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Home My WebLink About222517 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $2,643.10 CARMEL, INDIANA 46032 PO BOX 299 M,roN`p WABASH IN 46992 CHECK NUMBER: 222517 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 GT403121 1, 053 . 95 DIESEL FUEL 1207 4231300 GT403192 890 . 21 DIESEL FUEL 1207 4231400 GT403192 698 . 94 GASOLINE Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Kokomo 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 765-67,'SA1;E38 8497 DATE 67/19/13 11:44:57 P.O.BOX 299 800-440-2667 317-77;OMM. START 0.0 END 310.9 WABASH, IN 46992 GROSS DELIVERY 310.9 GALLONS 4040 MR DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 0000921720 Invoice #: 6T 403212 CARREL STREET DEPT Date: 7/19/2013 3400 W 131ST STREET Time: 11:25 CARREL, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 310.9000 3.39@00 1053.95 Legend: Invoice Subtotal: 1,053.95 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,053.95 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: ('�:::" USTOMER VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $1,053.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 GT 403212 1 42-313.001 $1,053.95 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 rida ly 26, 2013 Ua" Street Commissiklkr Street Gemmlselemer 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)) 07/19/13 GT 403212 $1,053.95 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 HOMEWarsaw Wabash Peru Goshen ans ort Angola Fremont Lo Plymouth Rochester 9 Logansport Y Cwmu- Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 cc-w Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-67§&E38 8483 DATE 07/18/13 08:05:51 P.O.Box 299 800-440-2667 317-77:C0WT(; START 0.0 END 262.8 WABASH, IN 46992 GROSS DELIVERY 262.8 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI ** MULTIPLE DELIVERIES AT SITE ** SALE 4489 DATE 07/18/1308:17:12 COUNT: START 0.0 END 207.4 GROSS DELIVERY 207.4 GALLONS 4011 87 E-10 PLUS GASOLINE 1 } MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice #: GT 403192 BROOKSHIRE GOLF CLUB Date: 7/18/2013 CITY OF CARMEL Time: 07:48 12120 BROOKSHIRE PKWY CARMEL, IN 46033- Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4011 87 E-10 PLUS E 207.4000 3.19M 661.61 State Road Tax 0.18000 37.33 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 262.6000 3.39000 890.21 Legend: Invoice Subtotal: 1,589.15 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,589.15 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!!! 1 Customer Signature: CUSTOME 'r��-��' VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 299 Wabash, IN 46992 $1,589.15 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 403192 42-314.00 j $698.94 1 hereby certify that the attached invoice(s), or 1207 GT 403192 42-313.00 $890.21 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 Thursday, July 25, 2013 Director, BrooksUl 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)) 07/18/13 GT 403192 Fuel $698.94 07/18/13 GT 403192 Diesel $890.21 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