214844 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 298350 Page 1 Of 1
ONE CIVIC SQUARE TAYLOR OIL CO INC CHECK AMOUNT: $253.68
?o CARMEL, INDIANA 46032 PO Box 41
ZIONSVILLE IN 46077 CHECK NUMBER: 214844
CHECK DATE: 11/2012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0521393-IN 253 . 68 OTHER EXPENSES
Page: 1
1 nvoice
TAYLOR OIL COMPANY, INC.
Invoice Number: 0521393-IN
P.O. BOX 41
ZIONSVILLE, IN 46077 Invoice Date: 11/5/2012
PHONE: 317-873-2300
FAX: 317-873-4971 Order Number:
Order Date
Customer Number: 0004525
Sold To: Ship To:
CITY OF CARMEL UTILITIES WATER/WASTE-WATER TREATMENT
760 THIRD AVE.S.W. 9609 HAZEL DELL PKY.
CARMEL, IN 46032 CARMEL, IN 46032
Customer P.O. Ship VIA F.O.B. Terms
S 13365 NET 30 DAYS `
Item Number Unit Ordered Shipped Back Ordered Price Amount
550024070 CS12 6.000 6.000 0.000 42.2800 253.68
FormulaShell 30 SN(CASE)
l
1 1/2% Interest per month may be added to any PAYMENT RECEIVED AT TAYLOR OIL Net Invoice: 253.68
past due account. Any collection,court,or $ BY Less Discount: 0.00
attorney's fees and/or costs may be added to any GOODS RECEIVED IN GOOD CONDITION BY Freight: 0.00
delinquent account. DYED DIESEL FUEL, Non Sales Tax: 0.00
taxable use only. Penalty for taxable use.
DRUMS PU Invoice Total: 253.68
DRUMS RETURNED
VOUCHER # 126103 WARRANT # ALLOWED
298350 IN SUM OF $
TAYLOR OIL CO INC
PO BOX 41
ZIONSVILLE, IN 46077
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0521393-IN 01-7502-06 $253.68
1
Voucher Total $253.68
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
298350
TAYLOR OIL CO INC Purchase Order No.
PO BOX 41 Terms
ZIONSVILLE, IN 46077 Due Date 11/13/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/13/201: 0521393-IN $253.68
hereby certify that the attached invoice(s), or bill(s) is(are)true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
/l /v�l v e,--e/I,--- ("--
Date Officer