HomeMy WebLinkAbout257206 04/05/16 �'.%� "''� CITY OF CARMEL, INDIANA VENDOR: 154252
��® ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********13.02*
,\ f=� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 257206
M,�TON�. INDIANAPOLIS IN 46278 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4231100 08381463 13.02 BOTTLED GAS
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
02/29/16 08381463 $13.02
2201 201
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
INDIANA OXYGEN CO
PO BOX 78588 IN SUM OF$
INDIANAPOLIS, IN 46278
$13.02
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
I 08381463 I 42-311.00 I $13.02 1 hereby certify that the attached invoice(s), or
2201 201
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
Tuesda , arch5, 20
uwa/
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
INDIANA INDIANA OXYGEN COMPANY CUSTOMER:21366 PAGE: 1
P.O.BOX 78588 INVOICE: 08381463
INDIANAPOLIS,IN 46278-0588 INV DATE: 02/29/16
317-290-0003 SALESPERSON:0 0 0 TERR: 005
BRANCH: 001
P/0:
TERMS: NET 3 0
B
I CARMEL, CITY OF H CARMEL, CITY OF
� 1 CIVIC SQUARE F 111 W MAIN STREET
CARMEL IN 46032 CARMEL IN 46032
T T
O 0
INVOICE AMOUNT: 13.02
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
y �P ITEM INVOICEDATE INVOICE BALANCE SHIPPED RETURNED B E '�CLEASED
BAVDAYS CYLINDER "' AMOOND
R CMF ASSET MANAGEMENr FEE 0 0 0 0 0 0 1.16 1.16
D HEL HELIUM 2 0 0 2 1 29 .409 11.86
TAX: 00
CARMEL, CITY OF CUSTOMER: 2136613.02
,TOTAL
1 CIVIC SQUARE INVOICE: 08381463
CARMEL IN 46032 INVOICEDATE: 02/29/16
TOTAL CYL VALUE: 600.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588