HomeMy WebLinkAbout235126 07/22/14 y p1.t4q*
�/ >. CITY OF CARMEL, INDIANA VENDOR: 154252
® ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********10.77*
:ro _� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 235126
M��ipN�� INDIANAPOLIS IN 46278 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 8294527 10.77 SAFETY SUPPLIES
----------------------------- VL:tAbt btINIJ I Uff Y .I v VVI I h YVAYMI=1'41 _.
INV ITEM INVOICE DATE_ INVOICE' BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED
TYPE---- -•- - - - -- _ -- .-- ----- --- BALANCE ---- - ---BALANCE- CYLINDERS _.-,- _ RATE _. ..AMOUNT-_
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 30 .359 10.77
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TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL. 10.77
1411 E. 116TH ST. INVOICE: 08294527
CARMEL IN 46032 INVOICE DATE: 06/30/14
TOTAL CYLVALUE: 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
6/30/14 8294527 Oxygen tank rental Jun'14 36390 $ 10.77
Total $ 10.77
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
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588 1
Indianapolis, IN 46278-0588
In Sum of$
$ 10.77
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#ITITLE AMOUNT i Board Members
Dept#
1094 8294527 4239012 $ 10.77 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
1.6-Jul 2014
Yh1/-u a h
$ 10.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund