HomeMy WebLinkAbout238407 10/21/14 r Cqq"
*F. CITY OF CARMEL, INDIANA VENDOR: 154252
® "r ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********99.70*
t. a' CARMEL, INDIANA 46032 PO Box 78588 CHECK NUMBER: 238407
vy(TON,�. INDIANAPOLIS IN 46278 CHECK DATE: 10/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 07015640 99.70 OTHER EXPENSES
J'UN °"T PERIOD EXPIRATIO�d DESCRIPTION CYL - 'H,vlt AMOUNT
GROUP DATE' LEASED
L ACI MIX 12 10/2014 07015640 1 99.70 99 .70
TEO FER 1 YEAR D 5 YEAR LEASES
YR $1 2 .19 PE CYL (ACETYLENE=$209.16) PLUS T
CARMEL WATER CUSTOMER: 12598 TOTAL ® 99.70
3450 W 131ST ST INVOICE: 07015640
CARMEL IN 46074-8267 INVOICEDATE: 10/05/14
P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN 46278-0588
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 10/13/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201, 07015640 $99.70
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
6
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Date Officer
VOUCHER # 142018 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
07015640 01-6360-03 $99.70
Voucher Total $99.70
Cost distribution ledger classification if
claim paid under vehicle highway fund