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Home My WebLink About223112 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $3,794.97 CARMEL, INDIANA 46032 PO BOX 299 `t o� WABASH IN 46992 CHECK NUMBER: 223112 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231300 GT 403313 1, 017 . 00 DIESEL FUEL 2201 4231300 GT 403357 1, 098 . 70 DIESEL FUEL 1207 4231300 GT 403379 1, 093 . 61 DIESEL FUEL 1207 4231400 GT 403379 585 . 66 GASOLINE HammWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester cmmmKokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call:800-234-0573 800-807-3673 Call: 574-224-2667 co—sx) 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:S�tE70 8684 DATE 08/08/13 17:23:22 WABASH,IN 46992 COUNT: START 0.0 END 322.7 GROSS DELIVERY 322.7 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE SALE 4584 DATE 08/08/13 17:33:59 COUNT: START 0.0 END 179.1 GROSS DELIVERY 179.1 GALLONS 4011 87 E-10 PLUS GASOLINE 1 MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: ST GARY TEETERS Customer: 0000918936 Invoice #: GT 403379 BROOKSHIRE GOLF CLUB Date: 8/8/2013 CITY OF CAME Time: 17:64 12120 BROOKSHIRE PKWY CAM, IN 46033- Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4011 87 E-10 PLUS E 179.1000 3.09000 553.42 State Road Tax 0.18000 32.24 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 322.6000 3.39000 1093.61 ° Legend: Invoice Subtotal: 1,679.27 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,679.27 YARNING - 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 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)) 08/08/13 GT 403379 Fuel $585.66 08/08/13 GT 403379 Diesel $1,093.61 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 $1,679.27 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 403379 42-314.00 $585.66 1 hereby certify that the attached invoice(s), or 1207 GT 403379 42-313.00 $1,093.61 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, August 12, 2013 I i Director, Brooksh v Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund NommWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester CWT" Kokomo Huntington Auburn Constantine 574-753-3673 Star City coCall: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 2 Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-67-'S@E38 8610 DATE 08/06/13 16:03:53 P.O. BOX 299 800-440-2667 317-77:XOUNTt: START 0.0 END 324.1 WABASH, IN 46992 GROSS DELIVERY 324.1 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE ** CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 403357 CARREL STREET DEPT Date: 8/6/2013 3400 W 131ST STREET Time: 15:56 CARMEL, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 324.1000 3.39000 1098.70 Legend: Invoice Subtotal: 1,098.70 E--Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,098.70 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: 0jA_MX-/ i CUSTOMER HammWarsaw 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��E38 8574 DATE 06/01/13 09:17:40 P.O.BOX 2 800-440-2667 317-77' WABASH, IN 469 92 •COM START 0.0 END 300.0 GROSS DELIVERY 300.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI * MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 403313 CARMEL STREET DEPT Date: 8/1/2013 3400 W 131ST STREET Time: 08:59 CAME, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 300.0000 3.39000 1017.00 Legend: Invoice Subtotal: 1,017.00 E=letered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,017.00 106th B Gray Rd 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!!! I I Customer Signature: 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)) 08/01/13 GT 403313 $1,017.00 08/06/13 GT 403357 $1,098.70 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 $2,115.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 GT 403313 42-313.00 $1,017.00 1 hereby certify that the attached invoice(s), or 2201 GT 403357 42-313.00 $1,098.70 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 i 2013 treet Commissioner iul Title Cost distribution ledger classification if claim paid motor vehicle highway fund