163228 09/03/2008 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: $567.50
NOBLESVILLE IN 46061
CHECK NUMBER: 163228
CHECK DATE: 9/3/2008
DEPART ACCO PO NU MBER INVOIC NUMBER AMOUNT DESCRIPTION
2201 Y 4238900 27708 337.50 OTHER MAINT SUPPLIES
2201 4238900 400697 230.00 OTHER MAINT SUPPLIES
Noblesville -Office Horton Feed Grain Sheridan Plant Food LP
773 -0870 758 -4463 758 -5858
amilton o unty
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
S
O
L CARREL STREET DEPT <CHARGE SAL
J D
T 400 �'1n1ST STREET
ACCOUNT NO. PURCHASE ORDER. N(5. ,SALES TAX LICENSE NUMBER SALESMAN TERMS: 'INVOICE NO. DATE' PAGE
PAYMENT DUE ON THE LAST DAY OF THE
MONTH FOLLOWING MONTH OF PURCHASE.
•ai 47- f.(1 THHIISIINNVOI(� MUST BE ACCOMPANIED BY 40J0)r.cI7 n/ A/72/wA
••D
GLYFOS (GEN. ROUNDUP) 32383 5.0000 GAL 46.0000 230.00
.OU 2;0.00
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- 800 424 -9300 CUSTOMER COPY
DEPT.
I MO. DAY YR. 7 205
l amilton
A
c N
EUnty D
A T
R M
FARM BUREAU COOPERATIVE e
ASSOCIATION, INC. A
D
P.O. Box 1106 0
16222 Allisonville Road.
Noblesville, Indiana 46060.
SOLD BY CASH `CHARGE ON ACCT MDSE.RET TERMS
OTY. DESCRIPTION MIN. comm. UNIT PRICE AMOUNT
67 S
K.
i
SUB TOTAL
3
SALES TAX ON
l
3.a S
Received By TOTAL
Additional finance charges may accrue at the rate of 1 /D per month (21 APRO)
,A if,paymem full is not received by the 30th. Minimum $.50.
FERTILIZER /PETROLEUM GRAIN MERCHANDISING SHERIDAN HORTON ELEVATOR
776 -4143 773- 2685 7 58 -4181 758 -4463
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))
08/22/08 400697 $230.00
08/25/08 27708 $337.50
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT N
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF$
P. O. Box 1106
Noblesville, IN 46061
$567.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 400697 42- 389.00 $230.00 1 hereby certify that the attached invoice(s), or
2201 27708 42- 389.00 $337.5(1
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, August 28, 2008
Street Co l-Ossioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund