164263 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
CARMEL, INDIANA 46032 PO Box 1106 CHECK AMOUNT: $9,746.27
NOBLESVILLE IN 46061
CHECK NUMBER: 164263
CHECK DATE: 9/30/2008
D EPAR T MENT ACCOU PO NUMBER INVOICE NUMBER AMOUN DESCRIPTION
1150 4231400 012903 2,196.24 GASOLINE
1150 4231400 013048 2,295.13 GASOLINE
1150 4231400 013160 1,781.06 GASOLINE
""1150 4231400 013310 2,105.44 GASOLINE
2201 4231500 104428 849.00 OIL
2201 4231500 BB006930 519.40 OIL
Noblesville -Office Horton Feed Grain Sheridan Plant Food LP
H amflton C6mty 773 -0870 758 -4463 758 -5858
Grain Terminal Noblesville-Petroleum Gray Storage
COOPERATIVE ASSOCIATION, INC. 773 -2599 Plant Food Station 776 -4155
Merchandising 776 -4143
16222 Allisonville Road P. O. Box 1106 Noblesville, Indiana 46061 773 -2685
L �AR1 STREET DEFT <GHHF�UE SAL
'Dy
0 WEST"FIELD IN 46074
ACCOUNT N0. I PURCHASE ORDER NO. SALES TAX LICENSE NUMBE4SALESMA TERMS: INVOICE NO. DATE PAGE
PAYMENT DUE ON THE LAST DAY OF THE
7 MONTH FOLLOWING MONTH OF PURCHASE.
311 I REESINVOICEMS MUST BE ACCOMPANIED BY 1L/ 44}� i8 (J tL/ U 6
•D GREASE 19400.CUC[ 00 LBS 1. E,k►tfJ i64.00
GREASE h)4060
.00 A-49.00
All accounts subject to court RECEIVED IN GOOD ORDER AMOUNT PAID CASH DISCOUNT
costs and attorney fees if legal
action is necessary to collect CUSTOMER
said amount. SIGNATURE
Emergency Contact: LATE CHARGE PER MONTH PER ANNUM
chemtrec 1 -600- 424 -9300 1 CUSTOMER COPY
s
HAMILTON COUNTY CO-OP
16222 ALLISONVILLE RD
NOBLESVILLE, IN 46060
CHARGE INVOICE
Driver: BB BRIAN BARNETT
Customer: 0000031175 Invoice BB 006930
CARMEL STREET DEPT Date: 9/17/2008
3400 W 131ST STREET Time: 09:41
WESTFIELD, IN 46074
Trus Terms Description Item Description y Legend Quantity Unit Price Item Total Tank %Full /Gal
01- NORMAL 154040 DIESELEX ULS 140.0000 3.71000 519.40 0
Legend: Invoice Subtotal: 519.40
E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 519.40
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILLUMINATING,¢R:CLEANING PURPOSES: IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1- 800 -424 -9300 WE
APPRECIATE YOUR BUSINESS
j
Customer PO Customer Signature:
i
i
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))
09/17/08 BB 006930 $519.40
09/22/08 104428 $849.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$1,368.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 BB 006930 42- 315.00 $519.40 I hereby certify that the attached invoice(s), or
2201 104428 42- 315.00 $849.00 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
Monday, September 29, 2008
o
Stree ommissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'a
SALE 9831 DATE 09118/08 15 :40:47
COUNT: START 0.0 END 233.9
GROSS DELIVERY 233.9 GALLONS
NDIS DISTILLATE DISTILLATI
MULTIPLE DELIVERIES AT SITE
SALE 5327 DATE 09/18/08 15:45:28
COUNT: START 0.0 END 336.5
GROSS DELIVERY 336.5 GALLONS
N6AS GASOLINE GASOLINE 1
MULTIPLE DELIVERIES AT SITE
VNILTON COUNTY CO-OP
PO BOX 1106
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000028761 Invoice GT 013310
BROOKSHIRE GOLF CLUB Date: 9/18/2008
CITY OF CARMEL Ti ®e: 15:49
12120 BROOKSHIRE PKWY
CARMEL, IN 46033
Tr ®s Teres Description Item Description Legend Quantity Unit Price Item Total
01 NORMAL 104817 UNLEADED GAS GOV'T E 336.5000 3.55000 1194.58
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 VALVE DETERGENT
USED IN ANY REFORMULATED GASOLINE COVERED AREA. THIS PRODUC
(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.
