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Home My WebLink About209283 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 ONE CIVIC SQUARE NORTH CENTRAL CO -OP CHECK AMOUNT: $4,872.01 t CARMEL, INDIANA 46032 PO BOX 299 WABASH IN 46992 CHECK NUMBER: 209283 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4231300 GT 400264 831.28 DIESEL FUEL 1207 4231400 GT 400264 1,570.17 GASOLINE 2201 4231300 GT 400330 1,037.67 DIESEL FUEL 1207 4231300 GT 400370 479.36 DIESEL FUEL 1207 4231400 GT 400370 953.53 GASOLINE Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Kokomo Huntington Auburn Constantine 574 753 -3673 Star City Call: 800-720-0550 Call: 800-234-0573 800- 807 -3673 Call: 574-224-2667 Branch Co. MI Hart MI Noblesville 877-615 -2667 517 278 -4561 231 -873 -2158 765 -67 38 P.O. BOX 299 800- 440 -2667 317 -77 p� DATE 05/08/12 15:18:22 WABASH, IN 46992 START 0.0 END 292.3 GROSS DELIVERY 292.3 GALLONS 4640 SUPER DX -4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE H CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice GT 400330 CARMEL STREET DEPT Date: 5/8/2012 3400 W 131ST STREET Time: 15:18 CARMEL, IN.46074 Tros Terms Description Item Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX -4 B10DIESEL E 292.3M 3.55000 1637.67 Legend: Invoice Subtotal: 1,037.67 E=Metered, T= Taxable, Entered by Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 1,037.67 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 YOUR BUSINESS!!! v Customer Signature C U ST M E.Irm. VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co -op IN SUM OF P. O.. Box 299 Wabash, IN 46992 $1,037.67 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members 2201 I GT400330 I 42- 313.001 $1,037.67 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, Maay 17, 2012 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 05/08/12 GT400330 $1,037.67 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 Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester MAI Kokomo Huntington Auburn Constantine 574 753 -3673 Star City Call: 800-720-0550 Call: 800-234-0573 800- 807 -3673 Call: 574-224-2667 Branch Co. MI Hart MI Noblesville 877-615 -2667 517- 278 -4561 231- 873 -2158 765 -67 38 P.O. BOX 2ss e 800- 440 -2667 317 77 Z 6326 DATE 05/16/12 14:57:24 WABASH, IN 46992 i s START 0.0 END 268.7 GROSS DELIVERY 268.7 GALLONS 4040 SUPER DX -4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE SALE 3158 DATE 05/16/12 15:04:25 COUNT: START 0.0 END 13333.9 GROSS DELIVERY 133. GALLONS 4011 87 E -10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice GT 400370 BROOKSHIRE GOLF CLUB Date: 5116/2012 CITY OF CARMEL Time: 14 :53 12120 BROOKSHIRE PKWY CARMEL, IN 46033 Tres Terms Description Item Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4011 87 E -10 PLUS E 133.9000 3.40000 455.26 =State Road Tax- 0.- 18000 24:10 02 NORMAL CHARGE TERMS 4040 SUPER DX -4 BIODIESEL E 268.6000 3.55000 953.53 Legend: Invoice Subtotal: 1,432.89 E= Metered, T= Taxable, by Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 1,432.89 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 CHENTREC AT 1- 800 424 -9300 WE APPRECIATE YOUR BUSINESS!!! I ot. Customer Sign ature: Account u a 1 r Account 4 17 Account* Account* (OUST VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co -op IN SUM OF P.O. Box 299 Wabash, IN 46992 $1,432.89 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 GT 400370 42 313.00 $479.36 I hereby certify that the attached invoice(s) or 1207 GT 400370 42 31�! )0 $953.53 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 Monday, May 21, 2012 Director, Brookshir Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 05116/12 GT 400370 Fuel $479.36 05/16/12 GT 400370 Diesel $953.53 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 Warsaw Wabash Peru Goshen Angola Fremont Logansport PI mouth Rochester 9 Y Kokomo Huntington Auburn Constantine 574 753 -3673 Star City Call: 800-720-0550 Call: 800-234-0573 800 807 -3673 Call: 574-224-2667 Branch Co. MI Hart MI Noblesville 877-615 -2667 517 -278 -4561 231- 873 -2158 765 -6738 6230 DATE 04/26/12 15:15:06 P.O. BOX 299 800- 440 -2667 317 -77 TD START 0.0 END 442.4 WABASH, IN 46992 GROSS DELIVERY 442.4 GALLONS 4040 SUPER DX -4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE SALE 3088 DATE 04/226/12 15:22:00 COUNT: START 0.0 END 232.2 GROSS DELIVERY 232.2 GALLONS 4011 87 E -10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: OW18936 Invoice GT 400264 BROOKSHIRE 601-F CLUB Date: 4/26/2012 CITY OF CARMEL Time: 15:09 12120 BROOKSHIRE PKWY CAME, IN 46033 Trms Terms Description Item Description Legend Quantity Unit Price, Item Total 02 NORMAL CHARGE TERMS 4011 87 E -10 PLUS E 232.2000 140000 789.48 State Road Tax 0.18000 41.80 02 NORMAL CHARGE TERMS 4040 SUPER DX -4 BIODIESEL E 442.3000 3.55000 1570.17 Legend: Invoice Subtotal: 2,401.45 E=Metered, T= Taxable, *centered by Hand Indiana Sales Tax On: 0.00 0.00 Invoice Total: 2,401.45 WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 89SOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHENTREC AT I- 800-424 -9300 WE APPRECIATE YOUR BUSINESS'.!! Customer Signature: Date Init. Account Account# �la3t" t� Account 4 t e 16 CUST VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co -op IN SUM OF P.O. Box 299 Wabash, IN 46992 $2,401.45 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 GT 400264 42- 313.00 $831.28 1 hereby certify that the attached invoice(s), or 1207 GT 400264 42 -31y. $1,570.17 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 Wednesday, May 09, 2012 Director, Brookshir Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 04/26/12 GT 400264 Fuel $831.28 04/26/12 GT400264 Fuel $1,570.17 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