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Home My WebLink About202438 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1 ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $2,371.22 CARMEL, INDIANA 46032 PO BOX 1106 ti Go NOBLESVILLE IN 46061 CHECK NUMBER: 202438 CHECK DATE: 10111/2011 DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 GT020220 787.84 DIESEL FUEL 1207 4231300 GT020278 1,583.38 DIESEL FUEL s F SALE 51% DATE 09/28/11 09:03:44 COUNT: START 0.0 END 237.3 GROSS DELIVERY 237.3 GALLONS 4040 DIESELEX ULS UN DISTILLATI s MULTIPLE DELIVERIES AT SITE HAMILTON COUNTY CO-OP PO BOX 1105 NOBLESVILLE, IN 46051 CHARM INVOICE Driver: GT GARY TEETERS CUstoner: 0000031175 Invoice B: GT 020220 CARMEL STREET DEPT Date: 9/28/2011 3400 W 131ST STREET Tioe: 08:58. CANVSEL, IN 46074 f Tres Teres Description 1-tea R Description Legend ©uantity Unit Price Iteo Total 01 NORMAL 154040 DIESELEX ULS UN 19 E 237.3000 3.350W 794.96 01 NORMAL 194070 PETRO VOLUME DISCOUN 237.3000 0.03000 -7.12 f Legend: Invoice Subtotal: 787.84 E= petered, T= Taxable, Entered b Indiana Sales Tax On: 0.00 0.00 Invoice Total: 787.84 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 WE APPRECIATE YOUR BUSINESS!!! r i i i l I VOUCHER NO. WARRANT NO. ALLOWED 20 Hamilton Co. Co -op IN SUM OF P. O. Box 1106 Noblesville, IN 46061 $78 7. 8 4 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT4 1TITLE AMOUNT Board Member: 2201 GT 020220 42- 313.00 $787.84 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 f Thursday, October 06, 201' v v Street Commis Street ComThtlesioner Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 09/28/11 GT 020220 $787.84 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 SALE 2642 DATE 10/04/11 10:00:00 COUNT: START 0.0 END 232.1 GROSS DELIVERY 232.1 GALLONS 4817 UNLEADED GAS GOVGASOLINE i of MULTIPLE DELIVERIES AT SITEe SALE 5246 DATE 10/04/11 09:54:55 COUNT: START 0.0 END 260.2 GROSS DELIVERY 260.2 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 Custoser: 0000028761 Invoice GT M278 BROOKSHIRE GOLF CLUB Date: 10/4/2011, CITY OF CARMEL Tioe: 09:51 -r:> 12120 BROOKSHIRE PKWY CARMEL, IN 46033 Tres Teros Description Itee Description Legend Quantity Unit Price Item Total 01 NORMAL 104817 UNLEADED GAS GOVT E 232.1000 2.95M 684.70 WARNING 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 tI.V.D.I ADDITIVE. CONFORMS TO REQUIREMENTS FOR A 9.0 P.S.I MAX. RVP GASOLINE DURING THE MONTHS OF MAY 1ST THROUGH SEPTEMBER 15TH, State Road Tax 0.18000 41.78 01 NORMAL 154040 DIESELEX ULS UN 19 E 260.2000 3.35600 871.67 01 NORMAL 194070 PETRO VOLUME DISCOUN 492.3000 0.03000 -14.77 Legend: Invoice Subtotal: 1,583.38 E= Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 1,583.38 WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES 140T SOLD FOR ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1- 800-424- 00 APPRECIATE YOUR BUSINESS!!! i j VOUCHER NO, WARRANT NO. ALLOWED 20 Hamilton County CO -OP IN SUM OF P.O. Box 1106 Noblesville, IN 46061 $1,583.38 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 GT 020278 42- 313.00 $1,583.38 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, October 10, 2011 Director, Brookshire Alf 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)) 10/04/11 GT 020278 Diesel Fuel $1,583.3 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