318614 11/15/2017 CITY OF CARMEL, INDIANA
VENDOR: 154252 CHECK AMOUNT: $**......15.47
INDIANA OXYGEN CO
CHECK NUMBER: 318614
ONE CIVIC SQUARE PO BOX 78588
CARMEL, INDIANA 46032 INDIANAPOLIS IN 46278 CHECK DATE: 11/15/17
DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER 15AMOUNT.47 EQUIPMENT REPAIRS EQUIPMENT M
8466845
1094
4350000
_�
Voucher No. Warrant No. Allowed 20
154252 Indiana Oxygen Company
P.O. Box 78588
Indianapolis, IN 46278-0588 In Sum of$
$ 15.47
ON ACCOUNT OF APPROPRIATION FOR
108 Monon Center
Board Members
PO#orAMOUNT
INVOICE NO. CCT#/TITL
Dept# 15.47 1 hereby certify that the attached invoice(s), or
1094 8466845 4350000 $ 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 8, 2017
IpAdjow-YL"
Signature
Accounts Payable Coordinator
$ 15.47 Title
cost distribution ledger classification if
claim paid motor vehicle highway fund
ITEM INVOICE DATE INVOICE BEGINNING SHIPPED RETURNED ENDING `EASED gAUDAYS CYLINDER EXTENDED
BALANCE BALANCE CYLINDERS RATE AMOUNT
SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .459 14.23
CMF ASSET MANAGEMENr FEE 1.24 1.24
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 TOTAL 15.47
1411 E. 116TH ST. INVOICE: 08466845
CARMEL IN 46032 INVOICEDATE: 10/31/17
TOTAL CYL VALUE: 100.00 P/O:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588