HomeMy WebLinkAbout205188 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC
INDIANA 46032 PO Box 1106 CHECK AMOUNT: $677.96
CARMEL
NOBLESVILLE IN 46061
CHECK NUMBER: 205188
CHECK DATE: 1/512012
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GT020810 677.96 DIESEL FUEL
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SALE 5705 DATE 12/21/11 10:04:14
COUNT: START 0.0 END 199.4
GROSS DELIVERY 199.4 GALLONS
4040 DIESELEX ULS UN DISTILLATI
HAMILTON COUNTY CO-OP a MULTIPLE DELIVERIES AT SITE
PO BOX 1106
NOBLESVILLE, IN 46061
CHARGE INVOICE
Driver: ST GARY TEETERS
Custoser: 0000031175 Invoice D: GT 020810
CARMEL STREET DEPT Date: 12/2112011
3400 W 131ST STREET Tine: 09:17
CARMEL, IN 46074
Trgs Terns Description Item D Description Legend Quantity Unit Price Iteu Total
01 NORMAL 154040 DIESELEX ULS UN 19 E 139.6000 3.31000 462.06
01 NORMAL ;124029 HEATER OIL -UN 1993 E 593000 3.51000 209.90
01 NORMAL 194076 PETRO VOLUME DISCOUN a 199.4000 0.03000 5.96
Legend: Invoice Subtotal:'677.%
E= Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 677.96
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- 900-424 -9300 WE
APPRECIATE YOUR BUSINESS!!!
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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))
12/21/11 GT020810 $677.96
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 NO.
ALLOWED 20
Hamilton Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$677.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 GT020810 42- 313.00 $677.96 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, Jari'uary 03, 2012
Street Commissio�n��
:SL t_-cL 70 MIssoner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund