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Home My WebLink About226764 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $2,019.59 ,? CARMEL, INDIANA 46032 Po Box 299 WABASH IN 46992 CHECK NUMBER: 226764 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231500 GT404018 897 . 05 OIL 2201 4231300 GT404201 1, 122 . 54 DIESEL FUEL NGMTWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester (CMMMEL Kokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 CCo. 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 404018 CARREL STREET DEPT Date: 10/30/2013 3400 W 131ST STREET Time: 09:32 CARMEL, IN 46074 -- Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERNS 5574402 CNC ATF MULTI—VEH SY 55.0000 16.31000 897.05 Legend: Invoice Subtotal: 897.05 E=Netered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 897.05 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 Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester 4. 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. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-6758&If8 9222 DATE 11/22/13 12:31:17 P.O. Box 299 800-440-2667 317-773COW START 0.0 END 318.0 WABASH, IN 46992 GROSS DELIVERY 318.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI ff* MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 404201 CARMEL STREET DEPT Date: 11/22/2013 3400 W 131ST STREET Time: 12:44 CAME, IN 46074 Trms Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL 286.2000 3.50000 1001.70 02 NORMAL CHARGE TERMS 4031 Heater Oil 31.8000 3.800 120.84 Legend: Invoice Subtotal: 1,122.54 E--Metered, T=Taxable, entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,122.54 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. GASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: OCUSTMER VOUCHER NO. WARRANT NO. I North Central Co-op ALLOWED 20 IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $2,019.59 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 2201 GT 404018 42-315.00 j $897.05 1 hereby certify that the attached invoice(s), or 2201 GT 404201 42-313.00 $1,122.54 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 t Tues a , N ,' i ber 26, 2013 e tm Commi i er St ntT Mission® 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)) 10/30/13 GT 404018 $897.05 11/22/13 GT 404201 $1,122.54 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