HomeMy WebLinkAbout232824 05/21/14 V ��p"^ CITY OF CARMEL, INDIANA VENDOR: 154252
>_ ® it ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $**......15.00*
a CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 232824
. ',;,t oN�. INDIANAPOLIS IN 46278 CHECK DATE: 05/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01139848 15.00 OTHER EXPENSES
Tcivi' SHIP'D ego DESCRIPTION UOM UNIT AMOUNT
PRICE
** Location: A **
CD 50RB 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 15.00 15.00
UN1013 (LIQUID WITHDRAW)
50CF @ 30.0000/100CF
Subtotal 15.00
TOTAL CYLINDERS SHIPPED: 1 RETURNED: 1
I
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Taxable amount:l 0.00
CARMEL WATER CUSTOMER: 12598 AMOUNT 15.00
THIS
3450 W 131ST ST INVOICE: 01139848 INVOICE
INCLUDING TAX
CARMEL IN 46074-8267 INVOICEDATE: 05/06/14
ORDER: 01970281-00 P/O:
INDIANA OXYGEN COMPANY r.CJ. BOX 7b5$8= -i'Lar^�i�i.";�pnT IC, IN 1627,8-0588
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 5/12/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/12/2014 01139848 $15.00
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
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Date Officer
VOUCHER # 135070 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
01139848 01-6200-06 $15.00
Voucher Total $15.00
Cost distribution ledger classification if
claim paid under vehicle highway fund