HomeMy WebLinkAbout234041 06/25/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECKAMOUNT: $********11.13*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 234041
INDIANAPOLIS IN 46278 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 8290244 11.13 SAFETY SUPPLIES
- - wv--- -ITEM =iNVOIGE:DAT.E'-"INVOICE --BEGINNING SHIPPED „ETl RNED-ENDING-.� LEASED-..-BAUDAY$' CYLINDER- --EXTENDED--
TYPE _-
BALANCE BALANCE CYLINDERS RATE AMOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .359 11.13
()Xy qcn '(�
3(03go
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 11.13
1411 E. 116TH ST. INVOICE: 08290244
CARMEL IN 46032 INVOICEDATE: 05/31/14
TOTAL CYL VALUE: 100.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 9 46278-0588
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
154252 Indiana Oxygen Company Terms
P.O. Box 78588
Indianapolis, IN 46278-0588
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/31/14 8290244 Oxygen tank rental May'14 36390 $ 11.13
Total $ 11.13
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in adcordance
with IC 5-11-10-1.6
,20_
Clerk-Treasurer
i
I
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 11.13
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1094 8290244 4239012 $ 11.13 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
j which charge is made were ordered and
received except
19-Jun 2014
$ 11.13 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund