163764 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
0 ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
CARMEL, INDIANA 46032 PO BOX 1106 CHECK AMOUNT: $1,600.20
NOBLESVILLE IN 46061 CHECK NUMBER: 163764
CHECK DATE: 9/1712008
DEPARTMEN ACCO PO NU MBER IN VOICE NUMBE AMOUNT DESC
2201 4231300 BB 006861 1,600.20 DIESEL FUEL
4
i
:1
HAMILTON COiNTY CO-OP
16222 ALLISONVIkLE RD
NObLESVILLE, IN 46060
CHARGE INVOICE
Driver: BB BRIAN BARNETT
Customer: 0000031175 Invoice BB 006861
CARMEL STREET DEPT Date: 8/28/2008
3400 W 131ST STREET Tice: 15:48
WESTFIELD, IN 46074
Trms Teros Description Item B Description Legend Quantity Unit Price Item Total Tank D %Full /Gal
01 NORMAL 154040 DIESELEX ULS 420.0000 3.81000 1600.20 0
Legend: Invoice Subtotal: 1,600,20
E= Metered, :T =Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 1,600.20
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!!!
Customer PO Customer Signature:
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))
08/28/08 BB 006861 $1,600.20
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
i
VOUCHER NO. WAP.RANT N
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$1,600.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
2201 BB 006861 42- 313.00 $1,600.20 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, September 11, 2008
Street C missioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund