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Home My WebLink About212315 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 g� ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $1,762.72 CARMEL, INDIANA 46032 PO BOX 299 WABASH IN 46992 CHECK NUMBER: 212315 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231500 GT000578 226 . 00 OIL 2201 4231500 GT000590 727 . 65 OIL 2201 4231300 GT400842 809 . 07 DIESEL FUEL (C Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call. 800-720-0550 CaW 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 765-67`38 6691 DATE 08/24/12 09:16:13 P.O. BOX 299 800-440-2667 317-77 ® START 0.0 END 223.5 WABASH, IN 46992 GROSS DELIVERY 223.5 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI + MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 400842 CARM& STREET DEPT Date: 8/24/2012 3400 W 131ST STREET Time: 09:04 CAME, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 62 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 223.5000 3.62000 809.07 Legend: Invoice Subtotal: 809.07 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 809.07 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 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: 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)) 08/24/12 GT 400842 $809.07 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 NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $809.07 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I GT 400842 I 42-313.001 $809.07 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 Friday, ugust 24, 2012 Y 7_Pj� 861&o°mmissio°ner SS Title Cost distribution ledger classification if claim paid motor vehicle highway fund GEN TR7 i o North CenkraR Co-op PATRON k 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 . 000590 Noblesville IN 46060 -_--_-__--- ORDER DATE 08/13/12 ACCOUNT NO . 0000921720 BATCH 441 LGB CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 P . O . # SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- 08/13/12 Due 09/20/2012 LGB 256 PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- = 5574301 ADV HO DEO 15W40-DRUM 55 GAL 13 . 2300 727 . 65 TOTAL DUE $$ 727 . 65 ECEIV BY North v�e�� tral Co-op�� o~�� 260569'8381 800992'3495 Fax 260-563-3021 PATRON Hamilton Petroleum =========== PAGE 1 16222 Allisonvill'e- Road INVOICE INVOICE NO. 000578 Noblesville IN 46060 =========== ORDER DATE 08/09/12 ACCOUNT NO. 0000921720 BATCH 468 RKB CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 ================================================================================ P. O. # SHIP DATE TERMS SLS LOC ________________________________________________________________________________ 08/09/12 Due 09/20/2012 RKB 256 ================================================================================ PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED ________________________________________________________________________________ 0274301 ADV HD DEO 15W40-2/2. 5 GAL 10 GAL 14. 5600 145. 60 1274313 ADV GEO 10W30 - QUARTS ` 6 GAL 13. 4000 80. 40 TOTAL DUE $$ 226. 00 RECEI � ========== 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)) 08/09/12 000578 $226.00 08/13/12 000590 $727.65 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. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $953.65 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 000578 42-315.00 j $226.00 1 hereby certify that the attached invoice(s), or 2201 000590 42-315.00 $727.65 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 Thurlqi6, Au u t 23, 2012 Street Commission,e Street CfqIlTmissioner Cost distribution ledger classification if claim paid motor vehicle highway fund