HomeMy WebLinkAbout241749 02/03/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $"""'""'99.00•CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 241749
INDIANAPOLIS IN 46278 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 01238781 99.00 GARAGE & MOTOR SUPPIE
------------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
_ �. IT.EM_ QT QTv UNIT
F�IPT.CNIQMDESG
AMOUNT.--anhu eu rniCE
** Location: D **
WCMKLEARVIEW+ 1 0 DIGITAL AUTO DARK 4-9/13 HELMET EA 99.00 99.00
KLEAR-VIEW-PLUS
Subtotal 99.00
I
I
I
I
I
Visit us t facgbook or oi the
webat wwv .indi naox gen. om
I
� I
Taxable amount: 0.00
CARMEL STREET DEPT CUSTOMER: 07851 ° 99.00
°
3400 W 131ST ST` INVOICE: 01238781
CARMEL IN 46074 INVOICEDATE: 01/23/15
ORDER: 02088369-00 P/O: SHOP
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN 46278-0588
I
VOUCHER NO. WARRANT NO.
Indiana Oxygen ALLOWED 20
IN SUM OF$
P. O. Box 78588
Indianapolis, IN 46278-0588
$99.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 01238781 42-321.00 $99.00 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
T 'nuary 015
Street CnmmiccinnPP
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
01/23/15 01238781 $99.00
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
120
Clerk-Treasurer