HomeMy WebLinkAbout241212 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 367107
® hi ONE CIVIC SQUARE ALGALCO LLC CHECK AMOUNT: S""'"'39.24'
CARMEL, INDIANA 46032 PO BOX 502768 CHECK NUMBER: 241212
9- A= INDIANAPOLIS IN 46250 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4350900 31885 119 39.24 HYDROGEN FUEL SYSTEM
Al•Ga1;Cc>
AlGalC® LLC DATE: January 1, 2015
Hydrogen on Tap TM INVOICE# 119
FOR: Hydrogen Delivery- P.O.#31855
P.O. Box 502768
Indianapolis, IN 46250 BILL TO: Attn: Dave Huffman
Phone: 317.775.1094 Carmel Street Department
Fax: 317.423.8211 3400 W 131 st Street
Westfield, IN 46074
Phone: 317.733.2001
DESCRIPTION AMOUNT
7000 liters of hydrogen, Cost=$39.24/per month $ 39.24
December 1 -December 31, 2014
SUBTOTAL $ 39.24
Terms:Net 30-days.
Make all checks payable to AIGalCo, TAX RATE 0.00%
If you have any questions concerning this invoice,contact:
Kim Morris SALES TAX -
AIGalCo Business Development
kmorrs@algalcoonline.com-or-317.340.0211. OTHER -
THANK YOU FOR YOUR BUSINESS! TOTAL $ 39.24
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))
01/01/15 119 $39.24
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
AIGalCo, LLC
IN SUM OF $
P.O. Box 502768
Indianapolis, IN 46250
$39.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
31885 119 42-311.00 $39.24 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
LWVY V
qday, January 16, 2015
I
Street Commissioner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund