175916 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 298350 Page 1 of 1
ONE CIVIC SQUARE TAYLOR OIL CO INC CHECK AMOUNT: $1,233.87
�a CARMEL, INDIANA 46032 PO BOX 41
ZIONSVILLE IN 45077 CHECK NUMBER: 175916
CHECK DATE: 8/612009
DEP ARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
651 5023990 1006150 903.15 OTHER EXPENSES
651 5023990 1006151 330.72 OTHER EXPENSES
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INVOICE NUMBER
TAYLOR OIL CO., INC. 1006151,
COMPLETE GASOLINE, FUEL OIL LUBRICANT SERVICE
P.O. BOX 41 10702 ZIONSVILLE ROAD
ZIONSVILLE, INDIANA 46077
PHONE: 317- 873 -2300 FAX 317- 873 -4971
DELIVERY DATE
SOLD
TO czr CUEFFOVERT)RDER NO.
ADDRESS SALESMAN NO.
CITY
STATE
DELIVER
TO
PACKAGES GALS. OR
PRODUCTS LBS PRICE AMOUNT
NO. KIND
Gasoline .0 S�
Fed. Ex. Tax
St. Rd. Tax 1 A9 T I
USLD Clear Fuel
Fed. Ex. Tax
St. Rd. Tax
Dyed Fuel
PAYMENT RECEIVED AT TAYLOR OIL CO. SUBTOTAL
DRUM CHARGE
DEL. I RET NET CHG.
BY
V /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.
GO VIVED IN GOOD CONDITION
B xv TOTAL AMOUNT DUE
U
INVOICE NUMBER
TAYLOR OIL CO., INN. 100615;
COMPLETE GASOLINE, FUEL OIL LUBRICANT SERVICE
RO, BOX 41 10702 ZIONSVILLE ROAD
ZIONSVILLE. INDIANA 46077
PHONE: 317 873-2300 FAX 317 873 -4971 I J�
D LIVERY DATE
SOLD 1 '4- 1L Oct
TO CUSTOMER ORDER NO.
ADDRESS SALESMAN NO.
CITY
STATE �t
DELIVER
TO
PACKAGES GALS. OR
PRODUCTS LBS PRICE AMOUNT
NO. KIND
Gasoline
Fed. Ex. Tax
St. Rd. Tax
USLD Clear Fuel
Fed. Ex. Tax
St. Rd. Tax
Dyed Fuel i, p 7
PAYMENT RECEIVED AT TAYLOR OIL CO. SUBTOTAL
DRUM CHARGE
DEL. RET. NET CHG.
BY
1 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.
A GOO E 1VED IN GOOD CONDITION
BY TOTAL AMOUNT OUE
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHEZ
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 7/27/2009
Q
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/27/2009 1006151 $330.72
�i
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
Date Officer
e
VOUCHER 096089 WARRANT ALLOWED
298350 IN SUM OF
TAYLOR OIL CO INC
PO BOX 41
ZIONSVILLE, IN 46077
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
I
1006151 01- 7502 -06 $330.72
I
o I 502.06 903.15
f ti3Z .g
Voucher Total 2
Cost distribution ledger classification if
claim paid under vehicle highway fund