177862 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 298350 Page 1 of 1
ONE CIVIC SQUARE TAYLOR OIL CO INC
0 CARMEL, INDIANA 46032 CHECK AMOUNT: $470.82
s'+ Po eox 41
ZIONSVILLE IN 46077 CHECK NUMBER: 177862
CHECK DATE: 9/29/2009
DEPARTMEN ACCOUNT P O NUMBER INV N AM OUNT DESCRIP
651 5023990 511840 517284 470.82 OIL
BOL INVOICE Pace: I
TAYLOR OIL COMPANY, INC. INVOICE NU1v113E1t: 051.7284 -IN
P.O. BOX N SVILLE ROAD
10702 ZLON INVOICE DATE: 09/14/2009
ZIONSVILLE, IN 46077
(317) 873 -2300
FAX:317 -873 -4971 ORDER DATE.
CUS•f`WER NO: 0004525
CITY OF CARMEL UTILITIES WATER/WASTE -WATER TREATMENT
760 3RD AVENUE SW 9609 HAZEL DELL PKY.
SUITE 110 CARMEL, IN 46032
CARMEL, IN 46032
S 1 1840 NET 30 DAYS
7
0 ,D D D D1 eD 0
5020312 CS 12 2.000 2.000 0.000 30.3000 60.60
FORMULASHELL 1OW30 (CASE)
5020612 CS12 10.000 10.000 0.000 30.3000 303.00
FORMULASHELL SAE 30 (CASE)
5020112 CS12 1.000 1.000 0.000 30.9300 30.93
1 5W20 (CASE)
5020012 CS12 1.000 1.000 0.000 30.9300 30.93
FORMULASHELL 5W30 (CASE)
5067710 CTIO 2.000 2.000 0.000 22.6800 45.36
RETINAX LX GREASE 2 (TUBE)
RECD S E P 14 2009
11/2 Interst per month may be added to to any PAYMENT RECEIVED A "f TAYOR OIL Less' Discount: Net Invoice: 470.82
past due account. Any collection, court, or BY
attorney's fees and /or costs may be added to any Freight: 0,00
definquent account. DYED DIESEL FUEL, Non GOODS RECEIVED IN GOOD CONDITION BY Sales Tax: 0.00
laxanle use only- Penalty for taxble use_
Invoice Total: 470.82
DRUMS PU
DRUMS RETURNED
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
298350
TAYLOR OIL CO iNC Purchase Order No.
PO BOX 41 Terms
ZIONSVILLE, IN 46077 Due Date 9117/2009
Invoice Invoice Description
Date dumber (or note attached invoice(s) or bill(s)) Amount
9/17/2009 517284 $470.82
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audite d same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096416 WARRANT ALLOWED
298350- IN SUM OF
y
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
517284 01- 7502 -06 $470.82
1- A
V
Voucher Total $470.82
Cost distribution ledger classification if
claim paid under vehicle highway fund