HomeMy WebLinkAbout240013 12/09/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECKAMOUNT: $********8976`.
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 240013
INDIANAPOLIS IN 46278 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08316276 89.76 BOTTLED GAS
----------- -
INP _ ITEM INVOICE DATE OICBEGINGv SHIPPED 'RETURNEDENDING LEASED
6CYLNDER EXTENDED
RALM IYN vR --CYLINDSRA
R
ALY ACETYLENE 3 2 2 3 0 90 .399 35.91
R ARG ARGON 1 0 0 1 1 0 .359 .00
R CO2 CARBON DIOXIDE 1 0 0 1 0 30 .359 10.77
R MIX MIX GASES 2 0 0 2 0 60 .359 21.54
R OXY OXYGEN 2 2 2 2 0 60 .359 21.54
R SAL SMALL ACETYLENE 0 1 1 0 0 0 .359 .00
R SHP SMALL HIGH PRESSURE 0 1 1 0 0 0 .359 .00
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851TOTAL � 89.76
3400 W 131ST ST INVOICE: 08316276
CARMEL IN 46074 INVOICEDATE: 11/30/14
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF$
P. O. Box 78588
Indianapolis, IN 46278-0588
$89.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#IrlTLE AMOUNT Board Members
2201 08316276 42-311.00 $89.76 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
Friday
Ste om°mis�loneer er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
� I
I
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))
11/30/14 08316276 $89.76
l
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