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Home My WebLink About203466 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1 ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $1,172.44 CARMEL, INDIANA 46032 Po Box ttos NOBLESVILLE IN 46061 CHECK NUMBER: 203466 CHECK DATE: 11/9/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 GT 02087 884.07 DIESEL FUEL 1115 4231300 LAH011851 288.37 DIESEL FUEL e- SALE 5425 DATE 11/02/11 11:15:11 CC?LNVT: START 0.0 END 2`.,8.5 GROSS DELIVERY 258.5 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: 0000031175 Invoice GT 020487 CARMEL STREET DEPT i Date: 11/2/2011 3400 W 131ST STREET Tioe: 11:08 CARMEL, IN 46074 Tras Terms Description Item Description Legend Quantity Unit Price Item Total 01' NORMAL 154040 DIESELEX ULS UN 19 E 258.5000 3.45000 891.83 NORMAL 194070 PETRO VOLUME DISCOUN S8.5000 0.03000 —7.76 Legend: Invoice Subtotal: 884.07 E= Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 884.07. 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 CHENTREC AT 1- 800 424 -9300 WE APPRECIATE YOUR BUSINESS!!! 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)) 11/02/11 GT 02087 $884.07 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. WARRANT NO. Hamilton Co. Co -op ALLOWED 20 IN SUM OF P. O. Box 1106 Noblesville, IN 46061 $884.07 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Bc.Gra Members 2201 GT 02087 42- 313.00 $884.07 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except r< r /Thursd4, /Novefti6er 03, 2011 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund HAMILTON COUNTY CO -OP 15222 ALLISONVILLE RD NOBLESVILLE, IN 45060 CHARGE INVOICE Driver: LAN Lee A Huffman Custo©er: 0000031182 Invoice LAH011851 CARMEL COMMUNICATIONS Date: 11/1/2011 31 1ST AVE. S.W. Time: 10:0$ CARMEL, IN 46032 Trms Terms Description Item Description Legend Quantity Unit Price Item Total Tank Y.Full /Gal 09 .02 IF PAID IN 10 DAYS 154040 DIESELEX ULS UN 19 ff 75.9000 3.47000 253.37 0 01 NORMAL 5240 SPECIAL SERVICES 1.9000 25.0(§000 2].00 0 Legend: Invoice Subtotal: 288.37 E= Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 288.37 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 -9390 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: I If id b 11/11/2011 deduct $1.51 and a $286.85 Pa Y pay After 11/1112011 pay the total amount of $288.37 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)) 11/01/11 LAH011851 $288.37 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 County CO -OP IN SUM OF P.O. Box 1106 16222 Allisonville Road Noblesville, IN 46060 $288.37 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 I LAH011851 I 42- 313.00 I $288.37 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 Tuesday, November 01, 2011 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund