HomeMy WebLinkAbout227447 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL CO-OP CHECK AMOUNT: $144.45
CARMEL, INDIANA 46032 Po Box 299
se •+° WABASH IN 46992 CHECK NUMBER: 227447
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 002373 144 . 45 GARAGE & MOTOR SUPPIE
North Central Co-op
O
260-563-8381 800-992-3495 Fax 260-563-3021 a PATRON
North Central Co—op ___________ PAGE 1
Hamilton Petroleum INVOICE INVOICE NO . 002373
16222 Allisonville --- --_----- ORDER DATE 12/10/13
Noblesville IN 46060 ACCOUNT NO . 0000921720
BATCH 403 LGB
CARMEL STREET DEPT
3400 W 131ST STREET
CARMEL IN 46074
P . O . # SHIP DATE TERMS SLS LOC
12-1-1-0/-1-3---D-U-E--0-1-/-2-0-/-2-0-1-4- C-L 0,--2-5-6 -
PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED
91000000 MISC . OTHER PETRO . PRODUCTS 1 EA 135 .0000 135 .00
SUBTOTAL 135 .00
SALES TAX 9 . 45
TOTAL DUE $$ 144 . 45
RECEIVED BY
t
VOUCHER NO. WARRANT NO.
ALLOWED 20
North Central Co-op
IN SUM OF $
P. O.. Box 299
Wabash, IN 46992
$144.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 002373 I 42-321.001 $144.45 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
e
F I y, e be /1)
1, 2013
st Ir r6MegbQp .1§€ iffier
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))
12/10/13 002373 $144.45
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