HomeMy WebLinkAbout238129 10/15/14 4y W W p�P
CITY OF CARMEL, INDIANA VENDOR: 154252
`� 's. CHECKAMOUNT: $********10.77*
ONE CIVIC SQUARE INDIANA OXYGEN CO
s•. ;�a; CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 238129
+.y�,__. INDIANAPOLIS IN 46278 CHECK DATE: 10/15/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 8307394 10.77 SAFETY SUPPLIES
INV .ITEM- --- - INVOICE-DATE.----INVOICE,- -.BEGINNING 'SHIPPED RETURNED ENDING LEASED -._.Bp�UDP.Y$ .CYLINDER „__EXTENDED-,,..,-
F - BALANCE `' BALANCE -"-CYLINDEHS -RATE-- AMOUNT
-
R SHP SMALL HIGH PRFS URI-, 1 0 0 1 0 30 .359 10.77
OCT - 3 20'4
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TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 07o, 10.77
1411 E. 116TH ST. INVOICE: 08307394
CARMEL IN 46032 INVOICE DATE: 09/30/14
TOTAL CYL VALUE: 100.00 P/O:
INDIANA
• • •
ND ANA OXYGEN COMPANY P.O. BOX 78588 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
9/30/14 8307394 Oxygen tank rental Sep'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
i
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 10.77
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE No. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 8307394 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
I
i
9-Oct 2014
$ 10.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund