HomeMy WebLinkAbout213590 10/09/2012 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: $3,444.71
WABASH IN 46992 CHECK NUMBER: 213590
CHECK DATE: 1019/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GT4101018 1, 146 . 32 DIESEL FUEL
2201 4231300 GT4101036 1, 570 . 74 DIESEL FUEL
2201 4231500 GT4101078 727 . 65 OIL
NORm Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
b 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
517-278-4561 231-873-2158 765-675-2538
WABASH,IN 466 992
P.O.BOX 2 800-440-2667 317-773-0870
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: 6T 401078
CAMEL STREET DEPT Date: 10/5/2012
3400 W 131ST STREET Time: 08:48
CARMEL, IN 46074
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARM TERNS 5574301 ADV HD DEG 15W40-DRU 55.0000 13.230 727.65
Legend: Invoice Subtotal: 727.65
E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 727.65
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 CHENTREC AT 1-800-424-9300 WE
APPRECIATE YOUR BUSINESS!!!
Customer Signature: t D
OCUSTMErIn
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF $
P. O.. Box 299
Wabash, IN 46992
$727.65
ON ACCOUNT OF APPROPRIATION FOR —
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I GT401078 I 42-315.00 $727.65 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
E Monday�O,ctober 08, 2012
C
Street Commissioner
StrPAt r`.,r„
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))
10/05/12 GT401078 $727.65
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
NORMWarsaw 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
517-278-4561 231-873-2158 765-67PA8 6849 DATE 09/25/12 14:16:27
P.O.BOX 299 800-440-2667 317-77O START 0.0 END 320.2
WABASH, IN 46992 GROSS DELIVERY 320.2 GALLONS
4040 SUPER DX-4 BIODIESDISTILLATI
+ MULTIPLE DELIVERIES AT SITE
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: 6T 401018
CARMEL STREET DEPT Date: 9/25/2012
3400 W 131ST STREET Time: 14:09
CARMEL, IN 46074
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERNS 4040 SUPER DX-4 BIODIESEL E 320.2000 3.58000 1146.32
Legend: Invoice Subtotal: 1,146.32
E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 1,146.32
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: lJ
CUSTOMER
® Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call: 800-720-0550 Calb,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 317-773-0870
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 00 921720 Invoice #: 6T 461036
CAME STREET DEPT Date: 9/26/2012
3400 W 131ST STREET Time: 16:05
CAM, IN 46074
Tres Terms Description Item 4 Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS. _ 4040 SUER DX-4 BIODIESEL * 349.4000 3.57000 1247.36
02 NORMAL CHARGE TERNS 4631 Heater Oil * 87.4000 3.70000 323.38
Legend: Invoice Subtotal: 1,570.74
E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 1,570.74
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 CHEMTfEC AT 1-800-424-9300 WE
APPRECIATE YOUR BUSINESS!!!
Customer Signature:
CUSTOMER
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF $
P. O.. Box 299
Wabash, IN 46992
$2,717.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 GT4101018 j 42-313.00 j $1,146.32 1 hereby certify that the attached invoice(s), or
2201 GT401036 42-313.00 $1,570.74 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,.October 05, 2012
y
St 'qommissioner,�
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))
09/25/12 GT4101018 $1,146.32
09/26/12 GT401036 $1,570.74
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