HomeMy WebLinkAbout226412 11/19/2013 *f CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $616.00
CARMEL, INDIANA 46032 PO BOX 299
WABASH IN 46992 CHECK NUMBER: 226412
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231500 GT404119 616 . 00 OIL
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WABASH, IN 466 992
P.O. BOX 2 800-440-2667 317-773-0870
CHARGE INVOICE
Driver: GT GARY TEETERS
Customer: 0000921720 Invoice #: GT 404119
CARME- STREET DEPT Date: 11/13/2013
3400 W 131ST STREET Time: 11:14
CARMEL, IN 46074
Tres Terms Description Item # Description Legend Quantity Unit Price Item Total
02 NORMAL CHARGE TERMS 5574001 ADV PREM THE-DRUM 55.0000 11.20000 616.00
Legend: Invoice Subtotal: 616.00
E=Metered, T=Taxable, *centered by Hand Indiana Sales Tax On: 0.00 ..... 0.00
Invoice Total: 616.00
WARNING - PETROLEUM PRODUCTS NOT TO HE 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:
f
'. II
J l
I
CUSTOMER
I
VOUCHER NO. WARRANT NO.
North Central Co-op ALLOWED 20
IN SUM OF $
P. O.. Box 299
Wabash, IN 46992
$616.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT 608rd Members
2201 I GT 404119 I 42-315.001 $616.00 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
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14 Thu ay, o embe 14, 2013
ua" '
Street CoMn-Ls Aoner
Q+rApt ( ammissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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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))
11/13/13 GT 404119 $616.00
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