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259789 06/16/16
1y u�C�gMf J/ �` CITY OF CARMEL, INDIANA VENDOR: 154252 ® ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: S""'"""""27.84" s. ,,, CARMEL, INDIANA 46032 PO Box 78588 CHECK NUMBER: 259789 ay`,�roN moo. INDIANAPOLIS IN 46278 CHECK DATE: 06/16/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4350000 08384413 13.92 EQUIPMENT REPAIRS & M 1094 4350000 08393082 13.92 EQUIPMENT REPAIRS & M Voucher No. Warrant No. 154252 Indiana Oxygen Company Allowed 20 P.O. Box 78588 Indianapolis, IN 46278-0588 In Sum of$ $ 27.84 ON ACCOUNT OF APPROPRIATION FOR 109 Morton Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept#' 1094 8384413 4350000 $ 13.92 1 hereby certify that the attached invoice(s), or 1094 8393082 4350000 $ 13.92 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 June 8, 2016 Signature $ 27.84 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund INV - -ITEM - -- INVOICE DATE INVOICE "BEGINNING SHIPPED RETURNED ENowG- --LEASED BAUDAYS CYLINDER EXTENDED P - BALANCE BALANCE CYLINDERS RATE AMOUNT CMF ASSET 1VANAGEMENT FEE 0 0 0 0 0 0 1.24 1.24 SAL SMALL ACETYLENE 0 1 1 0 0 0 .409 .00 SHP SMALL HIGH PRESSURE 1 1 1 1 0 31 .409 12.68 UNI By:- TAX: :4': TAX: .00 CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL , ig3 0I 1411 E. 116TH ST. INVOICE: 0 8iAiA13 CARMEL IN 46032 iN1/OICEaoarEi O.r3 31%,/r TOTAL CYL VALUE: 100.00 P/O: IND MONYG&C-OM PANY•---P:O:BOX 78588'INDIANAPOLIS, I°N�w!�46278 0588 ------ """• - - ITEM ---.- I-!NVVIGt L]A6E-I<:..INVUI{.;t.-: - "" '.Sn1YYtU„ nt IUtINqu .if•VCINPERS_�.'.onvunr�. J - _RATE :h_-- AMOUNT . rvP .. .. - .. ,. :iAL.iJOE--,_ __ _.- BALP.NCE" R SHP SMALL HIGH PRESSURE -1 0 0 .1 -0 31 .409 12.68 R CMF ASSET MkNAGEMENr FEE 1.24 1.24 TAX: 00 CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 1�3 . 1411 E. 116TH ST. Nu011E: 0839 ' CARMEL IN 46032 ATE:. 05,/x33©8w2 � WVOICEDv1/16 TOTAL CYL VALUE: 10 0.0 0 P/O: ' N 4'65P:O:BOX78588INDIA9OLS I278r