75
said amount. SIGNATURE
Emergency Contact: LATE CHARGE PER MONTH PER ANNUM
Chemtrec 1- 800-424 -9300 DELIVERY COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$232.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
2201 106137 42- 315.00 $232.75 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.d y, January 14, 2011
Street Commissid
CtraPt n6mmissloner
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))
01/10/11 106137 $232.75
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