HomeMy WebLinkAbout240326 12/16/2014 J�%,.cin"• CITY OF CARMEL, INDIANA VENDOR: 154252
4 2i ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********10.77*
9 ,=a CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 240326
y,«oN��. INDIANAPOLIS IN 46278 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 8315959 10.77 SAFETY SUPPLIES
- 1-LC—VGIYV I-I1VnIlUINVVIIn lVVnr,,%jIVIGIVI - - -
INV _— ,_ _ ITEM, __ — INVOICE_DATE.__. .INVOICE_ _. BEGINNING SHIPPED RETURNED_ ENDING LEASED_ gAUDAYS.__. CYLINDER EXTENDED_
BALANCE BALANCE" CYLINDERS RATC - _,.____AmCDN_._..V_—_
R SHF SMALL HIGH PRESSURE 1 0 0 1 0 30 .359 10.77
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 10.77
1411 E. 116TH ST. INVOICE: 08315959
CARMEL IN 46032 INVOICE DATE: 11/30/14
TOTAL CYL VALUE: 100.00 P/O:
INDIANA 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
11/30/14 8315959 Oxygen tank rental Nov'14 36390 $ 10.77
Total $ 10.77
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
1
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
i
Po#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT i
1094 8315959 4239012 $ 10.77 1 hereby certify that the attached invoice(s), or
I 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
11-Dec 2014
$ 10.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund