The URL can be used to link to this page

Home My WebLink About219842 05/07/2013 - CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 ONE CIVIC SQUARE NORTH CENTRAL CO-OP ` t PO Box 299 CHECK AMOUNT: $3,640.66 CARMEL, INDIANA 46032 WABASH IN 46992 CHECK NUMBER: 219842 CHECK DATE: 5/7/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 GT402495 1, 060 . 18 DIESEL FUEL 1207 4231300 GT402508 2, 580 .48 DIESEL FUEL Warsaw arsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester p o Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call. 800-234-0573 800-807-3673 Call: 574-224-2667 (Do0 Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-6738 7985 DATE 04/22/13 08:38:17 P.O.Box 299 800-440-2667 317-77Z-QU0. START 0.0 END 237.1 WABASH, IN 46992 GROSS DELIVERY 237.1 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 402495 CARMEL STREET DEPT Date: 4/22/2013 3400 W 131ST STREET Time: 08:23 CARMEL, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 237.1000 3.42000 810.88 02 NORMAL CHARGE TERMS 1274311 ADV GEO 5W20 SYN BLD 18.0000 13.85000 249.30 Legend: Invoice Subtotal: 1,060.18 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,060.18 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 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 $1,060.18 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT _ Board Members 2201 I GT 402495 I 42-313.00 j $1,060.18 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 Fria , May 03, 2013 Street I s' ner Street ComrRYsioner 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)) 04/22/13 GT402495 $1,060.18 I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer HOMEWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester CmvmKokomo Huntington Auburn Constantine 574-753-3673 Star City 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 P.O.Box 299 800-440-2667 317-77<5A1tE70 4103 DATE 04/23/13 08:27:25 WABASH, IN 46992 COUNT: START 0.0 END 363.5 GROSS DELIVERY 363.5 GALLONS 4011 87 E-10 PLUS GASOLINE 1 ** MULTIPLE DELIVERIES AT SITE ** SALE 7996 DATE 04/23/13 08:17:38 COUNT: START 0.0 END 413.2 GROSS DELIVERY 413.2 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI ** MULTIPLE DELIVERIES AT SITE ** CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 0000918936 Invoice #: 6T 402508 BROOKSHIRE GOLF CLUB Date: 4/23/2013 CITY OF CARMEL Time: 08:05 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4011 87 E-10 PLUS E 363.5000 3.02000 1097.77 State Road Tax 0.18000 65.43 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 413.2000 3.43000 1417.28 Legend: Invoice Subtotal: 2,580.48 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 2,580.48 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 CHEMTREC AT 1-800-4224-9300 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 $2,580.48 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 402508 42-313.00 $1,417.28 1 hereby certify that the attached invoice(s), or 1207 GT 402508 42-313.00 $1,163.20 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 Friday, May 03, 2013 V17 V Director, Brook re Golf Club 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)) 04/23/13 GT 402508 Diesel Fuel $1,417.28 04/23/13 GT 402508 Gas $1,163.20 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