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205860 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1 ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $2,476.03 CARMEL, INDIANA 46032 PO BOX 1106 «o NOBLESVILLE IN 46061 CHECK NUMBER: 205860 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 020889 1,511.97 6160.03 2201 4237000 71824 34.80 REPAIR PARTS 2201 4231300 GT020963 929.26 DIESEL FUEL MO. DAY YR. amilton n CU: nty T o c T FARM BUREAU COOPERATIVE N E U ASSOCIATION, INC. o P.O. Box 1106 D. 16222 Allisonvifle Road Noblesville, Indiana 46060 EMERGENCY CONTACT: CHEMTREC 1-800-424-9300 SOLD BY CASH CHARGE ON ACCT MDSE. PET. TERMS OTY DESCRIPTION MIN. comm. UNIT PRICE AMOUNT 43S.- .Cho v SUB TOTAL SALES TAX ON CAJ Received. By TOTAL Additional finance charges may accrue at the rate of 1 3 14% 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 SALE 5834 DATE 01/24/12 14:14:52 COUNT: START 0.0 END 265.3 GROSS DELIVERY 265.3 GALLONS 4040 DIESELEX ULS UN DISTILLATI a MULTIPLE DELIVERIES AT SITE HAMILTON COUNTY CO-OP PO BOX 1106 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000031175 Invoice GT 020%3 CARMEL STREET DEPT Date: 1/24/2012 3400 W 131ST STREET Tice: 13:08 CARMEL, IN 46074 Trgs Terms Description Item Description Legend Quantity Unit Price item Total 01 NORMAL 154040 DIESELEX ULS UN 19 E 185.7000 3.33000 618.38 01 NORMAL 124029 HEATER OIL -UN 1993 E 79.6000 3.81000 303.28 01 NORMAL 194070 PETRO VOLUME DISCOUN a 253.3000 0.03000 7.60 Legend: Invoice Subtotal: 529.26 E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.0@ 0.00 Invoice Total: 929.26 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 CHEMTREC AT 1- 800 424 -9300 WE APPRECIATE YOUR BUSINESS!!! �w 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)) 01/25/11 71824 $34.80 01/24/12 GT020963 $929.26 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 $964.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 71824 42- 370.00 $34.80 1 hereby certify that the attached invoice(s), or 2201 GT020963 42- 313.00 $929.26 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, January 26, 2012 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund SALE 5774 DATE 01/12/12 10:18:20 COUNT: START 0.0 END 338.8 GROSS DELIVERY 338.8 GALLONS 4040 DIESELEX ULS UN DISTILLATI MULTIPLE DELIVERIES AT SITE SALE 5775 DATE 01/12/12 10:38:01 COUNT: START 0.0 END 105.9 GROSS DELIVERY 105.9 GALLONS 4040 DIESELEX ULS UN DISTILLATE MULTIPLE DELIVERIES AT SITE HAMILTON COUNTY CO -OP PO BOX 1106 NOBLESVILLE, IN 46061 CHARGE INVOICE Driver: GT GARY TEETERS Custoner: 0000031209 Invoice GT 020889 CARMEL WATER DEPT Date: 1/12/2012 3450 W 131ST STREET Tine: 10:24 CARMEL, IN 46074 -8267 Trms Terms Description Item Description Legend Quantity Unit Price Ite© Total 01 NORMAL 154040 DIESELEX ULS UN 19 311.3000 3.31000 1030.40 01 NORMAL 124029 HEATER OIL-UN 1993 133.4000 3.71000 494.91 01 NORMAL 194070 PETRO VOLUME DISCOUN a 444.7000 0.03000 -13.34 Legend: Invoice Subtotal: 1,511.97 E= Metered.- T�Tanable, Entered by Hand Indiana Sales Tan On: 0.00 0.00 Invoice Total: 1,511.97 DARNING PETROLEUM PRODUCT fill 30 BE USED FOR STARTING OR KINDLING FINS. GASOLINES NOT SOLD FOR ILLUAINATING-OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1- 800-424 -930® WE IPPRECIATE YOUR BUSINESS!!! REC'EA .i' DAI M P0# s___..1l...�..�...b A 0 t l Z 1 Coop_ 4En1 FuiF L, P d� c L C r EK a-to K.S 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 1/23/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/23/2012 020889 $1,511.97 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 Date Officer VOUCHER 113500 WARRANT ALLOWED 119835 IN SUM OF HAMILTON COUNTY CO -OP INC PO BOX 1106 WATER NOBLESVILLE, IN 46061 OPERs4l70NS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 020889 01- 6160 -03 $1,511.97 Voucher Total $1,511.97 Cost distribution ledger classification if claim paid under vehicle highway fund