HomeMy WebLinkAbout305024 11/14/16 CITY OF CARMEL, INDIANA VENDOR: 154252
CHECK AMOUNT: $********13.92*
(9,
ONE CIVIC SQUARE INDIANA OXYGEN COCARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 305024
INDIANAPOLIS IN 46278 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 08414721 13.92 EQUIPMENT REPAIRS & M
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 13.92
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 8414721 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
November 10, 2016
.'PACk&0V7UA-J
Signature
$ 13.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
ING' ITEM INVOICE DATE. `INVOICE .' BEc1"KING "SHIPPED:RETURNED `'`ENDING LEASED BAUDAYS CYLINDER EXTENDED
_ - -- - ..... BALANCE CYLINDERS ..:RATE AMOUNT.
-
DLPE. .A _._.__ -__.._,.,..,_E D E. __V`..._ BALANCE
SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .409 12.68
CMF ASSET MPNAGEMENF FEE 1.24 1.24
TAX: 00
CARMEL CLAY PARKS CUSMER 0�3�390;,
21,
1411 E. 116TH ST. INVo10;841�4721
CARMEL IN 46032 INVOICE'DATE�10/31/16
TOTAL CYL VALUE: _ 100.00 P/O:
INID?IANOXYGEN C�OMPAN�Yk ,PuO`BOX17858,8 'INDIANAPOtiIS _IN 46278 0588 _