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Home My WebLink About221633 07/02/2013 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: $4,304.42 '+ WABASH IN 46992 CHECK NUMBER: 221633 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 EB302792 1, 810 . 26 DIESEL FUEL 1207 4231300 GT403014 1, 027 . 51 DIESEL FUEL 1207 4231400 GT403014 723 . 87 GASOLINE 2201 4232100 GT403042 742 . 78 GARAGE & MOTOR SUPPIE HORMWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester p Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 1100-234-0573 800-807-3673 Ca 574-224-2667 877-615-2667 P.O. Branch Co. MI Hart MI � Noblesville 517-278-4561 231-873-2158 765-67SA53814208 DATE 06/13/13 10:54:44 WABASH, IN 466 992 P.O.BOX 2 800-440-2667 317-77MWi3 START 0.0 END 518.7 GROSS DELIVERY 518.7 GALLONS NDIS DISTILLATE DISTILLATI * MULTIPLE DELIVERIES AT SITE CHARM INVOICE Driver: EB ERIC BAKER Customer: 0000921720 Invoice #: EB 302792 CARMEL STREET DEPT Date: 6/13/2013 3400 W 131ST STREET Time: 10:39 CARMEL, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER D%-4 BIODIESEL 518.7000 3.49000 1810.26 Legend: Invoice Subtotal: 1,810.26 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,810.26 Customer Signature: C �I (CUSTOMER 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)) 06/13/13 EB 302792 $1,810.26 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 $1,810.26 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I EB 302792 1 42-313.001 $1,810.26 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 rs 013 §W;tCr Title Cost distribution ledger classification if claim paid motor vehicle highway fund �OL\S S JS JS Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester p A Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 V Branch Co. MI Hart MI Noblesville 877'615-2667 517-278-4561 231-873-2158 765-67'.SA10- 8 8361 DATE 06/26/13 15:06:05 P.O. BOX 2 6 800-440-2667 317-77;M'i; START 0.0 END 303.2 WABASH. IN asss2 GROSS DELIVERY 303.2 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI ** MULTIPLE DELIVERIES AT SITE SALE 4389 DATE 06/26/13 15:16:22 COUNT: START 0.0 END 214.8 GROSS DELIVERY 214.8 GALLONS 4011 87 E-10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE I CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice #: GT 4014 BROOKSHIRE GOLF CLUB Date: 6/26/2013 CITY OF CARMEL Time: 14:50 1212® 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 214.8M 3.19000 685.21 State Road Tax 0.18000 38.66 I 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 303.IM 3.39M 1027.51 Legend: Invoice Subtotal: 1,751.38 E=Ietered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,751.38 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: CUSTOMIEFID-,� 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)) 06/26/13 GT 403014 Diesel $1,027.51 06/26/13 GT 403014 Fuel $723.87 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 $1,751.38 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 403014 42-313.00 [:$1,027.51 1 hereby certify that the attached invoice(s), or 1207 GT 403014 __42-314,00 $723.87 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, June 28, 2013 Director, Brookshir Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund �O Warsaw Wabash Peru Goshen Angola Fremont Logansport PI mouth Rochester 9 Y Q Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-'234-0573 800-807-3673 Call: 574-224-2667 Q Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-67:,SAftE38 8382 DATE 06/28/13 15:42:31 WABASHH,, I N 46992 P.O. 299 800-440-2667 317-77;C011Mfi: START 0.0 END 182.1 GROSS DELIVERY 182.1 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE I CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice R: GT 40V42 CARMEL STREET DEPT Date: 6/28/2013 3400 W 131ST STREET Time: 15:22 CAR R, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 182.1000 3.37M 613.68 02 NORMAL CHARGE TERMS 05573704 ADV AW 46 - PAIL * 10.0000 12.91000 129.10 Legend: Invoice Subtotal: 742.78 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 742.78 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 1-8 -424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: i I CUSTOMER 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)) 06/28/13 GT 403042 $742.78 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 $742.78 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I GT 403042 I 42-321.001 $742.78 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 Monday, July 01, 2013 V et Co ssi v r Title G Street CoMmlonioMw Cost distribution ledger classification if claim paid motor vehicle highway fund