HomeMy WebLinkAbout209625 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL CO -OP
CARMEL, INDIANA 46032 Po Box 299 CHECK AMOUNT: $17,735.23
WABASH IN 46992
CHECK NUMBER: 209625
CHECK DATE: 615/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 340 337.50 GARAGE MOTOR SUPPIE
601 5023990 GT400204 17,397.73 6160.03
North Central Co-op
O
260 -563 -8381 800 992 -3495 Fax 260 -563 -3021 y PATRON
Hamilton Petroleum PAGE 1
16222 Allisonville Road INVOICE INVOICE NO. 000340
Noblesville IN 46060 ORDER DATE 05/29/12
ACCOUNT NO. 0000921720
BATCH 402 NJN
CARMEL STREET DEPT
3400 W 131ST STREET
CARMEL IN 46074
P.O.# SHIP DATE TERMS SLS LOC
05/29/12 Due 06/20/2012 NJN 256 ordered by Ed
PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
0573711 A.DV MV 46 PAIL 25 GAL 13.5000 337.50
TOTAL DUE 337.50
n
RECEIVED
BY
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))
05/29/12 000340 $337.50
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 N
ALLOWED 20
North Central Co op
IN SUM OF
Bnv
I j� 7_ Q `1
b4�ask► ERf -4-69 v �f p�l,C_j
$337.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
2201 I 000340 I 42- 321.001 $337.50 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
�/l t Fr,fday,, 01, 2012
Street Commissioner
/v
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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Cali: 800- 720 -0550 Call: 800- 234 -0573 800- 807 -3673 Call: 574- 224 -2667
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517- 278 -4561 231 873 -2158 765 675 -2538
P.O. BOX 299 800 -440 -2667 317- 773 -0870
WABASH, IN 46992
CHARGE INVOICE
Driver: BT GARY TEETERS
Customer: 0000921808 Invoice BT 400204
CARMEL WATER DEPT l o Date: 4/13/2012
3450 W 131ST STREET Time: 11:20
CAME, IN 46174 -8267
Tres Terms Description Item Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 4031 Heater Oil 1650.0000' 3.73000 6154.50
02 NORMAL CHARGE TERNS 4040 SUPER DX -4 BIODIESEL 2974.4000. 3.78M 11243.23
Legend: Invoice Subtotal: 17,397.73
E=letered, T= Taxable, *centered by Hand Indiana Sales Tax On: 0.00 0.80
Invoice Total: 17,397.73
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR 5TARTING.OR KINDLING FIRES. GASOLINE5 NOT SOLD FOR
ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1- 800-424 -9300 WE
APPRECIATE YOUR BUSINESS!!'.
Customer Signature:
T'Fr►a P R t P q DA'- K ti.,,..:..:.. 3 C 2.4
fey
lulrIAL P(LL
BT o 13 ►2 A IN 13SM CN rv6L �D F
'�--T
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
119835
NORTH CENTRAL CO -OP Purchase Order No.
PO BOX 1106 Terms
NOBLESVILLE, IN 46061 Due Date 5/18/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2012 GT400204 $17,397.73
I 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
VOUCHER 114652 WARRANT ALLOWED
119835 IN SUM OF
NORTH CENTRAL CO -OP
PO BOX 1106
NOBLESVILLE, IN 46061
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
GT400204 01- 6160 -03 $17,397.73
Voucher Total $17,397.73
Cost distribution ledger classification if
claim paid under vehicle highway fund