HomeMy WebLinkAbout196811 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
4 ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $3,089.42
CARMEL, INDIANA 46032 PO Box 1106
`'4 to'tor NOBLESVILLE IN 46061 CHECK NUMBER: 196811
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4231400 GT 019160 3,089.42 GASOLINE
SALE 2151 DATE 04/14/11 09:133:14
COUNT: START 0.0 END 439.1
GROSS DELIVERY 439.1 GALLONS
4817 UNLEADED GAS GOVGASOLINE 1
MULTIPLE DELIVERIES AT SITE
SALE 4428 DATE 04/14/11 09:09:19
COUNT: START 0.0 END 414.3
GROSS DELIVERY 414.8 GALLONS
4040 DIESELEX ULS UN DISTILLATI
MULTIPLE DELIVERIES AT SITE
HAMILTON COUNTY Co -op
PO BOX 1105
NOBLESVILLE, IN 46061
a
CHARD INVOICE
Driver: GT GARY TEETERS
Customer: 0000028761 Invoice GT 019150
BROOKSHIRE GOLF CLUB Date: 4114/2011
CITY OF CARMEL Tiee: 09:13
12120 BROOKSHIRE PKWY
CARMIEL, IN 46033°
Tres Teros Description Item Description Legend Quantity Unit Price Iten Total
01 NORMAL 104817 UNLEADED GAS GOV'T E 439.1000 140000 1492.94
WARNING CONVENTIONAL GASOLINE THIS PRODUCT DOES NOT MEET THE REQUIREMENTS FOR REFORMULATED GASOLINE AND MAY NOT BE
USED IN ANY REFORMULATED GASOLINE COVERED AREA. THIS PRODUC T CONTAINS PRESCRIBED LEVELS OF INTAKE VALUE DETERGENT
1I.U.D.) ADDITIVE. CONFORMS TOIREQUIREMENTS FOR A 9.0 P.S.I MAX. RVP GASOLINE DURING THE MONTHS OF MAY 1ST
THROUGH S9TEMBER 15TH.
State Road Tax 0.18000 79.04
01 NORMAL 154040 DIESELEX ULS UN 19 E 414.8000 3.72000 1543.06
01 NORMAL 194070 PETRO VOLUME D.ISCOUN a 853.9000. 0.03000 -25.62
Legend: Invoice Subtotal: 3,089.42
E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.60 0.00
Invoice Total: 3,089.42
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
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton County CO -OP
IN SUM OF
P.O. Box 1106
Noblesville, IN 46061
$3,089.42
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 GT 019160 42- 314.00 $3,089.42 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
Wednesday, April 20, 2011
Director, BrookshirJ 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. 199E
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))
04/14/11 GT 019160 Fuel $3,089.4
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