HomeMy WebLinkAbout218887 04/09/2013 �f CITY OF CARMEL, INDIANA VENDOR: 366941 Page 1 of 1
ONE CIVIC SQUARE HOOSIER PENN OIL CHECK AMOUNT: $188.89
s` CARMEL, INDIANA 46032 DEPT 19
PO BOX 6069 CHECK NUMBER: 218887
INDIANAPOLIS IN 46206
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231500 83397 188 . 89 OIL
1
HOOSIER PENN OIL CO.
Dept. 19 0876338-IN
P.O. Box 6069 0525772
Indianapolis, IN 46206-6069
3/21/2013
4/20/2013
0.00
CARMELF
Carmel Fire Dept. Carmel Fire Dept.
City of Carmel City of Carmel
2 Civic Square 2 Civic Square
Carmel,IN 46032 Carmel, IN 46032
JASON NET 30 001
550023648 PZ Gold SB 5W20 Eco Box CT 1.00 1.00 91.63 91.63
550023647 PZ Gold SB 5W30 Eco Box CT 1.00 1.00 91.63 91.63
/FUELSC Fuel Surcharge 5.63
188.89
Monthly statements will only be issued upon
request. Thank you!
Statement Page: 1
Statement Date: 3/31/2013
Hoosier Penn Oil Company, Inc.
Dept. 19 Salesperson: Jeff Garretson
P.O. Box 6069
Indianapolis, IN 46206-6069 Customer Number: CARMELF
(800)622-4795
Carmel Fire Dept.
City of Carmel
2 Civic Square
Carmel,IN 46032
Contact: Denise Snyder
1/28/2013 0871157-IN 414.40
2/21/2013 Payment Ref:217184 387.29 27.11
3/21/2013 0876338-IN 202.11 202.1-1;7,
Total: 229.22
Current 30 Days 60 Days 90 Days 120 Days
202.11 0.00 27.11 0.00 0.00 229.22
PAYMENT IS EXPECTED WITHIN 30 DAYS OF INVOICE
DATE. PLEASE REMIT ALL PAST DUE AMOUNTS TODAY.
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))
0876338 Oil $188.89
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
Hoosier Penn Oil
Dept. 19 IN SUM OF $
PO Box 6069
Indianapolis, IN 46206
$188.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 0876338 I 42-315.00 I $188.89 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund