HomeMy WebLinkAbout204246 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
f, ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
CARMEL, INDIANA 46032 PO Box 1106 CHECK AMOUNT: $3,366.77
NOBLESVILLE IN 46061 CHECK NUMBER: 204246
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231500 106890 2,195.51 OIL
2201 4237000 71771 104.00 REPAIR PARTS
2201 4231300 GT020617 1,067.26 DIESEL FUEL
Noblesville -Office Horton Feed Grain Gray Storage
773 -0870 758 -4463 776 -4155
P H arnflton C Grain Terminal Noblesville- Petroleum Merchandising
COOPERATIVE ASSOCIATION, INC. 773-2599 Plant Food &Station 773-2685
776 -4143
16222 Allisonville Road P. O. Box 1106 Noblesville, Indiana 46061
I CARMEL STREET DEPT <CHARGE SALE>
L 3400 W 131ST.STREET
CARMEL IN 46074
0
ACCOUNT NO. PURCHASE ORDER NO. SALES TAX LICENSE NUMBER SALESMAN TERMS INVOICE NO. DATE PAGE
PAYMENT DUE ON THE LAST DAY OF THE
31175 C 0 RE ITTE L M O S M ST ACC ANIIED Y 1 1 1- 1
THIS INVOICE.
P RODUCT QUANTITY
LU'13 E OIL 194050 110.0000 GAL 10.3100 1134.10'
THE
LOBE. 01L 194050 10.0000 GAL 11.6500 116.50
THF.
I U.BE 01L 194050 55,0000,z -GAL 12.2700 674.85•
1�5' 40
L-.UBE OIL 1.94050 21.0000,a; GAL 12.8600 270.06
5W20
1
All accounts.. subject to court RECEIVED IN GOOD ORDER t ,/AMOUNT PAID CASH DISCOUNT
costs and attorney fees if legal i 1%
action is. necessary to collect CUSTOMER h 00 219 5.51
said amount. SIGNATURE
EmBrgency Contact: LATE CHARGE PER MONTH PER ANNUM
Chemtrec 1- 800 424 -9300
DELIVERY COPY
DEPT.
O. DAY YR. 7
H
amiltor
:u C'
y
co
R P PA
M 2m2�
FARM BUREAU COOPERATIVE N E
ASSOCIATION, INC. p
P.O. Box 1106 D.
16222 Allisonville Road
Noblesville, Indiana 46060 EMERGENCY CONTACT:
CHEMTREC 1-8 00-424-9300
SOLD BY CASH CHARGE ON ACCT MDSE. RET TERMS
QTY. DESCRIPTION MIN. COMM. UNIT PRICE AMOUNT
SUB TOTAL
SALES TAX ON
Received By TOTAL
Additional finance charges may accrue at the rate of t per month (21% APRO)
if payment in full is not received by the 301h. Minimum $.50.
FERTILIZER /PETROLEUM GRAIN MERCHANDISING SHERIDAN HORTON ELEVATOR
776 -4143 773 -2685 758 -4181 758 -4463
SALE 5531 DATE 11;18/11 14:30:01
COUNT: START 0.0 END 291.5
GROSS DELIVERY 291.5 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 OT OEM17
CARMEL STREET DEPT Date: 11/18/2011
3400 W 131ST STREET Tine: 13:26
CARMEL, IN 46074
Tros Terms Description Item Description Legend Quantity Unit Price Item Total
01 NORMAL 154040 DIESELEX ULS UN 19 E 204.1000 3.63000 740.88
01 NORMAL 124029 HEATER OIL -UN 1993 E 87.5000 3.83000 335.13
01 NORMAL 194070 PETRO VOLUME DISCOUN 291.5000 0.03000 -8.75
Legend: Invoice Subtotal: 1,067.26
E= Netered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 1,067.26
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 CHE14TREC AT 1- 800 424 -9300 WE
APPRECIATE YOUR BUSINESS
':1
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))
11/17/11 71771 $104.00
11/18/11 GT020617 $1,067.26
12/01/11 106890 $2,195.51
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 Co. Co op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$3,366.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 71771 42- 370.00 $104.00 1 hereby certify that the attached invoice(s), or
2201 GT020617 42 313.00 $1,067.26
bills) is (are) true and correct and that the
2201 106890 42 315.00 $2,195.51
materials or services itemized thereon for
which charge is made were ordered and
received except
//fhursday, becember 01, 2011
Street Commissioner
I f/
Street CTitlerniss,cne�
Cost distribution ledger classification if
claim paid motor vehicle highway fund