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Home My WebLink About201239 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1 ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $2,899.14 CARMEL, INDIANA 46032 Po eox 1106 NOBLESVILLE IN 46061 CHECK NUMBER: 201239 CHECK DATE: 9/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 GT020089 807.82 DIESEL FUEL 1207 4231300 GT020094 2,091.32 DIESEL FUEL SALE 5112 DATE 09/49/11 15:21:13 COUNT: START 0.0 END 289.4 GROSS DELIVERY 289.4 GALLONS 4040 DI£SELEX ULS LIN DISTILLATI r# MULTIPLE DELIVERIES AT SITE SALE 2577 DATE 09/09/11 15:26:05 COUNT: START 0.0 END 314.9 GROSS DELIVERY 314.9 GALLONS 4817 UNLEADED GAS GOVGAGOLINE 1 MULTIPLE DELIVERIES AT SITE HAMILTON COUNTY CO-OP PO BOX 11ZE I NOBLESVILLE, IN 46461 CHARGE INVOICE Driver: GT GARY TEETERS Custoaer: 0004428761 Invoice ST @24094 BROOKSHIRE GOLF CLUB Date: 9/9/2011 CITY OF CARMEL Tim 15:19 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Tros Teras Description Item Description Legend Quantity Unit Price Iteo Total 01 NORMAL 104817 UNLEADED GAS GOV T E 310.8006 3.35404 1041.18 WAITING 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. V. D.) ADDITIVE. CONFORMS TO;REOUIREMENNTS FOR A 9.0 P.S.I MAX. RVP GASOLINE DURING THE MONTHS OF MAY 1ST THROUGH SEPTEMBER 15TH. State Road Tam 0.18440 55.94 41 NOITAL 154040 DIESELEX ULS UN 19 E 289.2000 3.50400 1012.20 01 NORMAL 194470 PETRO VOLUME DISCOUN 604.4004 0.03440 -18.04 Legend: Invoice Subtotal: 2,491.32 E=Netered, T= Taxable, Entered by Hand Indiana Sales Tax On: 4.40 4.00 Invoice Total: 2,491.32 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 0-424 -3300 WE APPRECIATE YOUR BUSINESS!!! VOUCHER NO. WARRANT NO. ALLOWED 20 Hamilton County CO -OP IN SUM OF P.O. Box 1106 Noblesville, IN 46061 $2,091.32 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 GT020094 42- 313.00 $2,091.32 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 Monday, September 12, 2011 Director, BrookshV 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)) 09/09/11 GT020094 Fuel $2,091.3 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 t 1 SALE 5108 DATE 09109111 09:50:34 COUNT: START 0.0 END 832.8 GROSS DELIVERY 232.8 GALLONS 4040 DIES&E EX ULS UN DISTILLATI MULTIPLE DELIVERIES AT SITE HAMILTON COUNTY CO-OP PO BOX 1106 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000031175 Invoice B: GT 020089 CARMEL STREET DEPT Date: 91912011 3400 N 131ST STREET Tine: 09:45 CARMEL, IN 460 Tres Teras Description Iten D Description Legend Quantity Unit Price Item Total 01 NORMAL 154040 DIESELEX ULS UN 19 E 232.8000 3. 10000 814.80 01 NORMAL 194070 PETRO VOLUME DISCOUN a 232.8000 0.03000 -6.98 Legend: Invoice Subtotal: 807.82 E=Netered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.60 Invoice Total: 807.82 WPRNING PETROLEUM PRODUCTS NOT TO BE USED FOR STP.RTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1- 800 424 -93" HE APPRECIATE YOUR BUSINESS 1 r I VOUCHER NO. WARRANT NO. ALLOWED 20 Hamilton Co. Co -op IN SUM OF P. O. Box 1106 Noblesville, IN 46061 $807.82 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 GT020089 42- 313.00 $807.82 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 n Mondey Sep`erber 12, 2011 &treet Commissfo er r/ Street Coffitleissionor 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)) 09/09111 GT020089 $807.82 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