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Home My WebLink About225018 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 0 ONE CIVIC SQUARE NORTH CENTRAL CO-OP �)o CARMEL, INDIANA 46032 PO BOX 299 CHECK AMOUNT: $4,257.79 91ON�� WABASH IN 46992 CHECK NUMBER: 225018 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231500 001997 84 . 90 OIL 2201 4231500 00213 2 , 256 . 00 OIL 2201 4231500 1997A —84 . 90 OIL 2201 4231500 1997B 424 . 50 OIL 2201 4231500 GT403653 283 . 00 OIL 2201 4231500 GT403662 326 . 20 OIL 2201 4231300 GT403704 968 . 09 DIESEL FUEL Co—op ' l`NK�rK�u �~x��uuuu�l 260-563'8381 800992-3495 Fax 260-563-3021 PATRON North -Central Co—op =========== PAGE 1 Hamilton—Petroleum INVOICE INVOICE NO. 001997 16222 Allisonville =========== ORDER DATE 09/17/13 Noblesville IN 46060 ACCOUNT NO. 0000921720 BATCH 469 RKB CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 ================================================================================ P. O. # SHIP DATE TERMS SLS LOC ^ -------------------------------------------------_------------------------------ 09/17/13 DUE 10/20/2013 RKB 256 , ================================================================================ � PACKAGES SOLD ' DESCRIPTION UNITS SOLD _ UNIT PRICE EXTENDED ----------------------------------------------------------------------------�� 0573711 ADV MV 46 — PAIL 6 GAL 14. 1500 84. 90 TOTAL DUE $$ 84. 90 ========== �o , � "=WED B ° Forth Central C®-®p cENTR��^ O 260-563-8381 800-992-3495 Fax 260=56373021 PATRON North Central Co—op ----_-----= PAGE 1 Hamilton Petroleum INVOICE INVOICE NO . 002013 16222 Allisonville ---------_= ORDER DATE 09/20/13 Noblesville IN 46060 ACCOUNT NO . 0000921720 BATCH 401 NJN CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 P . O . # SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- 09/20/13 DUE 10/20/2013 NJN 256 bulk oil del ' d PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 26574301 ADV HD DE015W4O-265 GL TOTE 200 GAL 11 . 2800 2256 .00 TOTAL DUE $$ 2256 .00 RECEIVED BY HommWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Cmgo a 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-a- 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 317-773-0870 WABASH, IN 46992 *****RE—PRINT#**** CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000981720 Invoice #: ST 403653 CARREL STREET DEPT Date: 9/18/2013 3400 W 131ST STREET Time: 15:35 CARREL, IN 46074 Trms Terms Description Item B Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 0573711 ADV NV 46 — PAIL 20.0000 14.15000 283.00 Legend: Invoice Subtotal: 283.00 E--Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 283.00 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: CUSTOMER No= Warsaw Wabash Peru Goshen Angola Fremont Logansport PI mouth Rochester g Y (COMMA, Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 CO-01) 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 317-773-0870 WABASH, IN 46992 CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 403662 CARMEL STREET DEPT Date: 9/19/2013 3400 W 131ST STREET Time: 12:09 CARMEL, IN 46074 Tr®s Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 0574402 CMC ATF MULTI—VEH SY 20.0000 16.31000 326.20 Legend: Invoice Subtotal: 326.20 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 326.20 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 1-800-424-93300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: CUSTOM HOMEWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester p e Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 nn 877-615-2667 V Branch Co. MI Hart MI Noblesville 517-278-4561 231-873-2158 765-67538 8857 DATE 09/25/13 15:08:51 P.O. BOX 299 800-440-2667 317-77ZMM START 0.0 END 272.7 WABASH, IN 46992 GROSS DELIVERY 272.7 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI * MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: 6T GARY TEETERS Customer: 0000921720 Invoice #: 6T 403704 CARMEL STREET DEPT Date: 9/25/2013 3400 W 131ST STREET Time: 14:47 CARMEL, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 272.7000 3.55000 968.09 Legend: Invoice Subtotal: 968.09 E44etered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 968.09 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: (OUSTOMER .A.,orth �Lentral k�oop 260-563-8338! SOO-992-33495 'Fax '150563-3021 North Central Co—op PAGE I Hamilton Petroleum INVOICE INVOICE NO . 19975 16222 Allisonville ORDER DATE 09/27 /13 Noblesville IN 46060 ACCOUNT NO . 0000921720 BATCH 405 N3N CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 P . O . # SHIP DATE TERMS SLS LOC --------------------------------------------------------------------------------- 09/27/13 DUE 10/20/2013 NJN 256 PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 0573711 ADV MV 46 — PAIL 30 GAL 14 . 1500 424 . SO TOTAL DUE 424 ,, 50 "'Oorth Central Co-op .4,ji-�: 260-563-838! 800-992-3-495 Fax 260-563-3021 FATR_; North Central Co—op PAGE 1 Hamilton Petroleum CREDIT MEMO INVOICE NO . 1997A 16222 Allisonville ORDER DATE 09/271113 Noblesville IN 46060 ACCOUNT NO . 0000921720 BATCH 405 NJN CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 P . O . 4 SHIP DATE TERMS SLS LOC ---------------------------------------------------------------------------------- 09/27/13 DUE 10/20/2013 NJN 256 BILLED WRONG PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENOED ----------------------------------------------------------------------------------- 0573711 ADV MV 46 — PAIL 6 GAL 14 . 1500 812 . 90— NO PAYMENT DUE TOTAL DUE 84 . 90— VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $4,257.79 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 001997 42-315.00 $84.90 1 hereby certify that the attached invoice(s), or 2201 GT 403653 42-315.00 $283.00 bill(s) is (are) true and correct and that the 2201 GT 403662 42-315.00 $326.20 materials or services itemized thereon for 2201 002013 42-315.00 $2,256.00 — 2201 GT 403704 42-313.00 $968.09 which charge is made were ordered and 2201 1997A 42-315.00 ($84.90) received except 2201 1 1997B 42-315.00 $424.50 a )Y' sd / 3, 2013 k 1 StreMr 2Pn0n'99s%ner 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)) 09/17/13 001997 $84.90 09/18/13 GT 403653 $283.00 09/19/13 GT 403662 $326.20 09/20/13 002013 $2,256.00 09/25/13 GT 403704 $968.09 09/27/13 1997A ($84.90) 09/27/13 1997B $424.50 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