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Home My WebLink About211398 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 �.�. ONE CIVIC SQUARE NORTH CENTRAL CO-OP 0 o CARMEL, INDIANA 46032 Po BOX zss CHECK AMOUNT: $1,561.05 t _ate WABASH IN 46992 CHECK NUMBER: 211398 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4231400 918936 -93 . 51 GASOLINE 1207 4231300 GT400665 594 . 38 DIESEL FUEL 1207 4231400 GT400665 613 . 17 GASOLINE 2201 4231300 GT400674 447 . 01 DIESEL FUEL �® Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester I Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800,720-0550 Call: 800-234-0573 800-807-3673 Ca 574-224-2667 Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-67 -2 38 P.O. BOX 299 800-440-2667 317-77J706547 DATE 07/20/12 14:52:23 WABASH, IN 46992 COUNT: START 0.0 END 136.7 GROSS DELIVERY 136.7 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: OT GARY TEETERS Customer: 0000921720 Invoice #: GT 400674 CARMEL STREET DEPT Date: 7/20/2012 3400 W 131ST STREET Time: 14:39 CAME, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 136.7000 3.27000 447.01 Legend: Invoice Subtotal: 447.01 E=Metered, T=Taxable, entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 447.61 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 CHEMTREC AT 1-8 -424-9360 WE APPRECIATE YOUR BUSINESS"' Customer Signature: TOMER VOUCHER NO. WARRANT NO. North Central Co-op ALLOWED 20 IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $447.01 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I GT 400674 I 42-313.001 $447.01 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, July 26, 2012 Street Commissioner Strpet nmrni¢cinnar 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)) 07/20/12 GT 400674 $447.01 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 ■ 07/24/2012 13;56 12605633021 NORTH CENTRAL COOP PAGE 01/01 North. Central Co-op 'moo 60-563-8381 800-992-3495 Fax 260-563-3021 + e PATRON 918936 07/24/12 # 000025 BROOKSHIRE GOLF CLUB CITY OF CARMEL 12120 BROOKSHIRE PKWY CARMEL, IN 46033 CREDIT-MEMO CREDIT - OVERPAYMENT FEDERAL EXCISE TAX ? (93.51) 03�.i!/IR k" RECEIVED By K a�- r n 'p �2. e" HOMEWarsaw 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 Co-op) Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-67 938 3303 DATE 07/19/12 10:59:40 P.O. BOX 299 800-440-2667 317-77§Nft START O.O END 187.5 WABASH, IN 46992 GROSS DELIVERY 187.5 GALLONS 4011 87 E-10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE ff SALE 6536 DATE 07/19/12 10:52:11 COW: START 0.0 END 195.9 GROSS DELIVERY 195.9 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: ST GARY TEETERS Customer: UM18936 Invoice #: ST 400665 BROOKSHIRE GOLF CLUB Date: 7/19/2012 CITY OF CARMEL Time: 10:41 12120 BROOKSHIRE PKWY CARE, IN 46033- Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4011 87 E-10 PLUS E 187.5000 2.99M 560.63 State Road Tax 0.18000 33.75'. 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 195.9000 3.13M 613.17 Legend: Invoice Subtotal: 1,207.55 E=Metered, T=Taxable, entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,267.55 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPMS. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-86@-Q4-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: 4 Date _ Init._ /A Y Account# l $ 3 Account# Account# $ Account# $ CUSTOM -Erlm VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 299 Wabash, IN 46992 $1,114.04 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT400665 42-313.00 $594.38 1 hereby certify that the attached invoice(s), or 1207 GT400665 42-31 $613.17 bill(s) is (are)true and correct and that the 1207 I 918936 I 42-31 ($93.51) 1 materials or services itemized thereon for which charge is made were ordered and received except Friday, July 27, 2012 tA Director, Brooks hi j olf 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)) 07/19/12 GT400665 Fuel $594.38 07/19/12 GT400665 Fuel $613.17 07/24/12 I 918936 I Fuel I ($93.51) 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