HomeMy WebLinkAbout236420 08/27/14 +�r.CAq�
CITY OF CARMEL, INDIANA VENDOR: 154252
" ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********1 1.13*
:� �_�; CARMEL, INDIANA 46032 INDIANAPOLIS BOX 78588
85 8IN 46278 CHECK NUMBER: 236420
ETONCHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 8298828 11.13 SAFETY SUPPLIES
------------------------ -
INV ITEM--- - --INVOICE DATE INVOICE BEGINNING__"-SHIPPED RETURNED-= ENDING" LEASED __gAUDAYS-- CYLINDER.-,_-EXTENDED
" P -- - BALANCE BALANCE CYLINDERS RATE AMOUNT
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .359 11.13
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TAX: .00
CARMEL CLAY PARKS CUSTOMER: 0 3 3 9 0 TOTAL , 11.13
1411 E. 116TH ST. INVOICE: 08298828
CARMEL IN 46032 INVOICEDATE: 07/31/14
TOTAL CYL VALUE: 100.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9_ INDIANAPOLIS, IN • 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
7/31/14 8298828 Oxygen tank rental Jul'14 36390 $ 11.13
Total Is 11.13
1 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
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Voucher No. Warrant No.
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154252 Indiana Oxygen Company iAllowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
' in Sum of$
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$ 11.13
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1094 8298828 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
which charge is made were ordered and
received except
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21-Aug 2014
$ 11.13 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund