301946 08/18/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECKAMOUNT: $********13.92*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 301946
INDIANAPOLIS IN 46278 CHECK DATE: 08/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 08401752 13.92 EQUIPMENT REPAIRS & M
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 13.92
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 8401752 4350000 $ 13.92 1 hereby certify that the attached invoice(s), or
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
August 10, 2016
Signature
$ 13.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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:
INv." --=ITEU- _--- INVOICE-DAT > iNVOICE -BEGINNING_ ,SHIPPED 9ET R"lED--ENDING___. LEASED._-BAL .WS---CYLINDER _EXTENDED
PBALANCE BALANCE CYLINDERS HATE AMOUNT --—
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .409 12 .68
R CMF ASSET MANAGEMENr FEE 1.24 1.24
AUG v 5 N16
TAX:
CARMEL CLAY PARKS CUSTOMER:_03390 TOTAL 1.3 .92
1411 E. 116TH ST. INUOCE:,0840'1752
CARMEL IN 46032 I VOICE DATE- 0 7%31/15* "' '
TOTAL CYL VALUE: 100.00
0 0.0 0 O:
r.�Y..:•k-`�'-eS`ti- '�` i
INDIAVOXYCyEN COMPANY P.O. BOX.78588: I1�LDIANPOLIS, IN 46278-0588