223234 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 298350 Page 1 of 1
ONE CIVIC SQUARE TAYLOR OIL CO INC
CARMEL, INDIANA 46032 PO BOX 41 CHECK AMOUNT: $1,014.00
ZIONSVILLE IN 46077 CHECK NUMBER: 223234
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1016483 1, 014 . 00 OTHER EXPENSES
INVOICE NUMBER
TAYLOR OIL CO., INC. 1016483
COMPLETE GASOLINE,FUEL OIL&LUBRICANT SERVICE O
P.O.BOX 41•10702 ZIONSVILLE ROAD
ZIONSVILLE,INDIANA 46077
PHONE:317-873-2300•FAX 317-873-4971
DELIVERY DATE
SOLD
TO Y`�rv` �� CUSTTDMER ORDER NO.
ADDRESS SALESMAN NO.
CITY&
STATE.
TOLIVER
PACKAGES GALS.OR
PRODUCTS LBS PRICE AMOUNT
;NO.' KIND
Gasoline 10
Fed. Ex.Tail* , l
St. Rd. Tax
USLD Clear Fuel
Fed. Ex. Tax
St. Rd.Tax
Dyed Fuel
PAYMENT RECEIVED AT TAYLOR OIL CO. SUBTOTAL
DRUM CHARGE
DEL. RET NET CHG.
BY
11/2%interest per month may be added to any
past due account. Any collection, court, or
attorney's fees and/or costs may be added to SALES TAX
any delinquent account.DYED DIESEL FUEL.
Non taxable use only.Penalty for taxable use.
,GOOD§RECEIVED IN GOOD CONDFION
TOTAL AMOUNT DUE
VOUCHER # 136165 WARRANT # ALLOWED
298350 IN SUM OF $
TAYLOR OIL CO INC
PO BOX 41
ZIONSVILLE, IN 46077 {
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1016483 01-7502-06 $1,014.00 i
I
i
I,
i
i
Voucher Total $1,014.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
298350
TAYLOR OIL CO INC Purchase Order No.
PO BOX 41 Terms
ZIONSVILLE, IN 46077 Due Date 8/8/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/8/2013 1016483 $1,014.00
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
Date Officer