HomeMy WebLinkAbout168498 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 119835 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY CO -OP INC CHECK AMOUNT: $950.40
s`,=a CARMEL, INDIANA 46032 PO Box 1106 NOBLESVILLE IN 46061 CHECK NUMBER: 168498
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUN PO NUMB I NVOICE NUMBER AMOU DES
2201 4231300 BB007825 950.40 DIESEL FUEL
I
HAMILTON COUNTY CO —OP
16222 ALLISONVILLE RD
NOBLESVILLE, IN 46060
CHARGE INVOICE
Driver: BB BRIAN BARNETT
Customer: 04100031175 Invoice BB 007825
CARMEL STREET DEPT Date: 1/26/2009
3400 W 131ST STREET Time: 11 :33
WESTFIELD,� IN 46074
Trms Terms Description Itea 4 Description Legend Quantity Unit Price Item Total Tank %Full /Gal
09 .02 IF PAID IN 10 DAYS 124025':. HEATER OIL 2216.0000 2.38000 514.08 0
09 .02 IF PAID IN 10 DAYS 154040 DIESELEY. ULS 216.0000 2.08000 449.28 0
01.,.,NORPAL 194070 PETRO VOLUME DISCOUN 43^2.0000 0.01'000 —12.96
Legend z Invoice Subtotal: 950.40
E Metered, T Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 950.40
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 YDUR BUSINESS'!
Customer PO Customer Signature:
If paid by 02/05/2009 deduct 58.64 and pay $941.76
After 02/05/2009 pay the total amount of $950.40
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))
01/26/09 BB007825 $950.40
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 Co. Co -op
IN SUM OF
P. O. Box 1106
Noblesville, IN 46061
$950.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 BB007825 42- 313.00 $950.40 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
b
hursda, an r X 29, 200f
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Streef�Coin "nii�sEOpern
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund