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Home My WebLink About225486 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $3,210.21 �t? CARMEL, INDIANA 46032 Po Box 299 WABASH IN 46992 CHECK NUMBER: 225486 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4231300 GT403774 1, 421 . 00 DIESEL FUEL 1207 4231400 GT403774 1, 092 . 71 GASOLINE 2201 4231300 GT403841 696 . 50 DIESEL FUEL NOMEWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester Cw?mmKokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 Co-op Branch Co. MI Hart MI Noble I 877/13 16:29 4792 DATE 10/04/13 16:89:13 517-278-4561 231-873-2158 765-67IC $ START 0.0 END 338.3 P.O.BOX 299 800-440-2667 WABASH,IN 46992 317-77 36 DELIVERY 338.3 GALLONS 4011 87 E-10 PLUS GASOLINE 1 ** MULTIPLE DELIVERIES AT SITE ** SALE 8904 DATE 10/04/13 16:18:11 COUNT: START 0,0 END 406.0 GROSS DELIVERY 406.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI *e MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000918936 Invoice #: 6T 403774 BROOKSHIRE GOLF CLUB Date: 10/4/2013 CITY OF CARMEL Tice: 16:01 12120 BROOKSHIRE PKWY CARMEL, IN 46033— Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4011 87 E-10 PLUS E 338.3000 3.05000 1031.82 State Road Tax 0.18000 60.89 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 406.0000 3.50000 1421.00 Legend: Invoice Subtotal: 2,513.71 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 2,513.71 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 VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P.O. Box 299 Wabash, IN 46992 $2,513.71 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 GT 403774 42-314.00 $1,092.71 1 hereby certify that the attached invoice(s), or 1207 GT 403774 42-313.00 $1,421.00 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 Tuesday, October 15, 2013 Director, Brookshir Golf Club 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)) 10/04/13 I GT 403774 I Fuel I $1,092.71 10/04/13 I GT403774 I Fuel I $1,421.00 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 , 20 Clerk-Treasurer NORMWarsaw Wabash Peru Goshen Angola Fremont Logansport PI mouth Rochester g Y (CHM%U 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. 877-615-2667 517 278-45611 231-873-2158 1 765o67�Vi238 8951 DATE 10/11/13 15:59:05 P.O. BOX 299 800-440-2667 317-7730 START 0.0 END 199.0 WABASH, IN 46992 GROSS DELIVERY 199.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI *# MULTIPLE DELIVERIES AT SITE * CHARGE INVOICE Driver: OT GARY TEETERS Customer: 0000921720 Invoice #: GT 403841 CARMEL STREET DEPT Date: 10/11/2013 33400 W 131ST STREET Time: 15:37 CARMEL, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 199.0000 3.50000 696.50 Legend: Invoice Subtotal: 696.50 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 696.50 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 1-800-4224-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: CU O ST VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $696.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 2201 I GT 403841 I 42-313.001 $696.50 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 J/Wedn ay, 013 S�eeief:0cmrrQiasi�inaer 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)) 10/11/13 GT 403841 $696.50 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