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Home My WebLink About210973 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 0 ONE CIVIC SQUARE NORTH CENTRAL CO-OP CARMEL, INDIANA 46032 PO BOX 299 CHECK AMOUNT: $2,329.05 WABASH IN 46992 CHECK NUMBER: 210973 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4231300 GT400590 870 . 67 DIESEL FUEL 1207 4231400 GT400590 687 . 08 GASOLINE 2201 4231300 GT400614 771 . 30 DIESEL FUEL ® 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 P.O.BOX 299 517-278-4561 231-873-2158 765-675-2538 WABASH, IN 46992 800-440-2667 317- 'x$7018823 DATE 07/02/12 16:`'.17 COL�t' STAR? 0. 2 0 END =76.2 GROSS �:'�F o. GA RY LLONS 4040 SUPER D ", DIESDISTILLATI ** MULT`_r;.E DELIVERIES AT 11" ** IN DIAG�uJSTICS TICKET ## SALE 18823 DATE 07/02/12 16;57.17 COUNT: START 0.0 END 276.2 GROSS DELIVERY 276.2 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI # MULTIPLE DELIVERIES AT SITE # Date Init. *# PRINT DIAGNOSTICS TICKET DUPLICATE TICKET ** Account # $ SALE 63 DATE 07/0^c/12 17:00:02 COUNT: START 0.0 END 233.7 Account GROSS DELIVERY 233.7 GALLONS Account # 4011 87 E-10 PLUS GASOLINE I � ** Account $ MULTIPLE DELIVERIES AT SITE #* CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice 4: GT 400598 BROOKSHIRE GOLF CLUB Date: 7/2/2012 CITY OF CARMEL Time: 16:42 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Tr®s Terms Description Item it Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4011 87 E-10 PLUS * 233.7000 2.94000 687.08 State Road Tax O.i8000 42.07 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL * 276.2000 3.00000 828.60 Legend: Invoice Subtotal: 1,557.75 E=Metered, T=Taxable; *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,557.75 WARNING - PETROLEUi 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 1-800-424-9308 WE APPRECIATE YOUR BUSINESS'!'. Customer Signature: O VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 299 Wabash, IN 46992 $1,557.75 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 1207 GT 400590 42-313.00 j $870.67 1 hereby certify that the attached invoice(s), or 1207 GT 400590 42-31 $687.08 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, July 12, 2012 G Director, Brookshire dolf 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)) 07/02/12 GT 400590 Diesel $870.67 07/02/12 GT 400590 Gasoline $687.08 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 ® 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 Nobi i e 877-615-2667 517-278-4561 231-873-2158 765-67 - g DATE 07/86/12 13:48:56 P.O. Box 299 800-440-2667 317-77 - START 0.0 END 251.1 WABASH, IN 46992 IVERY 257.1 GALLONS 4040 MR DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 0000921720 Invoice #: 6T 400614 CAMEL STREET DEPT Date: 7/6/2012 3400 W 131ST STREET Time: 13:36 CAMMEL, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARM TERNS 4040 SUPER DX-4 BIODIESEL E 257.1000 3.OM 771.30 Legend: Invoice Subtotal: 771.36 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.06 Invoice Total: 771.30 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 6ASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: C),)./)I/k OCUSTMER VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $771.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I GT 400614 I 42-313.001 $771.30 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 >X E Wednesd� ;/�uly 11, 2012 Street Commissioner 5,"MnF pf ^nmmi�si�nar 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)) 07/06/12 GT 400614 $771.30 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