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Home My WebLink About211885 08/14/2012 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: $2,834.45 WABASH IN 46992 CHECK NUMBER: 211885 «o CHECK DATE: 8/1412012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231500 000549 727 . 65 OIL 2201 4231300 GT400775 497 .28 DIESEL FUEL 1207 4231300 GT400799 917 . 66 DIESEL FUEL 1207 4231400 GT400799 691 . 86 GASOLINE GENTR7 ti o North CentraR 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 Allisonville Road INVOICE INVOICE NO . 000549 Noblesville IN 46060 --- ---- ORDER DATE 07 /31/12 ACCOUNT NO . 0000921720 BATCH 402 NJN CARMEL STREET DEPT 3400 " W 131ST STREET CARMEL IN 46074 P . O . # SHIP DATE TERMS SLS LOC ---------------------------------------I----------------------------------------- 07/31/12 Due 08/20/2012 NJN 256 PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 5574301 ADV HD DEO 15W40—DRUM 55 GAL 13 . 2300 727 . 65 TOTAL DUE $$ 727 . 65 - r IVFf]RV �® 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 Call: 574-224-2667 1 877-615-2667 Branch Co. MI Hart MI Noble§ Ip&e 6629 DATE 08/97/12 13:45:26 517-278-4561 231-873-2158 765-6718 START 0.0 END 148.0 P.O. BOX 299 800-440-2667 31 7-77 WABASH, IN 46992 %fdgODELIVERY 148.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 400775 CARMEL STREET DEPT Date: 8/7/2012 3400 W 131ST STREET Time: 13:32 CAME, IN 46074 Trms Terns Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 148.0000 3.36M 497.28 Legend: Invoice Subtotal: 497.28 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 497.28 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 1-8I424-9300 WE - APPRECIATE YOUR BUSINESS!!! Customer Signature: CUSTQM -Er� VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $1,224.93 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 000549 42-315.00 j $727.65 1 hereby certify that the attached invoice(s), or 2201 GT 400775 42-313.00 $49728 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 �i Thu`rscday,;:August 09, 2012 v 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)) 07/31/12 000549 $727.65 08/07/12 GT 400775 $497.28 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 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 Nobles Le 3381 DATE 08/10/12 99:19:10 517-278-4561 231-873-2158 765-678 START 0.0 END 193.8 P.O. BOX 299 800-440-2667 317-77 WABASH, IN 46992 %RWDELIVERY 193.8 GALLONS 4011 87 E-10 PLUS GASOLINE 1 ** MULTIPLE DELIVERIES AT SITE to SALE 6654 DATE 08/10/12 69:10:47 COUNT: START 0.0 END 260.7 GROSS DELIVERY 260.7 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE f* CHARGE INVOICE Driver: ST GARY TEETERS Customer: 0000918936 Invoice #: ST 400799 BROOKSHIRE GOLF CLUB Date: 8/10/2012 CITY OF CAME Time: 68:59 12120 BROOKSHIRE PKWY CARREL, IN 46033- Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4011 87 E-10 PLUS E 193.8000 3.39000 656.98 State Road Tax 0.IBM 34.88 62 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 260.7M 3.52M 917.66 Legend: Invoice Subtotal: 1,609.52 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,609.52 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!!! 'Customer Signature: CUSTOM -ER VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 299 Wabash, IN 46992 $1,609.52 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 400799 42-313.00 $917.66 1 hereby certify that the attached invoice(s), or 1207 GT 400799 42-31i/ $691.86 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 Friday, August 10, 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)) 08/10/12 GT 400799 Fuel $917.66 08/10/12 GT 400799 Fuel $691.86 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