223860 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 367517 Page 1 of 1
ONE CIVIC SQUARE CALUMET PACKAGING CHECK AMOUNT: $155.40
CARMEL, INDIANA 46032 10411 HWY 1 SOUTH
SHREVEPORT LA 71115 CHECK NUMBER: 223860
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4232100 0101921-IN 155 .40 GARAGE & MOTOR SUPPIE
Invoice Page. 1
lel�
k'A L U M E T Invoice Number: 0101912-IN
_ r Invoice Date: 8/22/2013
10411 Hwy 1 South
Shreveport, LA 71115 Order Number: 0114257
(318)795-3800 Order Date 8/21/2013
Salesperson: 0023
Customer Number: 00-0002079
Sold To: Ship To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
Carmel, IN 46032 Carmel, IN 46032
Customer P.O. Ship VIA F.O.B. Terms
FED EX ORIGIN Net 30 Days
Item Number Description Unit Ordered Shipped Price Amount
6525638 TRUFUEL 50 FUEL 6/32 CASE 6.0 6.0 25.90 155.40
Alias: CT5
/RF RF GAL 9.0 9.0 0.00 0.00
CC/EMAIL
FORWARD TRACKING INFO WHEN AVAILABLE
Net Invoice: 155.40
Less Discount: 0.00
Reminder:All Invoices are due 30 days from the invoice date Freight: 0.00
with the exception of COD Terms. Sales Tax: 0.00
Invoice Total: 155.40
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))
0101921-IN $155.40
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
Calumet Packaging
IN SUM OF $
10411 Hwy 1 South
Shreveport, LA 71115
$155.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 0101921-IN I 42-321.00 I $155.40 I 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 excep�cn a 2093
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund