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Home My WebLink About220277 05/21/2013 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: $3,784.31 WABASH IN 46992 CHECK NUMBER: 220277 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 000706 315 . 00 OTHER EXPENSES 2201 4231300 GT402708 1, 458 . 75 DIESEL FUEL 1207 4231300 GT402726 1, 172 . 90 DIESEL FUEL 1207 4231400 GT402726 837 . 66 GASOLINE HommWarsaw 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 Ca 574-224-2667 0 Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-67`SAL'-E38 8142 DATE 05/14/13 16:47:07 P.O. BOX 299 800-440-2667 317-772 `I WABASH. IN 46992 COURT. START 0.0 END 396.4 GROSS DELIVERY 396.4 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE et CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 402708 CAM STREET DEPT Date: 5/14/2013 3400 W 131ST STREET Time: 16:31 CARMEL, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 396.4000 3.68000 1458.75 Legend: Invoice Subtotal: 1,458.75 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,458.75 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 Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL la 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 i Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/14/13 GT402708 $1,458.75 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 VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $1,458.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I GT 402708 I 42-313.001 $1,458.75 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 ay M y 7, 2013 Stre4t2ARM&Woner Title Cost distribution ledger classification if claim paid motor vehicle highway fund North �� 8��u �~��il *~��~�� — � 60-563'8381 800'992'9495 Fax 260-563-3021 PATREN lamilton Agronomy =========== PAGE 1 L6222 Allisonville Road INVOICE INVOICE NO. 000706 Joblesville IN 46060 ORDER DATE 05/14/13 317-773-0870 ACCOUNT NO. 0000921776 BATCH 469 RKB CARMEL SEWER DEPT. 760 THIRD AVE. SW CARMEL IN 46032 P. O. # SHIP DATE TERMS SLS LOC _________________-------------------------------------------------------------- !hop 05/14/13 Due 06/20/2013 RKB 251 =============================================================================== ~ | | PACKAGESSOLD DESCRIPTION' UNITS SOLD UNIT PRICE EXTENDED � 194825 CORNERSTONE PLUS — 2X2. 5 10 GAL 31. 5000 315. 00 TOTAL DUE $$ 315. 00 U Vi 16 MAY 15 7M,3 jBy ========== 71 | / RECEIVED BY ~ | | ' 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 366089 NORTH CENTRAL COOP Purchase Order No. 16222 ALLISONVILLE ROAD Terms NOBLESVILLE, IN 46060 Due Date 5/15/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/15/2013 000706 $315.00 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 Date Officer VOUCHER # 135570 WARRANT # ALLOWED 366089 IN SUM OF $ NORTH CENTRAL COOP 16222 ALLISONVILLE ROAD NOBLESVILLE, IN 46060 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 000706 01-7182-05 $315.00 Voucher Total $315.00 Cost distribution ledger classification if claim paid under vehicle highway fund HOBWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Cmqmzu Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 Qo:) OODD Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-67ESAU,08 8160 DATE 05/16/13 09:01:10 P.O. BOX 299 800-440-2667 317-77, WABASH, IN 46992 �lt START 0.0 END 317.2 GROSS DELIVERY 317.2 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI # MULTIPLE DELIVERIES AT SITE SALE 4216 DATE 05/16/13 09:11:10 COUNT: START 0.0 END 241.4 GROSS DELIVERY 241.4 GALLONS 4011 87 E-10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE I CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice #: GT 402726 BROOKSHIRE GOLF CLUB Date: 5/16/2013 CITY OF CARMEL Time: 08:45 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 241.4000 3.29M 794.21 State Road Tax 0.18000 43.45 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 317.0000 3.70000 1172.90 Legend: Invoice Subtotal: 2,010.56 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 2,010.56 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: I (OUSTOMER 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)) 05/16/13 GT 402726 Gasoline $837.66 05/16/13 I GT 402726 I Diesel Fuel I $1,172.90 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 299 Wabash, IN 46992 $2,010.56 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1207 GT 402726 42-314.00 $837.66 bill(s) is (are) true and correct and that the 1207 I GT 402726 I 42-313.00 I $1,172.90 materials or services itemized thereon for which charge is made were ordered and received except Friday, May 17, 2013 Director, Brooks h olf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund