HomeMy WebLinkAbout198544 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
3i. ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
CARMEL, INDIANA 46032 PO Box 1106 CHECK AMOUNT: $3,453.64
ti,� NOBLESVILLE IN 46061 CHECK NUMBER: 198544
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GTO19528 654.78 DIESEL FUEL
2201 4231500 GTO19547 841.50 OIL
1207 4231400 GTO19575 1,957.36 GASOLINE
SALE 2318 DATE 06116/11 14:27:58
COUNT: START 0.0 END 220.1
GROSS DELIVERY 220.1 GALLONS
4817 UNLEADED GAS GOVGASOLINE 1
MULTIPLE DELIVERIES AT SITE ee
SALE 4713 DATE 06116/11 14 :22:19
COUNT: START 0.0 END 337.8
GROSS DELIVERY 337.8 GALLONS
4040 DIESELEX ULS UN DISTILLATI
MULTIPLE DELIVERIES AT SITE
HAMILTON COUNTY CO-OP
PO BOX 1106
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: GT GARY TEETERS
Custoner. 0008028761 Invoice GT 019575
BROOKSHIRE GOLF CLUB Date: 6/16/2011
CITY OF CARMEL Time: 14:23
12120 BROOKSHIRE PKWY
CARMEL, IN 46033
Tans Terms Description Item Description Legend Quantity Unit Price Iten Total
01 NORMAL. 104817 UNLEADED GAS GOVT E 220.1000 3.319100 728.53
WARNING CONVENTIO'�IL 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: 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.
r
a
State Road Tax 0.16000 39.62
is
01 NORMAL 154040 DIESELEX ULS UN 19 E 337.8000 3.57000 1205.95
01 NORMAL 194070 PETRO VOLUME DISCOUN a 557.9000 0.03000 -16.74
Legend: Invoice Subtotal: 1,957.36
E- fetered, T= Taxable, entered by Hand Indiana Sales Tax On: 0.00 0.08
Invoice Total: 1,957.36
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILLUNINATING OR CLEANING PURPOSES; IN CASE OF EMERGENCY CONTACT CHEMTREC AT 600-424 -930 WE
APPRECIATE YOUR BUSINESS
VOUCHER NO. WARRANT NO,
ALLOWED 20
Hamilton County CO -OP
IN SUM OF
P.O. Box 1106
Noblesville, IN 46061
$1,957.36
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1207 GT 019575 42- 314.00 $1,957.36 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
Friday, June 17, 2011
Director, Brookshire olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199°
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))
06/16/11 GT 019575 Fuel $1,957.3
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk Treasurer
HAMILTON COUNTY CO-OP
PO BOX 1105
NOBLESVILLE, IN 45@61
i
CHARGE INVOICE
Driver: BT GARY TEETERS
Custooer: @M@31175 Invoice D: GT 019547
CARMEL STREET DEPT Date: 611412611
3408 W 131ST STREET Tim 08:18
CARMEL, IN 46874
Trns Teros Description Item D Description Legend Guantity Unit Price Itea Total
01 NORMAL 194058 LUBE OIL 55.0000 15.30888 841.50
Legend: Invoice Subtotal: 841.58
E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 8.80 0.88
Invoice Total: 841.50
i.
1 55 gallon drum
of ATF MULTI- VEHICLE
ATTN:JEFF STEWART
4
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GAMINES NOT SOLD FOR
ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1- 800 -424 -9300 WE
4
APPRECIATE YOUR BUSINESS
s
SALE 4677 DATE 06110!11 15-33:26
COUNT: START 0.0 END 182.9
GROSS DELIVERY 182.9 GALLONS
4040 DIESELEX ULS UN DISTILLATI
t
e$ MULTIPLE DELIVERIES AT SITE
HAMILTON COUNTY CO-OP
PO BOX 1106
NOBLESVILLE, IN 46061
CHARGE-INVOICE
Driver: OT GARY TEETERS
'Cu stoaer: 0000031175 Invoice 61 019528
CARNEL- STREET DEPT Date: 6110/2011.
.3400 -W- .131ST STREET Tine: 15:30
CARMEL IN 46074
Tres Terms Description Item Description Legend Quantity Unit Price Iteo Total
01 NORMAL i54040 DIESELEX ULS UN 19 =E 182.9000 3.61000 660.27
01 NORMAL 194070 PETRO VOLUME DISCOUN 182.9000 0.03000 -5.49
Legend: Invoice Subtotal: 654.78
E4etered, T= Taxable, Entered by Hand Indiana Sales Tax. On: 0.00 0.00
Invoice Total: 654.78
a F
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTIt4'G OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILLUMINATING OR MAMING PgRPOSES. IN CASE OF EMERGENCY CONTACT CHEKTREC AT 1- 800 424-9300 WE
APPRECIATE YOUR BUSINESS...
s
s
VOUCHER NO. WARRANT NO.
Hamilton Co. Co -op ALLOWED 20
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$1,496.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 GT 019528 42- 313.00 $654.78 1 hereby certify that the attached invoice(s), or
2201 GTO19547 42- 315.00 $841.50 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
l
Thursday June16 f �2011
9
Street Commissioner
Ctroa 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))
06/10/11 GT 019528 $654.78
06/14/11 GTO19547 $841.50
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