HomeMy WebLinkAbout253102 01/11/16 �q CITY OF CARMEL, INDIANA VENDOR: 154252
4
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********47.43*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 253102
INDIANAPOLIS IN 46278 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4232100 1369961 47.43 GARAGE & MOTOR SUPPIE
v
ITEM QTY OTYUNIT
DESCRIPTION UOM PRICE AMOUNT; i.
_SHIP_'D_ .:B/0_
** Location: D **
OX 20 1 0 1 1 UN1072,OXYGEN,COMPRESSED,2.2 CYL 15.31. 15.31
20CF CYLINDER
20CF @ 76.5500/100CF
AL MC 1 0 1 1 ACETYLENE 10CF CYL 26.165 26.17
CGA-200
10CF @ 261.6500/100CF
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
Subto al 47.43
0TAL YLINDERS SHIPPED: 2 RETURNED: 2
DcC 14 2015.
BY:
Visit us at fac book or oi the
web at www.indi naox gen. 7om
Taxable amount: 0.00 _
CARMEL CLAY PARKS CUSTOMER: 03390 47.:4`3
1411 E. 116TH ST. INVOICE"s1�0�13'6996'1 ,
CARMEL IN 46032 INVOICE DATE 12�7s09/,15._ t _ ,
ORDER 02237549-00 P/ 3� XX-3009
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IND .R�ArOXYGlY OMPANY �� P.O' BOX78588 ' INDIANAPO TIS, IN ,� 46, 2r7t8;=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, price per unit, etc.
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
12/9/15 1369961 Re-supply of oxygen&acetylene for MO xx3009 $ 47.43
Total $ 47.43
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same In accordance
with I C 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
jn Sum of$
$ 47.43
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or Board Members
INVOICE NO. ACCT#fTITLE AMOUNT
Dept#
1125 1369961 4232100 $ 47.43 hereby certify that the attached invoice(s), or
ill(s)is(are)true and correct and that the
Ili a erials or services itemized thereon for
which charge is made were ordered and
received except
December 22, 2015
Signature
$ 47.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund