HomeMy WebLinkAbout237153 09/16/14 ♦u•,C4NgJ
�i�% ,� CITY OF CARMEL, INDIANA VENDOR: 154252
=; ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******183.82*
�3 ?� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 237153
9M;�ioN�o` INDIANAPOLIS IN 46278 CHECK DATE: 09/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 01185220 183.82 REPAIR PARTS
- _'J
PRICE NIT-
SHIP'D' B/0 - ---
ITEM — _ ° per �DE8CRIPTION f UOM AMOUNT
** Location: D **
VIC0324-0073 1 0 3-W-1 WELDING NOZZLE^ EA 65.32 65.32
VIC0324-0074 1 0 4-W-1 WELDING NOZZLE EA 72.90 72.90
WLT13N13 2 0 #10 5/8" ALUMINA NOZZLE BOX 15.20 30.40
WT9/ WT20/ WT25/
WLT13N12 1 0 #8 1/2" ALUMINA NOZZLE BOX 15.20 15.20
WT9/ WT20/ WT25/
Subto al 183.82
Visit us at facbook or on the
web at wvn .indi naox gen. om
Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 183.82
3400 W 131ST ST INVOICE: 01185220 ,
CARMEL IN 46074 INVOICEDATE: 09/05/14
ORDER: 02022506-03 P/O: MIKE - SHOP
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF $
P. O. Box 78588
Indianapolis, IN 46278-0588
$183.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT
Board Members
2201 I 01185220 I 42-370.001 $183.82 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) 1 J� / / V -
e r , 2014
��eet-Semmissi�ner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
i
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.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/05/14 01185220 $183.82
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