167704 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 298350 Page 1 of 1
ONE CIVIC SQUARE TAYLOR OIL CO INC
G CHECK AMOUNT: $1,020.21
s, to CARMEL, INDIANA 46032 Po sox 41
ZIONSVILLE IN 46077 CHECK NUMBER: 167704
CHECK DATE: 1/7/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER A MOUN T DE
651 5023990 215035 269.89 OTHER EXPENSES
651 5023990 215036 750.32 OTHER EXPENSES
INVOICE NUMBOF
TAYLOR OIL CO., INC. 215035
COMPLETE GASOLINE, FUEL OIL LUBRICANT SERVICE
P.O. BOX 41 10702 ZIONSVILLE ROAD
ZIONSVILLE, INDIANA 46077
PHONE: 317- 873 -2300 FAX 317 873 -4971
r
DELIVERY DATE
SOLD 1 o
TO C^ Y1li US "OMER ORDER NO.
ADDRESS SALESMAN NO.
CITY
STATE
DELIVER
TO
PACKAGES PRODUCTS GALS. OR PRICE AMOUNT
NO. KIND LBS.
RILL Gasoline
Fed. Ex. Tax
St. Rd. Tax 1
#2 LS Diesel
Fed. Ex. Tax
St. Rd. Tax
#2 HS Diesel
PAYMENT RECEIVED AT TAYLOR OIL CO. SUBTOTAL
DRUM CHARGE
DEL. RET. NET CHG.
BY
11/2% interest per month may be added to any
past due account. Any collection, court, or
attorneys fees and/or costs may be added to SALES TAX
any delinquent account. DYED DIESEL FUEL.
Non taxable use only. Penalty for taxable use..
GOODS RECEIVED IN GOOD CONDITION G �J
By TOTAL AMOUNT DUE Lll L J
INVOICE NUMBEF�
TAYLOR OIL CO., INC. 2
COMPLETE GASOLINE, FUEL OIL LUBRICANT SERVICE a
P.O. BOX 41-10702 ZIONSVILLE ROAD l
ZIONSVILLE, INDIANA 46077
PHONE: 317 873 -2300 FAX 317 -873 -4971
e
DELIVER DATE
SOLD V 7�
TO G CUSTO ER RDER NO.
ADDRESS SALESMAN NO.
CITY RIO,
STATE
DELIVER
TO
PACKAGES GALS. OR
PRODUCTS LBS. PRICE AMOUNT
NO. KIND
RUL Gasoline
Fed. Ex. Tax r4.
St. Rd. Tax c$
#2 LS Diesel
Fed. Ex. Tax
St. Rd. Tax
#2 HS Diesel
PAYMENT RECEIVED AT TAYLOR OIL CO. SUBTOTAL
DRUM CHARGE
DEL. RET. NET GHG.
BY
1 1 /2% interest per month may be added to any
past due account. Any collection, court, or
attorney's fees and/or costs may be added to SALES TAX
any delinquent account. DYED DIESEL FUEL.
Non taxable use only. Penalty for taxable use.
GOODS RECEIVED IN GOOD CONDIT
TOTAL AMOUNT DUE'
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER t
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
298350
TAYLOR OIL CO INC Purchase Order No.
PO BOX 41 Terms
ZIONSVILLE, IN 46077 Due Date 12/29/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/2001 215035 $269.89
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have a udited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VO(JCHER 086 ,965 WARRANT ALLOWED
295350 IN SUM OF
TAYLOR OIL CO INC
PO BOX 41
ZIONSVILLE, IN 46077
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
215035 01- 7502 -06 $269.89
2150 3 6
0). 796 2• G 756.3
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund