HomeMy WebLinkAbout203875 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
CARMEL, INDIANA 46032 PO Box 1106 CHECK AMOUNT: $2,659.37
NOBLESVILLE IN 46061 CHECK NUMBER: 203875
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4231300 020438 1,904.27 DIESEL FUEL
1120 4231300 020542 637.50 DIESEL FUEL
2201 4237000 71770 117.60 REPAIR PARTS
SALE 5468 DATE 11/09/11 13:36:39
COUNT: START 0.0 END. 182.3
GROSS DELIVERY 182.3 GALLONS
4040 DIESELEX ULS UN DISTILLATI
t
e MULTIPLE DELIVERIES AT SITE
HAMILTON COUNTY CO -OP
PO BOX 1106
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000031195 Invoice BT 020542
CARMEEL FIRE DEPT Date: 11/9/2011
2 CIVIC SQUARE Tim 12:32
CARMEL., IN 46032
Trms Terms Description I -.tee D Description Legend Quantity Unit Price Item Total
01 NORMAL 154040 DIESELEX ULS UN 19 E 127.6000 3.47000 442.77
01 NORMAL 124029 HEATER OIL -UN 1993 E 54.7000 3.66000 200.20
01 NORMAL 194070 PETRO VOLUME DISCOUN 182.3000 0.030 -5.47
r
Legend: Invoice Subtotal: 637.50
E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 637.50
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
r
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))
020542 Generator Fuel $637.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hamilton County Co -Op
IN SUM OF
P.O. Box 1106
Noblesville, IN 46061
$637.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 020542 I 42- 313.00 I $637.50 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
NOV 2 1 29"
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
SALE 5380 DATE 10/25/11 11:23:59
COUNT: START 0.0 END 2@4.6
GROSS DELIVERY 204.6 GALLONS
4@4@ DIESELEX ULS UN DISTILLATI
MULTIPLE DELIVERIES AT SITE
SALE 2710 DATE 10/25/11 11:29:14
CIIUNT: START 0.0 END 382.5
GROSS DELIVERY 382.5 GALLONS
4817 UNLEADED GAS GOVGASOLINE 1
MULTIPLE DELIVERIES AT SITE
MILTON COUNTY CO—OP
PO BOX 1106
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: 6T GARY TEETERS
Custooer: 00028761 Invoice V: ST 02@438
BROOKSHIRE GOLF CLUB Date: 10/25/2011
CITY OF CARMEL Tine: 11:19
1212@ BROOKSHIRE PKWY
CAMEL IN 46033—
vg' 1 4 ty
Tros Terns Description I:teo B Description Legend Quantity Unit Price Item Total
@1 NORMAL i@4817 UNLEADED GAS GOVIT E 382.5000 3.0@@0@ 1147.50
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
(I.V.D.) ADDITIVE. CONFORMS TO REQUIREMENTS FOR A 9.0 P.S.I MAX. RUP GASOLINE DURING THE MONTHS OF MAY 1ST
THROUGH SEPTEMBER 15TH.
State Road Tax 0.18000 68.85
@1 NORMAL 15404@ DIESELEX ULS UN 19 E 204.5@00 3.45000 705.53
01 NORMAL 194070 PETRO VOLUME DISCOUN 587.@@00 0.@30@0 —17.61
Legend: Invoice Subtotal: 1,904.27
E= Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 1,904.27
WARS "LING 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— —930@ WE
APPRECIATE YOUR BUSINESS!!!
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))
10/25/11 020438 Fuel $1,904.2
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.
ALLOWED 20
Hamilton County CO -OP
IN SUM OF
P.O. Box 1106
Noblesville, IN 46061
$1,904.27
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 020438 42- 313.00 $1,904.27 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
Thursday, November 10, 2011
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
DEPT.
co oP I
H MO. DAY YR. 1 7 7 p
H amilton A
A
c
EUnty
T
A N
T A
R M
FARM BUREAU COOPERATIVE o e
ASSOCIATION, INC. o
P.O. Box 1106 U.
16222 Allisonville Road r
Noblesville, Indiana 46060 EMERGENCY CONTACT:
CHEMTREC 1- 800-424-9300
SOLD BY CASH CHARGE ON ACCT. MDSE. RET. TERMS
OTY DESCRIPTION MIN. comm. UNIT PRICE AMOUNT
Ole
SUB TOTAL
SALES TAX ON
O�
Received By rorAL
Additional finance charges may accrue at the rate of 1a94% per month (21% APRO)
if payment in full is not received by the 30th. Minimum $.50.
FERTILIZER /PETROLEUM GRAIN MERCHANDISING SHERIDAN HORTON ELEVATOR
776 -4143 773 -2685 758 -4181 758 -4463
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))
11/16/11 71770 $117.60
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. WA RRANT NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$117.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 71770 42- 370.00 $117.60 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
1 �Thursday1, Novernb�er 17, 2011
Street Commissiop er/
Street Or tle missloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund