HomeMy WebLinkAbout215724 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $1,240.75
Po Box 299
CARMEL, INDIANA 46032
WABASH IN 46992 CHECK NUMBER: 215724
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231300 GT401589 1, 240 . 75 DIESEL FUEL
P
HammWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester
p n Kokomo Huntington Auburn Constantine 574-753-3673 Star City
Call- 800-720-0550 Call: 800-234-0573 800-807-3673 Call:574-224-2667
877-615-2667
Branch Co. MI Hart MI NobleS9E& 7301 DATE 12/10/12 12:18:46
517-278-4561 231-873-2158 765-6TgM$6 START 0.0 END 281.0
P.O.BOX 299 800-440-2667 317-77
WABASH,IN 46992 tfN3QbELIVERY 281.0 GALLONS
4032 FURNACE OIL DISTILLATI
MULTIPLE DELIVERIES AT SITE f*
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 401589
CARMEL STREET DEPT Date: 12/10/2012
3400 W 131ST STREET Tice: 11:03
CARMEL, IN 46074
Trms Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 4040 SUPER D%-4 BIODIESEL E 196.7000 3.77000 741.56
82 NORMAL CHARGE TERMS 4031 Heater Oil E 84.3000 3.95000 332.99
02 NORMAL CHARGE TERMS 1274311 ADV GEO 5120 - QUART 12.0000 13.85000 166.20
Legend: Invoice Subtotal: 1,240.75
E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 1,240.75
WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GAMINES NOT SOLD FOR
ILLUMINATING OR CLEANING PURPOSES. IN CASE OF EMERGENCY CONTACT CHEMTREC 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
$1,240.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I GT 401589 I 42-313.001 $1,240.75 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
r�
' Frid4ay&December 14, 2012
Street Commissioner
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))
12/10/12 GT401589 $1,240.75
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