HomeMy WebLinkAbout258434 05/10/16 a°����qM
\� CITY OF CARMEL, INDIANA VENDOR: 154252
® � ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********99.70*
s. r', CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 258434
9M��iON�` INDIANAPOLIS IN 46278 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 367008 07019141 99.70 CRC FESTIVALS
VOUCHER NO. WARRANT NO.
ALLOWED 20
INDIANA OXYGEN CO
PO BOX 78588
IN SUM OF$
INDIANAPOLIS, IN 46278
$99.70
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
07019141 I 3-670.08 I $99.70 1 hereby certify that the attached invoice(s), or
854 854
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
Wednesday, May 04,2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/04/16 07019141 $99.70
854 854
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
CYLINDER LEASE INVOICE
INIJI-ANA INDIANA OXYGEN COMPANY CUSTOMER:213 6 6 1 PAGE: 1
GO ME P.O.BOX 78588
INVOICE: 07 019141
INDIANAPOLIS,IN 46278-0588 INV DATE: 04/04/16
317-290-0003 SALESPERSON:0 0 0 1 TERR: 0 0 5
BRANCH: 001
P/O:
TERMS: NET 30
B S
I CARMEL, CITY OF H CARMEL, CITY OF
� 1 CIVIC SQUARE F III W MAIN STREET
CARMEL IN 46032 CARMEL IN 46032
T T
0 0
INVOICE AMOUNT: 99.70
------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT--------------------------------------------
:INV NT : '.: EXPIRATION:s-. `. .- CYL .
SUP PERIOD DESCRIPTION RATE' AMOUNT
.ryPE CRCUfl ..._DATE _f_._ - ' LEASED '' ..
L HE1 HEL 12 04/2016 07019141 1 99.70 99.70
E 0 FER 1 YEARD 5 YEAR LEASES
YR $1 2.19 PE CYL (ACETYLENE=$209 .16) PLUS. TA
CARMEL, CITY OF CUSTOMER: 21366TOTAL 99.70
1 CIVIC SQUARE INVOICE: 07019141
CARMEL IN 46032 INVOICEDATE: 04/04/16
P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588 9 INDIANAPOLIS, IN • 46278- 1588