HomeMy WebLinkAbout204569 12/13/2011 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: $1,763.34
NOBLESVILLE IN 46061 CHECK NUMBER: 204569
IOM G�
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 020714 1,763.34 6160.03
SALE 5617 DATE 12/06/11 15:07:17
COUNT: START 0.0 END 498.4
GROSS DELIVERY 498.4 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 ST 020714
CARMEL STREET DEPT Date: 12/6/2011
3400 W 131ST STREET Tiae: 14:06
CARMEL, IN 46074
Tres Terms Description Ites Description Legend Quantity Unit Price Item Total
01 NORMAL 154040 DIESELEX ULS UN 19 E 348.9000 3.51000 1224.64
01 NORMAL 124029 HEATER OIL -UN 1993 E 149.5000 3.71000 554.65
01 NORMAL 194070 PETRO VOLUME DISCOUN 498.4000 0.03200 -15.95
Legend: Invoice Subtotal: 1,763.34
E= Metered, T=Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 1,763.34
a
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!!!
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
119835
HAMILTON COUNTY CO -OP INC Purchase Order No.
PO BOX 1106 Terms
NOBLESVILLE, IN 46061 Due Date 12/8/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/8/2011 020714 $1,763.34
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 113216 WARRANT ALLOWED
119835 IN SUM OF
HAMILTON COUNTY CO -OP INC
PO BOX 1106
NOBLESVILLE, IN 46061
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
020714 01- 6160 -03 $1,763.34
0
Voucher Total $1,763.34
Cost distribution ledger classification if
claim paid under vehicle highway fund