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Home My WebLink About218175 03/13/2013 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: $2,161.68 WABASH IN 46992 CHECK NUMBER: 218175 hpH c CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231500 GT402115 616 . 00 OIL 2201 4231300 GT402150 929 . 68 DIESEL FUEL 2201 4232100 GT402155 616 . 00 GARAGE & MOTOR SUPPIE NORMWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester D 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 877-615-2667 Branch Co. MI Hart MI Noblesville P.O. BOX 299 517-278-4561 231-873-2158 765-67 8 7742 DATE 03/05/13 15:63:51 WABASH, IN 46992 800-440-2667 317-77 �U START 0.0 END 246.6 GROSS DELIVERY 246.6 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 0000921720 Invoice #: 6T 402150 CAME STREET DEPT Date: 3/5/2013 3400 W 131ST STREET Time: 13:50 CARMEL, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 246.6000 3.77000 929.68 02 NORMAL CHARGE TERMS 121634 FILTER FUEL TANK 3/4 a 1.0000 0.00080 0.00 Legend: Invoice Subtotal: 929.68 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax One 0.00 ..... 0.00 Invoice Total: 929.68 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: 1, CUSTOMER ® Warsaw Wabash Peru Goshen Angola Fremont Logansport PI mouth Rochester 9 Y D Kokomo Huntington Auburn Constantine 574-753-3673 Star City co-OT) 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 ****eRE-PRINTfyI!I CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: 6T 402115 CARMEL STREET DEPT Date: 2/22/2013 3400 W 131ST STREET Time: 08:30 CAME, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 5574001 ADV PREM THE-DRUM 55.OM It.2M 616.N Legend: Invoice Subtotal: 616.00 E=Metered, T=Taxable, *--Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 616.00 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 CHENTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: I CUSTOMER ---------- -------------- Warsaw Wabash Peru Goshen Angola Fremont i D e Kokomo Huntington Auburn Constantine Logansport Plymouth Rochester Call: 800-720-0550 Call: 574-753-3673 �LD ----234-0573 Star City Branch Co. MI 800-807-3673 Call:574-224-2667 Hart MI P.O.BOX 299 517-278-4561 ille 4561 Noblesville 877-615-2667 . WABASH I N 46992 800-440-2667 765-675-2538 317-773-0870 i i •i Drver �I .. 6T GARY TEETERS CHARGE INVOICE Customer: 0000921720 CARMEL STREET DEPT Invoice #: 6T 402155 3400 N 131ST STREET CARMEL, IN 46074 Date: 31612013 Time: 08:26 Tr Terms Description Ite® # 0r NORMAL CHARGE TERMS Description Legend Quantity. 5574081 ADV PREM THE-DRUM Unit Price Item Total Legend: ' 11.200@0 616.00 E--Metered, T=Taxable, *=Entered b Hand d Invoice Subtotal: 616.00 Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 616.00 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOL NE APPRECIATE YOUR �IN6!PURP�ES. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-NDT SOLD FOR BUSINESS... 9300 wE � Customer Signature: t I I i CUSTOM .ER I 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)) 02/22/13 GT402115 $616.00 03/05/13 GT402150 $929.68 03/06/13 GT402155 $616.00 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 II VOUCHER NO. WARRANT NO. — ALLOWED 20� North Central Co-op IN SUM OF $ it II P. O.. Box 299 I Wabash, IN 46992 I $2,161.68 ON ACCOUNT OF APPROPRIATION FOR II Carmel Street Department II Board Members 1 PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT 2201 jGT402115 42-315.00 $616.00 1 hereby certify that the attached invoice(s), or 2201 150 42-313.00 $929.68 bill(s) is (are)true and correct and that the 2201 155 42-321.00 $616.00 materials or services itemized thereon for which charge is made were ordered and received except I I li o Fr 8, 2013 O i I Stre�tr��► ��oner Title Cost distribution ledger classification if claim paid motor vehicle highway fund