Federal Road Tax 0.00000 0.00
State Road Tax 0.18000 60.57
01 NORMAL 154040 DIESELEX ULS E 233.8000 3.71000 867.40
01 NORMAL 194070 PETRO VOLUME DISCOUN a 570.3000 0.03000 -17.11
Legend: Invoice Subtotal: 2,105.44
E= Metered, T= Tauable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 2,105.44
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 CHEMTREC AT I- 800-424 -9300 WE
APPRECIATE YOUR BUSINESS!!!
t
SALE 9699 DATE 08/27/08 15.01:47
COUNT: START 0.64 END 190.1
GROSS DELIVERY 190.1 GALLONS
4040 DIESELEX ULS DISTILLATI
MULTIPLE DELIVERIES AT SITE
SALE 5252 DATE 08/87/08 15:06 :11
COUNT: START 0.0 END 317.4
GROSS DELIVERY 317.4 GALLONS
4017 UNLEADED GAS GASOLINE i
MULTIPLE DELIVERIES AT SITE
HAMILTON COUNTY CO -OP
PO BOX 1106
NOBLESVILLE, IN 46051
CHARGE INVOICE
Driver: BT GARY TEETERS
Custooer: 000002876 Invoice GT 013160
BROOKSHIRE GULF CLUB Date: 8/27/2008
CITY OF CARMEL Time: 15:11
12120 BRONSHIRE PKWY
CARMEL, IN 46033
Tres Teres Description Item Description Legend Quantity Unit Price Item Total
01 NORMAL 104817 UNLEADED GAS GOVT E 317.4000 3.20000 1015.68
i
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 VALVE DETERGENT
USED IN ANY REFORMULATED GASOLINE COVERED AREA. THIS PRODUC
(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.
Federal Road Tax 0.00000 0.00
State Road Tax 0.18000 57.13
k
01 NORMAL 154040 DIESELEX ULS E 190.1000 6181000 724.EB
01 NORMAL 194070 Pt VOLUME DISCOUN 507.5000 0.03000 -15.23
Legend: Invoice Subtotal: 1,781.86
E= Metered, T= Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total, 1,781.86
i
i
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 CHEMTREC AT 1- 800-424 -9300 `EE
APPRECIATE YOUR BUSINESS
Y
k
(SUNVYLL� /4) [N0 /l [NV0[C� N/J. 013048
O�LE��VlLiF ]N 4��61 Uk1�K \10]� OP/��'/�8
J17-773'��7� [*DFK N[/' 0I -'i 04�
CITY OF [:OKME.L
1�1�.-:@ PKWY
CARMEL !N
FOlM! SLS U
N8/W6/MM Normal Terms R[ 1N
S01'0 V1 |/N[[S S0L0 |]Nf.[ P8[/�E UTENDED
418,P000 130- UNLEA060 GAG /T]V'T 41M.W GAL 3.3500 1400,97
Sl0l� �X[�I��F l�#X 41�.�00� �A| �.1��0 �b.2O
or 800wrowoot 0
208.9000 GA| U/ 2WP.9000 wAi 4.0100
421.1000—EA 0.0300 1Q.81—
[0 [AL 0UE
7/7 A 7171 n@ ME: 8007 '67 UaS
HO-JON 1:'17 61MR A t
RD T (\I k" Cl I C F MY01CF N10.1
13RDEIT OR FE LAI/ I WER
(4rcumn Nn. 000MOSM1
ORI:K.'.';� N10., 0
12120 U1"WY
SW +.1+
ry1))\1 UNM OOLO UN F i:::z :E'X 1'1_ NDED
400 HNUEW)�l) f (101- 1. loWl. 0QA
1 AX A00 CiAl 0.- 1 t'•00 7P. 17-ifl
1"ovei-nilleeli. Ike f',)Iil.y
158 GAL 101 M L k X HL J r (�Al 4 100
o l':liroi.w r :3:;5 1 74—
7/1 A I I Y 'ON UVApF:7 P007 '61 'dad
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
6 2M N �o Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 7 08 9/3 16 0 7
q vB 0/33/0 a /05
/B
7// 5 o0 0/2903
Total 8 3 78
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
g
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/sc7 b/ ae/6 23t o 1 7S -3 bill(s) is (are) true and correct and that the
013 1& 78( ®41 materials or services itemized thereon for
01331 which charge is made were ordered and
�I received except
,p 20
S' [nature
/l tom„
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund