HomeMy WebLinkAbout300134 07/12/16 4y pr C�qM�
J( ;` CITY OF CARMEL, INDIANA VENDOR: 15422
® _ ONE CIVIC SQUARE INDIA A OXYGEN CO CHECK AMOUNT: $*********3.14*
r =Q' CARMEL, INDIANA 46032 Po Box 8588 CHECK NUMBER: 300134
;ETON INDIAN POLIS IN 46278 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB R AMOUNT DESCRIPTION
854 367008 08394426 3.14 CRC FESTIVALS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
INDIANA OXYGEN CO ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 78588 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46278 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$3.14 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
08394426 3-670.08 $3.14 1 hereby certify that the attached invoice(s),or 5/31/16 08394426 $3.14
1203 854 1203 854
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered an
received except
Wednesday,June 29,2016
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--
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
ITEM: ` INVOICE DATE 'INVOICE' BNANCEG.:...SHIPPED._RETURNED. . ENDING-
�. .LEAS D BAUDAYS CYLINDER,
- AMOUNT
D HEL HELIUM — - - - - — 2- 1 -- 2 1 - - 1 7 -- .409 - 2 .8-6
R CMF ASSET MWAGEMENr FEE .28 .28
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TAX: 00
CARMEL, CITY OF uSTOMER: 213663 .14
TOTAL 0o.:
1 CIVIC SQUARE INVOICE: 08394426
CARMEL IN 46032 INV ICEDATE: 05/31/16
TOTI L CYL VALUE: 300.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588