218783 04/09/2013 CITY OF CAWMEL, INDIANA VENDOR: 353914 Page 1 of 1
ONE CIVIC SQUARE BROWN'S OIL SERVICE
CARMEL, INDIANA 46032 PO BOX 26071 CHECK AMOUNT: $739.24
INDIANAPOLIS IN 46226 CHECK NUMBER: 218783
CHECK DATE: 4/912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4232100 29431 936316 739 . 24 OIL
Apr 01 13 12:39p Browns Oil Service 3175475681 p.1
Browns Oil Service .TT��
4800 Van Cleave Street
Indianapolis, IN 46226 APR 01 2013
Phone: 317-547-0035
Fax: 317-547-5681
BY;—
Invoice 93316 Shipped To
City of Carmel
Invoiced: 3129/2013 Maintenance Office
Order: 243842 on 2/12/2013 1427 E 116th Street
PO: Carmel, IN 46032
1411 Ordered By:.
City of Carmel City of Carmel
1411 E 116th Street 1411 E 116th Street
Carmel, IN 46032 Carmel, IN 46032
"Irinted 4/1/2013 13:41:04
Qty Ord Qty Shp Qty Rod Qty Rtn Description alGl/Lb Price/Unit PricelEach Extended
1 1 1.000 ultra FUEL SYN 5W-40 55ga1 Drum 55.0 12.89527 709.23999 709.24
1 1 1.0001 Barrel Pump 1.0 30.00000 30.03000 30.00
i
P;,,r,base
ile<�rbtion i1.. FCZ InW1.PME W REPA1
# 29 31 P o'& 20 '
GU #
Bur het
Lir,
Motk A*
Pur;baser Date
Ag roval _ Date
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Terms° Payment Blue in 30 days
Total $739.24
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Browns Oil Service Terms
4800 Van Cleave Street
Indianapolis, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/29/13 936316 Oil for equipment repairs r 29431 $ 739.24
1
Total $ 739.24
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.
Browns Oil Service Allowed 20
4800 Van Cleave Street
Indianapolis, IN 46226
In Sum of$
$ 739.24
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
29431 F 936316 4232100 $ 739.24 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
4-Apr 2013
Signature
$ 739.24 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund