HomeMy WebLinkAbout210477 07/05/2012 CIT.* OF LAARMEL, INDIANA VENDOR: 366089 Page 1 of 1
0 ONE CIVIC SQUARE NORTH CENTRAL CO -OP CHECK AMOUNT: $997.95
CARMEL, INDIANA 46032 PO BOX 299
ray io WABASH IN 46992 CHECK NUMBER: 210477
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 000391 238.20 6160.03
651 5023990 GT33801 213.75 MATERIALS SUPPLIES
2201 4231300 GT400529 546.00 DIESEL FUEL
NORTH CENTRAL CO -OP
P.O. BOX 299 WABASH, IN. 46992
Wabash, Indiana Warsaw, Indiana'
Phone 563 -8381 Phone 267 -5101
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DATE
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SOLD BY CASH CHARGE PAID ON ACCT. MDSE. RETND. PAID OUT CA. CARD
CASH CHECK
QUANTITY DESC IPTION TM DP CODE AMOUNT
no
till JUN
P
e
SUB TOTAL
SALES TAX 2221
TAXABLE SALES
TOTAL AMOUNT 13
Rec'd a/4 J
r
PATRONS �T.H�K YOU Please keep this copy for reference
All claims returns MUST be accompanied by this. bill.
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 6/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2012 000391 $238.20
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
I
VOUCHER 121267 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
000391 01- 6160 -03 $238.20
Voucher Total $238.20
Cost distribution ledger classification if
claim paid under vehicle highway fund
GE 1
i Nort h Cen 111 aR Co-op PATRON
P.O. Box 299, Wabash, Indiana 46992
260 -563 -8381 800 992 -3495 Fax 260 -563 -3021
Hamilton Petroleum PAGE 1
16222 Road INVOICE INVOICE NO. 000391
Noblesville IN 46060 ORDER DATE 06/12/12
ACCOUNT NO. 0000921808
BATCH 402 NJN
CARMEL WATER DEPT
3450 W 131ST STREET
CARMEL IN 46074 -8267
P.O.# SHIP DATE TERMS SLS LOC
06/12/12 Due 07/20/2012 "NJN 256 ordered by Dan 716 -3919
PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
0573705 ADV AW 68 PAIL 20 GAL 11.9100 238.20
deliver to 5484 W 126th
TOTAL DUE 238.20
RECEIVED B
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
366089
NORTH CENTRAL COOP Purchase Order No.
16222 ALLISONVILLE ROAD Terms
NOBLESVILLE, IN 46060 Due Date 6/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/2012 33801 $213.75
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
6/z9/iI/ D'-� 0-�
Date Officer
VOUCHER 125166 WARRANT ALLOWED
366089 IN SUM OF
NORTH CENTRAL COOP
16222 ALLISONVILLE ROAD
NOBLESVILLE, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
33801 01- 7202 -06 $213.75
1
Voucher Total $213.75
Cost distribution ledger classification if
claim paid under vehicle highway fund.
Norm. Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
p 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 6465 DATE r /19/12 15:27:23
P.O. BOX 299 800- 440 -2667 317 -77 0
WABASH, IN 46992 START 0.0 END 168.0
GROSS DELIVERY 168.8 GALLONS
4@40 SUPER DX -4 BIODIESDISTILLATI
MULTIPLE DELIVERIES AT SITE
CHARM INVOICE
Driver: 6T GARY TEETERS
Customer: ORM1720 Invoice ST 408529
CARMEL STREET DEPT Date: 6/19/2012
3400 Y 131ST STREET Time: 15:14
CARMEL, IN 46074
Tres Terms Description Item Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 168.0008 3.25M 546.00
Legend: Invoice Subtotal: 546.00
E=Metered, T= Taxable,.e#ntered by Hand Indiana Sales Tax On: 0.00 0.00
Invoice Total: 546.00
h
WARNING PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR
ILLUMINATING OR CLEANING PUNS. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1 -800- 424 -9M WE
APPRECIATE YOUR BUSINESS!!!
Customer Signature: O
i
CUSTOMER
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))
06/19/12 GT400529 $546.00
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
20
Clerk- Treasurer
VOUCHER NO. WARRAN N
ALLOWED 20
North Central Co op
IN SUM OF
P. O.. Box 299
Wabash, IN 46992
$546.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
2201 I GT400529 I 42 313.001 $546.00 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,; /une 28, 201:
uvvvw
ry
Street
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund