212481 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 00351526 Page 1 of 1
0 ONE CIVIC SQUARE CARMEL CLAY SCHOOLS CHECK AMOUNT: $808.03
s' o CARMEL, INDIANA 46032 5201 E MAIN ST
«o� ATTN ACCT RECEIVABLE CHECK NUMBER: 212481
CARMEL IN 46033
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4231400 2012-82 131 . 89 GASOLINE
1192 4231400 2012-91 676 . 14 GASOLINE
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Carmel Clay Schools '�� =% ' A�+Z
5201 E. Main Street Invoice 2012-91
Carmel, Indiana 46033 Date 9/1/2012
317-844-9961
Attn: Sue Ardaiolo
City of Carmel
Account#7 - DOCS Dept.
Lisa Stewart
Septembei 2012
Quantity Cost Each Total Cost
Fuel -T1 1 $366.12
Fuel -T2 1 $310.02
Fuel Card @ $5.00 ea 0 $5.00
TOTAL $676.14
Please make checks Payable to:
Carmel Clay Schools
Account #007
Account name : DOCS LISA STEWART
Account address : 1 Civic Square Carmel
571-2418
Date Time Ton Ant Drivr Vehd Odomtr Keyboard Type Pun Prod Quantity Price Amount
M0 2q 2012 M51 00J\ 007 2421 0509 004545 ?????????? 0-Normal 01 ON UNLEADED 00030.100 $ 3.J70 $ 0101.44
AUG 23` 202 N:46 0032 007 5120 0406 0J7597 ?????????? Mumal 02 01- UNLEADED 00011000 $ 3.370 $ 0038.08
A U 16 23' 2012 1413 0042 007 2286 0,631 041893 ?????????? 0-Nomml 02 01- MLEAD[0 0 @ 01J.200 3.370 1 8N44.48
NG 2Q 2812 H:41 ON! 017 2402 0401 040741 ?????????? 0-Normal 02 0\- UNL[ADED 0 1012.700 $ 3.370 $ N042.80
AUG 28. 2012 10:05 0040 007 2360 0J89 091049 ?????????? 0-Normal 81 0l- UR[A8EU 00010100 $ 3.J41 $ 0N34.08
AUG 21 2012 14:45 0065 007 2253 0632 013747 ?????????? 0-Normal 02 01- UNLEADED 0 1-111 Y.700 3.341 $ 0065.82
AUG 30, 2012 1300 0041 007 1023 087 043467 ?????????? 0-Normal 01 01' UNLEADED 00011.800 $ 3.J41 $ 003142
06 30. 2012 1147 0044 007 1023 0387 043467 ?????????? 1-ToU1 02 01- UNLEADED 00000 All $ 301 i N000.00
Usage Total
Product 01 — UNLEADED 109.000 Gallon $ 366. 12
__________
$ 366. 12
1-21
Account #007
Account name : D O C S Lisa Stewart
Account address : 1 Civic Square Carmel
571-2418
Date Time Trao Acnt Ddvr Yohc} Odomtr Ceyboud Typs Pump Prod 0uantity Price Amount
AUG 01 2012 W2 @B14 087 2360 O389 890446 T???????? 8'Norma\ 83 81-un}eaded 8Q80.900 1 2.962 1 8032.29
AUG It 2012 1U�58 &088 8Q7 10W5 0472 858675 ?????????? 8-HormA 83 U1-unleadod 00&11.8Q8 1 2.962 1 80J4.95
AUG 00 2012 13:82 W012 807 023 6387 042868 ?????????? Mad 03 81-on}eaded 80012.400 $ 2.967 $ 0036.73
AUG 09` 2012 1001 &022 807 2402 0401 048369 ?????????? 04urma} BJ 0 1-on}eadpd M0813.700 2.962 $ 80 40.5G
AUG 14/ 2012 1141 O013 807 1823 8I87 043866 ?????????? 0-Karma} 8� 01-u»leodsd 00011.5OQ .3r8 I B838.76
AUG 15, 2812 1800 M821 887 1005 0472 058949 ?????M?? 0'Hurm& 83 OL-unleaded W8011.60O t 3.376 $ 0037 A9
AUG 23` 2812 1144 1627 007 1023 O387 043257 ?????????? O-Norms! 83 61-unleaded 00813.808 t 3.378 1 8N1 81
AUG 21 2812 08:10 80B8 OV 1085 8U2 059289 M???Er O-Nurnai OJ 81'on}saded 0001J.O0& 1 J.37O 1 O043.81
Usage Total
Product 01 — unleaded 97.900 Gallon $ 310.02
$ 310.02
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Clay Schools
IN SUM OF $
5201 E. 131 st Street
Carmel, IN 46033
$808.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 2012-82 42-314.00 $131.89 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1192 2012-91 42-314.00 $676.14
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, September 10, 2012
Dire for
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))
08/16/12 2012-82 Fuel City vehicles $131.89
09/01/12 2012-91 Fuel City vehicles $676.14
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