HomeMy WebLinkAbout160377 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
CHECK AMOUNT: $2,568.05
CARMEL, INDIANA 46032 Po Box 1106
NOBLESVILLE IN 46061 CHECK NUMBER: 160377
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCR IPTION
2201 4238900 400627 230.00 OTHER MAINT SUPPLIES
2201 4231300 BB 006619 2,338.05 DIESEL FUEL
Noblesville -Office Horton Feed Grain Sheridan Plant Food LP
773 -0870 758 -4463 758 -5858
am ton C
Grain Terminal Noblesville Petroleum Gray Storage
COOPERATIVE ASSOCIATION, INC. 773 -2599 Plant Food Station 776 -4155
Merchandising 776 -4143
16222 Allisonville Road P. 0. Box 1106 Noblesville, Indiana 46061 773 -2685
S
L CARREL STREET DEPT <CHARGE SAL
0 VCT� Z'1 n T T AI .1AA' 1 A
ACCOUNT N0. PURCHASE ORDER NO. SALES TAX LICENSE NUMBER SALESMAN TERMS: INVOICE NO. DATE PAGE
PAYMENT DUE ON THE LAST DAY OF THE
MONTH FOLLOVNANG MONTH OF PURCHASE.
211`1
RETURN HIINVOICEE. MUST BE ACCOMPANIED BY 400627 06/02/08
•D
GLYF°OS (GEN. ROUNDUP) 32383 5.0000 GAL 46.0000
.00 230.00
All accounts subject to court RECEIVED IN GOOD ORDER AMOUNT PAID CASH DISCOUNT
costs and attorney fees if legal !v
action is necessary to collect CUSTOMER
said amount. SIGNATURE
Emergency Contact: LATE CHARGE PER MONTH PER ANNUM
Chemtrec 1- 800 424 -9300 CUSTOMER COPY
HAMILTON COUNTY CO-OP
16222 ALLISONVILLE RD
NOBLESVILLE, IN 46060
CHARGE INVOICE
Driver: BB- BRIAN BARNETT
Customer: 0000031175 Invoice BB 0%619
CARVE STREET DEPT Date: 5/30/2008
3400 W 131ST STREET Time: 09:56
WESTFIELD, IN 46074
Tres Terms Description Item Description Legend Quantity Unit Price Item Total Tank D %Full /Gal
01 NORMAL 154040 DIESELEX ULS 545.0000 4.29000 2338.05 0
Legend: Invoice Subtotal: 2,336.05
E- Metered, T= Taxable, Entered by Hand Sales Tax On: 0.00 0.00
Invoice Total: 2,338.05
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:
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))
05/30/08 BB 006619 $2,338.05
06/02/08 400627 $230.00
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. WARRAN NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. •O. Box 1106
Noblesville, IN 46061
$2,568.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 BB 006619 42 313.00 $2,338.05 1 hereby certify that the attached invoice(s) or
2201 400627 42 389.00 $230.00 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
F Idaeyhe 06, 2008
Street CommisA er A
r rrs 313r1
Title �r
Cost distribution ledger classification if
claim paid motor vehicle highway fund