HomeMy WebLinkAbout257703 04/22/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********51.14*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 257703
INDIANAPOLIS IN 46278 CHECK DATE: 04/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4232100 1415596 51.14 GARAGE & MOTOR SUPPIE
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
3/24/16 1415596 Oxygen and Acetylene for MO xx3495 $ 51.14
Total $ 51.14
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
i
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588 t
I In Sum of$
$ 51.14
1�
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ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
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PO#or INVOICE NO. ACCT#/TITL AMOUNT I Board Members
Dept#
1125 1415596 4232100 $ 51.14 ' 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
I materials or services itemized thereon for
which charge is made were ordered and
received except
i
April 14, 2016
I , 'P
I'
Signature
$ 51.14 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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SHIP'D B/o , PRiCE--
** Location: **
OX 20 1 0 1 1 UN1072,OXYGEN,COMPRESSED,2.2 CYL 15.922 15.92
20CF CYLINDER
20CF @ 79.6100/1000F
AL MC 1 0 1 1 ACETYLENE 10CF CYL 27.212 27.21
CGA-200
10CF @ 272.1200/100CF
FSCFUEL SRCHGWCI 1 0 DIESEL SURCHARGE W/C EA 2.06 2.06
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 5.95 5.95
Subto al 51.14
TOTAL 'YLINDERS SHIPPED: 2 RETURNED: 2
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Taxable amount: 0.00
CARMEL CLAY PARKS CUSTOMER: 03390 • 51:1
1411 E. 116TH ST. INV�OIC�E., 01415 5 9
CARMEL IN 46032 INVOICE DA�TE71"N0 24/1.6.
ORDER: 02283653-00 P/0: XX-3495
Il�IDIrA�OX®IGENC�OMAlY, O BOX 785$8• INDIANAPOLISIN ! .462,7;$0588