HomeMy WebLinkAbout233775 06/18/14 vY \ CITY OF CARMEL, INDIANA VENDOR: 154252
s it ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******103.87*
y, ?�; CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 233775
M,�TON�. INDIANAPOLIS IN 46278 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01150206 103.87 OTHER EXPENSES
r
ITEM QTY QTY DESCRIPTION UOM """ aivi�iuN i
SHIP'D B/O PRICE
** Location: W **
MIP192048 5 0 ELECTRODE EXTENDED (5PK) ICE40 EACH 9.80 49.00
ICE55 TORCH 625XTREME 2050/
** Location: A **
MIP192052 5 0 TIP EXTENDED 40A. (5PK) ICE40 EA 4.88 24.40
ICE55 TORCH 625XTREME 2050/
OX 150 1 0 1 1 OXYGEN, COMPRESSED, 2.2 CYL 20.27 20.27
UN1072
155CF @ 13.0774/100CF
** Location: FnT **
IFSCFUEL SRCHGWC 1 0 TEMP DIESEL SURCHARGE W/C EA 4.25 4.25
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
Subtotal 103.87
TOTAL YLI ERS SHIPPED: 1 RETURNED: 1
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Taxable amount: 0.00
CARMEL WATER CUSTOMER: 12598 103.87
3450 W 131ST ST INVOICE: 01150206
CARMEL IN 46074-8267 INVOICEDATE: 06/03/14
ORDER: 01983467-00 P/O:
INDIANA OXYGEN COWAN Y'ii r.0 BOX iS�
VOUCHER # 135309 WARRANT# ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR r,
Board members
PO# INV* ACCT# AMOUNT Audit Trail Code
01150206 01-6200-06 $103.87
Voucher Total $103.87
Cost distribution ledger classification if
claim paid under 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 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 6/6/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/6/2014 01150206 $103.87
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
Date Officer