162351 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $1,253.86
CARMEL, INDIANA 46032 PO BOX 1106
NOBLESVILLE IN 46061 CHECK NUMBER: 162351
CHECK DATE: 8/7/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 72192 50.86 OTHER MAINT SUPPLIES
2201 4231300 BB006767 1,203.00 DIESEL FUEL
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DEPT. q
MO. DAY YR. 7
H amilton
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FARM BUREAU COOPERATIVE N
ASSOCIATION, INC. o
P.O. Box 1106 0,
16222 Allisonvifle Road
Noblesville, Indiana 46060 0
SOLD BY CASH CHARGE ON ACCT. MDSE. RET. TERMS
OTY. DESCRIPTION MIN. COMM. UNIT PRICE ,AMOUNT
Lo?oo -9
SUB TOTAL
SALES TAX ON n
Received By TDTAL
Additional finance charges may accrue at the rate of 1N4% per month (21 APRO)
if payment in full is not received by the 30th. Minimum $.50.
FERTILIZER /PETROLEUM GRAIN MERCHANDISING SHERIDAN HORTON ELEVATOR
776 -4143 773.2685 758 -4181. 758 -4463
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HAMILTON COUNTY CO-OP
16222 ALLISONVILLE RD
NOBLESVILLE, IN 46060
CHARGE INVOICE
Driver: BB BRIAN BARNETT
Customer: 0000031175 Invoice BB 006767
CARME1. STREET DEPT Date: 7/229/200$
3400 W 131ST STREET Tine: 11:36
WESTFIELD, IN 46074
Trus Terns Description Item Description Legend Quantity Unit Price Item Total Tank %Full /Gal
01 NORMAL 154040 DIESELEy ULS 300.0000 4.01000 1203.00 0
Legend: r Invoice Subtotal: 1,203.00
E= Metered, tauati3e; =E.0e06 by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 1,203.00
f.
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 WE
APPRECIATE YOUR BUSINESS!!!
Customer PO Customer Signature:
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))
07/03/08 72192 $50.86
07/29/08 BB006767 $1,203.00
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
VOUCHPR NC'. WARRANT N
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$1,253.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 72192 42- 389.00 $50.86 1 hereby certify that the attached invoice(s), or
2201 BB006767 42- 313.00 $1,203.00 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
Thursday, July 31, 2008
r
Street ddnmissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund