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Home My WebLink About224059 09/10/2013 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: $2,974.95 4 -off�a WABASH IN 46992 CHECK NUMBER: 224059 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4231300 GT 403549 1, 165 . 82 DIESEL FUEL 1207 4231400 GT 403549 816 . 19 GASOLINE 2201 4231300 GT 403569 992 . 94 DIESEL FUEL HammWarsaw Wabash Peru . Goshen Angola Fremont Logansport Plymouth Rochester Cm?mmKokomo Huntington Auburn Constantine 574-753-3673 Star City cc—w C all: 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 765-67E38 8759 DATE 09/06/13 12:17:35 P.O.BOX 299 800-440-2667 317-77' WABASH, IN 46992 'tt7(Q..START 0.0 END 279.7 GROSS DELIVERY 279.7 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE ** CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: 6T 403569 CARNEL STREET DEPT Date: 9/6/2013 f 3400 W 131ST STREET Time: 11:56 CAME, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 279.7M 3.55000 992.94 Legend: Invoice Subtotal: 992.94 E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 992.94 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIBS. 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: Au '411M I CUSTOMER I 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)) 09/06/13 GT 403569 $992.94 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 $992.94 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I GT 403569 I 42-313.001 $992.94 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 Friday, September 06, 2013 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Kokomo Huntington Auburn Constantine 574-753-3673 Star City III 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 765-675-2538 P.O. BOX 299 800-440-2667 317-771WO 8747 DATE 09/04/13 13:40:20 WABASH, IN 46992 COUNT: START 0.0 END 349.0 GROSS DELIVERY 349.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE e* SALE 4681 DATE 09/04/13 13:51:09 COUNT: START 0.0 END 245.1 GROSS DELIVERY 245.1 GALLONS 4011 87 E-10 PLUS GASOLINE 1 �t MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: ST GARY TEETERS Customer: 0000918936 Invoice #: GT 403549 BROOKSHIRE GOLF CLUB Date: 9/4/2013 CITY OF CARMEL Time: 13:24 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 245.1000 3.15000 772.07 State Road Tax 0.18000 44.12 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 328.4000 3.55000 1165.82 Legend: Invoice Subtotal: 1,982.01 E--Metered, T=Taxable, entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 I Invoice Total: 1,982.01 1 i 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: O I 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)) 09/04/13 GT 403549 Fuel $816.19 09/04/13 GT 403549 Diesel $1,165.82 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 $1,982.01 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 403549 42-314.00 $816.19 1 hereby certify that the attached invoice(s), or 1207 GT 403549 42-313.00 $1,165.82 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, September 05, 2013 Director, Brookshire rIf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund