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Home My WebLink About227798 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 366089 Page 1 of 1 ONE CIVIC SQUARE NORTH CENTRAL CO-OP CARMEL, INDIANA 46032 CHECK AMOUNT: $3,536.05 PO BOX 299 oN�o WABASH IN 46992 CHECK NUMBER: 227798 CHECK DATE: 1/8/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4232100 002408 508 . 00 GARAGE & MOTOR SUPPIE 2201 4231300 GT404326 1, 001 . 61 DIESEL FUEL 2201 4231300 GT404437 1, 098 . 00 DIESEL FUEL 2201 4231500 GT404441 616 . 00 OIL 2201 4231300 GT404444 312 .44 DIESEL FUEL North Central Co-op 1L O 260-563-8381 800-992-3495 Fax 260-563-3021 z PATRON North Central Co—op -----_----- PAGE 1 Hamilton Petroleum INVOICE INVOICE NO . 002408 16222 Allisonville ------__--— ORDER DATE 12/19/13 Noblesville IN 46060 ACCOUNT NO . 0000921720 BATCH 404 NJN CARMEL STREET DEPT 3400 W 131ST STREET CARMEL IN 46074 P . O . # SHIP DATE TERMS SLS LOC -------------------------------------------------------------------------------- Mike H 12/19/13 DUE 01/20/2014 CLD 256 PACKAGES SOLD DESCRIPTION UNITS SOLD UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 91000000 MISC . OTHER PETRO . PRODUCTS 1 EA 508 .0000 508 .00 3 hand pumps , l DEF pump 1 hose/valve kit TOTAL DUE $$ 508 .00 1 't 1` i RECEIVED BY HOME Warsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester CRURAI 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-GN) Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-67Nli? 8 P.O.BOX 299 317-77 9316 DATE 12/17/13 14:42:57 800-440-2667WABASH, IN 46992 START 0.0 END 279.0 GROSS DELIVERY 279.0 GALLONS 4040 SUPER DX-4 BIODIESDISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 404326 CARREL STREET DEPT Date: 12/17/2013 3400 W 131ST STREET Time: 14:50 CARMEL, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 195.3000 3.50000 683.55 02 NORMAL CHARGE TERMS 4031 Oil E 83.7000 3.BM 318.06 Legend: Invoice Subtotal: 1,001.61 E=Metered, T=Taxable, entered by Hand Indiana Sales Tax On: 0,00 ..... 0.00 Invoice Total: 1,001.61 WARNING - PETROLEUM PRODUCTS NOT TO BE USED FOR STARTING OR KINDLING FIRES. 6ASOLINES NOT SOLD FOR ILLUMINATING OR CLEANING PURPOSE S. IN CASE OF EMERGENCY CONTACT CHEMTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! ..t t Customer Signature: / r I/XA1— CUSTOMER VOUCHER NO. WARRANT NO. ALLOWED 20 North Central Co-op IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $1,509.61 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 GT 404326 j 42-313.00 j $1,001.51 I hereby certify that the attached invoice(s), or 2201 002408 42-321.00 $508.00 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, D b r k013 9fte'effam fts1iaeer 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)) 12/26/13 GT 404326 $1,001.61 12/26/13 002408 $508.00 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 �® Warsaw Wabash Peru Goshen ans ort Angola Fremont Lo Plymouth Rochester 9 Logansport Y 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 P.O. BOX 299 517-278-4561 231-873-2158 765-675-2538 WABASH, IN 46992 800-440-2667 317-773-0870 CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 404441 CARMEL STREET DEPT Date: 1/3/2014 3400 W 131ST STREET Time: 11:45 CARMEL, IN 46074 Trms Terms Description Iter # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 5574001 ADV PREM THF—DRUM $ 55.0000 11.20000 616.00 Legend: Invoice Subtotal: 616.00 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 616.00 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: CUSTOMER HommWarsaw Wabash Peru Goshen Angola Fremont Logansport Plymouth Rochester CwmuKokomo Huntington Auburn Constantine 574-753-3673 Star City Call: 800-720-0550 Call: 800-234-0573 800-807-3673 Call: 574-224-2667 CO-82 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 317-7735AW0 9415 DATE 01/03/14 13:33:55 WABASH, IN 46992 COUNT: START 0.0 END 85.5 GROSS DELIVERY 85.5 GALLONS 4031 Heater Oil DISTILLATI MULTIPLE DELIVERIES AT SITE CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: 6T 404444 CARMEL STREET DEPT Date: 1/3/2014 3400 W 131ST STREET Time: 13:38 CAMEL, IN 46074 Tres Teres Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL E 42.8000 3.50000 149.80 02 NORMAL CHARGE TERMS 4631 Oil E 42.8000 3.80000 162.64 Legend: Invoice Subtotal: 312.44 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 31.44 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 CHENTREC AT 1-800-424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: A � CUSTOMER NORM-- `^ Warsaw Wabash Peru Goshen ans ort Angola Fremont Lo Plymouth Rochester 9 Logansport Y (cm7mu 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-OP Branch Co. MI Hart MI Noblesville 877-615-2667 517-278-4561 231-873-2158 765-67562108 9409 DATE 01/03/14 07:55:26 WABASHH,, IN 46992 P.O. 299 800-440-2667 317-77360EhM START 0.0 END 300.3 GROSS DELIVERY 300.3 GALLONS 4031 Heater Oil DISTILLATI ## MULTIPLE DELIVERIES AT SITE ## CHARGE INVOICE Driver: GT GARY TEETERS Customer: 0000921720 Invoice #: GT 404437 CARMEL STREET DEPT Date: 1/3/2014 3400 W 131ST STREET Time: 08:12 CARMEL, IN 46074 Tres Terms Description Item # Description Legend Quantity Unit Price Item Total 02 NORMAL CHARGE TERMS 4040 SUPER DX-4 BIODIESEL # 140.0000 3.50000 490.00 02 NORMAL CHARGE TERMS 4031 Heater Oil # 160.0000 3.80000 608.00 Legend: Invoice Subtotal: 1,098.00 E=Metered, T=Taxable, *=Entered by Hand Indiana Sales Tax On: 0.00 ..... 0.00 Invoice Total: 1,098.00 106th 8 Gray 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 1-800424-9300 WE APPRECIATE YOUR BUSINESS!!! Customer Signature: CUSTOMER VOUCHER NO. WARRANT NO. North Central Co-op ALLOWED 20 IN SUM OF $ P. O.. Box 299 Wabash, IN 46992 $2,026.44 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 GT 404444 42-313.00 $312.44 1 hereby certify that the attached invoice(s), or 2201 GT 404437 42-313.00 $1,098.00 bill(s) is (are) true and correct and that the 2201 GT 404441 42-315.00 $616.00 materials or services itemized thereon for which charge is made were ordered and received except t� Sunda Ja 05, 2014 r� Street Commissi eff atcomm'Ing rip 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)) 01/03/14 GT 404444 $312.44 01/03/14 GT 404437 $1,098.00 01/03/14 GT 404441 $616.00 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