HomeMy WebLinkAbout196373 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
z' 0 c „4f; ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $1,496.25
ra CARMEL, INDIANA 46032 PO BOX 1106
NOBLESVILLEIN 46061 CHECK NUMBER: 196373
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 GT 018767 367.12 MATERIALS SUPPLIES
2201 4231300 GT 019082 1,129.13 DIESEL FUEL
1
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HAMILTON COUNTY CD-DP
PG BOX ii66
NOBLESVILLE, IN 4061
CHARGE INVOICE
Driver: GT GARY TEETERS
CustDmer: MON31225 Invoice h BT 018767
CITY OF CARMEL 7141,r1Cs Date: 2/4/2011
accai. 3LISO W. I j 41 Time: 13:11
CARMEL, IN 4
Tr ms Terns Description Item Description Legend Quantity Unit Price Item Total
01 NORRAL 124034 KEROSENE DYED UN 104.0000 3.56M 370.24
01 NORMAL 19070 PETRO VOLUME DIStf -104. MS 0.03000 -3.12
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Legend: Invoice Subtotal: 367.12 j
E- T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
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Invoice Total: 367.12
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PICKED -UP AT SERVICE STATION r
WARNING PETROLEUM PRODUCTS NOT TO DE USED FOR STARTING, OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1 -800- °424 -9300 VIE
APPRECIATE YOUR 1?USINESS
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VOUCHER 104534 WARRANT ALLOWED
119835 IN SUM OF
HAMILTON COUNTY CO -OP INC
PO BOX 1106 WA
NOBLESVILLE, IN 46061 O'ERKnONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
l� 018767 01- 6200 -06 $367.12
Voucher Total $367.12
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
119835
HAMILTON COUNTY CO -OP INC Purchase Order No.
PO BOX 1106 Terms
NOBLESVILLE, IN 46061 Due Date 4/6/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/6f2011 018767 $367.12
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
p
Date Officer
SALE 4350 DATE 04/01/11 14:30 :17
COUNT: START 0.0 END 315.4
GROSS DELIVERY 315.4 GALLONS
4040 DIESELEX ULS UN DISTILLATI
MULTIPLE DELIVERIES AT SITE
HAMILTON COUNTY CO-9
PO BOX 1105
NOBLESVILLE, IN 46051
CHARGE INVOICE
Driver: ST GARY TEETERS
Customer: 0000031175 Invoice ST 019082
CARNEL STREET DEPT Date: 41112011
3400 W 131ST STREET Time: 14:30
CARMEL, IN 45074
Tres Terms Description Item Description Legend Quantity Unit Price Item Total
01 NDRVIAL 154040 DIESELE% ULS UN 19 E 315.4000 3.61000 1138.59
01 NORMAL 194070 PETRO VOLUME DISCOUN 315.4000 0.03000 -9.45
Legend: Invoice Subtotal: 1,129.13
E= Metered, T= Taxable, centered bj Hand Indiana Sales Tax On: 0.00 0.80
Invoice Total: 1,129.13
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 CHE#ITREC AT 1- 800 424 -9300 WE
APPRECIATE YOUR BUSINESS'.!! i
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VOUCHER N WARRANT NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$1
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Member;
2201 GT 019082 42- 313.00 $1,129.13 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
rl
l I T hu TV April 07, 2011
Street Commis loner
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))
04/01/11 GT 019082 $1,129.13
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