HomeMy WebLinkAbout235885 08/13/14 o'_��A,,� CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $"""""""92.76'
:�, ;_� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 235885
vy.,,_co� INDIANAPOLIS IN 46278 CHECK DATE: 08/13/14
«ON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08299147 92.76 BOTTLED GAS
CYLINDER RENTAL INVOICE
INT-QIAN2� INDIANA OXYGEN COMPANY CUSTOMER:0 7 8 5 1 PAGE: 1
P.O.BOX 78588 INVOICE: 08299147
INDIANAPOLIS,IN 46278-0588 INV DATE: 07/31/14
317-290-0003 SALESPERSON:0 0 0 1 TERR: 0 0 7
BRANCH: 004
P/O:
TERMS: NET 30
B CARMEL STREET DEPT H CARMEL STREET DEPT
�
3400 W 131ST ST P 3400 W 131ST ST
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 92 .7 6
--------------------------- ------------ PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
Nv ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED gAUDAYS CYLINDER EXTENDED
P ___ BALANCE -__- _-- .. _-______BALANCE_ CYLINDERS _ ., .__._ _-RATE_ _ AMOUNT _
R ALY ACETYLENE 3 0 0 3 0 93 . .399 37.11
R ARG ARGON 1 0 0 1 1 0 .359 .00
R CO2 CARBON DIOXIDE 1 0 0 1 0 31 .359 11.13
R MIX MIX GASES 2 0 0 2 0 62 .359 22.26
R OXY OXYGEN 2 0 0 2 0 • 62 .359 22.26
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL 92 .76
3400 W 131ST ST INVOICE: 08299147
CARMEL IN 46074 INVOICEDATE: 07/31/14
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278-0588
$92.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 08299147 I 42-311.001 $92.76 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
e
Ali d ay t 014
VVV
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))
07/31/14 08299147 $92.76
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