HomeMy WebLinkAbout249610 09/23/15 r Coq .
CITY OF CARMEL, INDIANA VENDOR: 363613
d ONE CIVIC SQUARE BOB'S CO2 CHECK AMOUNT: $**......80.00*
x, CARMEL, INDIANA 46032 1750 W HUNTSVILLE ROAD CHECK NUMBER: 249610
'Mr;oN PENDLETON IN 46064 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 13567 80.00 FOOD & BEVERAGES
bor)9(S
0029 L.L.C. DELIVERY TICKET / INVOICE 13567
"I've Got Gas
1750 W. Huntsville Road
Pendleton, IN 46064
317-989-9262 S 765-778.8463
Date:
email: bobsco2@frontier.com
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ID 1, Qty. Unit Description&Hazard Class Item# Cylinders 1Mufne- Unit. Extended Amount
Ship Ship Return Weight Amount
-- -- - 1 --------------------- -- ---- - --` - - - -- - --- ------ -- - - - -- - -
2
3
4 �
5
6
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IMPORTANT - v 1 e/�
PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR ON THE
FREIGHT v '&'
REVERSE SIDE OF THIS DOCUMENT. ALL SALES"ARE SUBJECT TO SUCH TERMS AND
�SAs�Es� ax�'
CONDITIONS. CUSTOMER SIGNATURE HEREON VERIFIES SHIPPED AND RETURNED RENTAL
CYLINDER COUNT. v fl
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Please Pay From This Invoice / Delivery Ticket
Your prompt payment is appreciated.
TERMS AND CONDITIONS:THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS SUBJECT TO ALL OF THE CONDITIONS AS SET
FORTH ON REVERSESIDE HEREOF AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES,
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Re ed Si re)
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Shipped By
INVOICE WHITE COPY- OFFICE INVOICE YELLOW COPY - CUSTOMER
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))
09/11/15 13567 CO2 $80.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob's CO2, L.L.0
IN SUM OF $
1750 West Huntsville Road
Pendleton, IN 46064
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 13567 I 42-390.40 I $80.00 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
Friday, September 11, 2015
Director, Brooks e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund