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Home My WebLink About200460 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1 ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $2,541.42 J: s j CARMEL, INDIANA 46032 PO BOX 1106 NOBLESVILLE IN 46061 CHECK NUMBER: 200460 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4231300 GTO19845 1,622.56 DIESEL FUEL 2201 4231300 GTO19908 918.86 DIESEL FUEL SALE 2459 DATE 07/28/11 15:28 :43 COUNT: START 0.0 END 214.0 GROSS DELIVERY 214.0 GALLONS 4817 UNLEADED GAS GOVGRSOLINE 1 MULTIPLE DELIVERIES AT SITE SALE 4926 DATE 07128/11 15:24:09 COUNT: START 0.0 END 264.0 GROSS DELIVERY 264.0 GALLONS 4040 DIESELEX ULS UN DISTILLATI MULTIPLE DELIVERIES AT SITE HAMILTON COUNTY CO -OP PO BOX 1106 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000028761 Invoice GT 019845 BROOKSHIRE GOLF CLUB Date: 7128/2011 CITY OF CARAMEL Tiae: 15:24 12120 BROOKSHIRE PHHY CARMEL, IN 46033- Tres Terri Description Item4 Description Legend Quantity Unit Price Iteo Total 01 NORMAL 104817. UNLEADED GAS GOV E 214.0000 3.25000 695.50 HARNING 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 (I.Y.D.) ADDITIVE. CONFORMS TO 1EQUIREMENTS FOR A 9.0 P.S.1 MAX. RVP GASOLINE DURING THE MONTHS OF MAY 1ST THROUGH SEPTE14BER 15TH. State Road Tax 0.18000 38.52 61 NORMAL 154040 DIESELEX ULS UN 19 E 26+4.0000 142000 902.88 a 01 NORMAL 194070 PETRO VOLL0E DISCOUN 478.8000 0.03000 -14.34 Legend: Invoice Subtotal: 1,622.56 E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 1,622.56 WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUP41NATINB OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT GTIEMTREC AT 1- 800 424 -9300 WE APPRECIATE YOUR BUSINESS' VOUCHER NO. WARRANT NO. ALLOWED 20 Hamilton County CO -OP IN SUM OF P.O. Box 1106 Noblesville, IN 46061 $1,622.56 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 GT 019845 42 -313.00 $1,622.56 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 Friday, August 12, 2011 Director, Brooksh4 e Golf Club Title Cost distribution ledger classification if claim }paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 199: 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)) 07/28/11 GT 019845 Fuel $1,622.5 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 SALE 4977 DATE 08/05/11 14:150 COUNT: START 0.0 END 254.8 GROSS DELIVERY 264.8 GALLONS 4040 DIESELEX ULS LIN DISTILLATI MULTIPLE DELIVERIES AT SITE HW,ILTON COUNTY CO—OP PO BOX 1166 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000031175 Invoice 9: GT 019908 CAF44EL STREET DEPT Date: 9/512011 3400 a 131ST STREET Tine: 14:12 CARMEL, IN 45074 Tros Terns Description Item D Description Legend Quantity Unit Price Iten Total 01 NORMAL 154046 DIESELEY ULS UN 19 E 264.9000 3.50000 926.80 01 NORMAL 194070 PETRO VOLUME DISCOUN 264.8000 0.03000 —7.94 F •aM1 Legend: Invoice Subtotal: 918.86 E= Metered, T= Taxable, *--Entered by Hand Indiana Sales Tax On: 0.00 0.0@ Invoice Total: 918.86 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 -9360 HE APPRECIATE YOUR BUSINESS!!! l i 7 t i VOUCHER NO. WARRANT NO. ALLOWED 20 Hamilton Co. Co -op IN SUM OF P. O. Box 1106 Noblesville, IN 46061 $918.86 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE I AMOUNT Board Member 2201 GT 019908 42- 313.00 $918.86 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 ti Thursday, 'rust 11, 2011 Street Commissioper blreel Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 08/05/11 GT 019908 $918.86 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