HomeMy WebLinkAbout252673 12/15/15 i
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"F CITY OF CARMEL, INDIANA VENDOR: 154252
® ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $"'*''""12.01
f.. =4 CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 252673
�.y.oN.�` INDIANAPOLIS IN 46278 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 08368518 12.01 OTHER EXPENSES
I
CYLINDER RENTAL INVOICE
N DIAM INDIANA OXYGEN COMPANY CUSTOMER:20668 PAGE: 1
P.O. BOX 78588 INVOICE: 08368518
INDIANAPOLIS,IN 46278-0588 INV DATE: 11/30/15
317-290-0003 SALESPERSON:0 0 0 TERR: 007
BRANCH: 004
P/O:
TERMS: NET 3 0
B CARMEL CITY OF H CARMEL CITY OF
L 9609 HAZELDELL ROAD I 9609 HAZELDELL ROAD
L INDPLS IN 46280 P INDPLS IN 46280
T T
O O
INVOICE AMOUNT: 12 .85
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING LEASED BAUDAYS CYLINDER EXTENDED
VP _ _�-_ - _ - BALANCE __ BALANCE CYLINDERS _ - RATE _ _ AMOUNT -
rR ARG ARGON 0 1 0 1 0 28 .389 10. 89
R CMF ASSET MANAGEMENr FEE 0 0 0 0 0 0 1.12 1.12
CARMEL CITY OF CUSTOMER: 20668
TOTAL
9609 HAZELDELL ROAD INVOICE: 08368518
INDPLS IN 46280 INVOICEDATE: 11/30/15
TOTAL CYL VALUE: 300 . 00 P/O:
INDIANA OXYGEN COMPANY P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
154252
INDIANA OXYGEN CO Purchase Order No.
PO BOX 78588 Terms
INDIANAPOLIS, IN 46278 Due Date 12/8/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/8/2015 08368518 $12.85
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
Date Officer
f
VOUCHER # 156821 WARRANT # ALLOWED
154252 IN SUM OF $
INDIANA OXYGEN CO
PO BOX 78588
INDIANAPOLIS, IN 46278
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
08368518 01-7362-06 $12
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Voucher Total -S�5
Cost distribution ledger classification if
claim paid under vehicle highway fund
