HomeMy WebLinkAbout246374 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 154252
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ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******123.42*
=a CARMEL, INDIANA 46032 NDA APOLIS IN 46278 06/1 CHECK NUMBER: 74
CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4239012 08341588 13.30 SAFETY SUPPLIES
2201 4231100 08341893 110.12 BOTTLED GAS
INV ITEM INVOICE DATE INVOICE BEGINNINGSHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED
PBALANCE BALANCE CYLINDERS RATE _ _ AMOUNT
R CMF ASSET MANAGEMENr FEE 0 0 0 0 0 0 1.24 1.24
R SHP SMALL H GH, PRES URE 1 0 0 1 0 31 .389 12.06
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 13 .30
1411 E. 116TH ST. INVOICE: 08341588
CARMEL IN 46032 INVOICEDATE: 05/31/15
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,
rice per unit etc.
P
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
5/31/15 8341588 Oxygen tank rental May'15 xx1689 $ 13.30
Total $ 13.30
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.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 13.30
ON ACCOUNT OF APPROPRIATION FOR
109 :Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1094 8341588 4239012 $ 13.30 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
j materials or services itemized thereon for
1 which charge is made were ordered and
received except
I
June 11, 2015
I
$ 13.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
I IAN-A INDIANA OXYGEN COMPANY CUSTOMER:07851 PAGE: 1
P.O.BOX 78588 INVOICE: 0834189-3
INDIANAPOLIS,IN 46278-0588 INV DATE: 0 5/31/15
317-290-0003 SALESPERSON:0 0 0 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 30
CARMEL STREET DEPT H
I CARMEL STREET DEPT
L 3400 W 131ST ST 1 3400 W 131ST ST
L P
CARMEL IN 46074 CARMEL IN 46074
T T
O O
INVOICE AMOUNT: 110.12
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INVJ ITEM INVOICE DATE INVOICE BEGINNING HIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED
.._...�-�_ -P .._-_.. _._-. .BALANCE_._.-.:rBALANCE CYLINDERS RATE' AMOUNT
R ALY ACETYLE. E 3 0 0 3 0 93 .429 39.90
R ARG ARGON 1 0 0 1 1 0 .389 .00
R CMF ASSET MMAGEMEN2 FEE 0 0 0 0 0 0 9.92 9.92
R CO2 CARBON DIOXIDE 1 0 0 1 0 31 .389 12 .06
R MIX MIX GASES 2 0 0 2 0 62 .389 24.12
R OXY OXYGEN 2 0 0 2 0 62 .389 24.12
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851 TOTAL , 110.12
3400 W 131ST ST INVOICE: 08341893
CARMEL IN 46074 INVOICE DATE: 05/31/15
TOTAL CYL VALUE: 2700.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Oxygen
IN SUM OF$
P. O. Box 78588
Indianapolis, IN 46278-0588
$110.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 08341893 42-311.00 $110.12 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
Thu s ay, a 11, 2015
SreetPf ommT�ssloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/31/15 08341893 $110.12
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