HomeMy WebLinkAbout208404 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL CO -OP
CHECK AMOUNT: $738.75
CARMEL, INDIANA 46032 Po Box 299
WABASH IN 46992 CHECK NUMBER: 208404
CHECK DATE: 4125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GT400214 738.75 DIESEL FUEL
Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
p o Kokomo Huntington Auburn Constantine 574 753 -3673 Star City
Call: 800-720-0550 Call: 800-234-0573 800- 807 -3673 Call: 574-224-2667
C c ON Branch Co. MI Hart MI Noble ��i� 877- 615 -27
517 278 -4561 231- 873 -2158 765 -67 'Z538 66 6193 DATE 04/17/12 09:03:21
P.O. BOX 299 800 440 2667 317 -77b START 0.0 END 197.0
WABASH, IN 46992 GROSS DELIVERY 197.0 GALLONS
4040 SUPER DX -4 BIODIESDISTILLATI
MULTIPLE DELIVERIES AT SITE tm
CHARGE INVOICE
Driver: 6T GARY TEETERS
Customer: 0000921720 Invoice GT 400214
CAME STREET DEPT Date: 4/17/2012
3400 W 131ST STREET Time: 09:00
CARMEL, IN 46074
Tres Terms Description Item Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 197.0000 3.75000 738.75
Legend: Invoice Subtotal: 738.75
E=Metered, T= Taxable, *centered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 738.75
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FINS. GASOLINES NOT SOLD FOR
ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1- 800-424 -9300 WE
APPRECIATE YOUR BUSINESS!!!
Customer Signature:
CUST
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))
04/17/12 GT400214 $738.75
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. WARRANT NO.
ALLOWED 20
North Central Co -op
IN SUM OF
P. O.. Box 299
Wabash, IN 46992
$738.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I GT400214 I 42- 313.001 $738.75 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
Thursday, April 19, 2012
ily
Stregt -Cq rpissiong
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund