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Home My WebLink About214021 10/23/2012 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: $3,057.20 WABASH IN 46992 CHECK NUMBER: 214021 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4231300 GT401086 1, 234 . 15 DIESEL FUEL 1207 4231400 GT401086 1, 169. 74 GASOLINE 2201 4231300 GT401132 653 . 31 DIESEL FUEL HOMEWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester o Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 O877-615-2667 Lr Branch Co. MI Hart MI Nobles 6944 DATE 10/12/12 12:59:30 517-278-4561 231-873-2158 765-67 START 0.0 END 183.0 P.O. BOX 2 800-440-2667 31 7-77 WABASH, IN 466 992 DELIVERY 183.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI f* MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 00i M1720 Invoice #: 6T 401132 CAME STREET DEPT Date: 1011212012 3400 W 131ST STREET Time: 12:44 CARMEL, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUER DX-4 BIODIESEL E 183.0800 3.57000 653.31 Legend: Invoice Subtotal: 653.31 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 653.31 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIBS. 6ASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: O 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)) 10/12/12 GT401132 $653.31 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 $653.31 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I GT401132 I 42-313.001 $653.31 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, October 18, 2012 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund HommWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester p e 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 765-6718 3528 DATE 10/05/12 14:53:38 P.O. BOX 299 800-440-2667 317-77 WABASH, IN 46992 START 0.0 END 337.1 GROSS DELIVERY 337.1 GALLONS 4011 87 E-10 PLUS GASOLINE L MULTIPLE DELIVERIES AT SITE SALE 6981 DATE 10/05/12 14:45:31 COUNT: START 0.0 END 345.7 GROSS DELIVERY 345.7 GALLONS .4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 0000918936 Invoice #: 6T 401086 BROOKSHIRE GOLF CLUB Date: 10/5/2012 CITY OF CARMEL Time: 14:37 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4011 87 E-10 PLUS E 337.1000 3.29000 1109.06-, State Road Tax 0.18000 60.68 02 NORMAL CHARM TERMS 4040 SUPER DX-4 BIODIESEL E 345.7000 3.57000 1234.15 Legend: Invoice Subtotal: 2,403.89 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 2,403.89 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 6ASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PULSES. IN CASE OF EMERGENCY CONTACT CHENTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: CUSTOM .E .R 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 GT 401086 Gasoline $1,169.74 10/05/12 GT 401086 BioDiesel $1,234.15 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 $2,403.89 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I GT 401086 I 42-314.00 I $1,169.74 1 hereby certify that the attached invoice(s), or 1207 I GT 401086 I 42-31_4,6 I $1,234.15 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 Tuesday, October 09, 2012 I VAi Director, Brooks Ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund