319729 12/15/17 o
•
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: S********14.97*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 319729
INDIANAPOLIS IN 46278 CHECK DATE: 12/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 8471204 14.97 EQUIPMENT REPAIRS & M
Voucher No. Warrant No.
154252 Indiana Oxygen Company Allowed 20
P.O. Box 78588
Indianapolis, IN 46278-0588
In Sum of$
$ 14.97
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
1094 8471204 4350000 $ 14.97 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
December 8, 2017
'PAN"VKCA)
Signature
$ 14.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CYLINDER RENTAL INVOICE
N]-)' ,— INDaIiAiNVA X EN` Qi MANY CUSTOMER:0 3 3 9 0 PAGE: 1
. � --
vi pggggM IINVOiCE 0 84 7k12 04
Nf� OLI €IN 8�b58'$ IfvDATiE11/3 0/17
w '"
317-290-0 03 LL SALESPERSON:0 0 0 TERR: 001
:—' 7 BRANCH: In In 1DEC 0 7
B CARMEL CLAY PARKS H CARMEL CLAY PARKS
L 1411 E. 116TH ST. I 1235 CENTRAL PARK DR EAST
L P
CARMEL IN 46032 CARMEL IN 46032
T T
O O
INVOICE AMOUNT: 14.97
---------------------------------------- PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------------
INV ITEM INVOICE DATE -.INVOICE ;f :I BEGINNING SHIPPED RETURNED ENDING LEASE „ggUDAYS' ,CYLINDER 'EXTENDED„ -
- - �.,. ....:BALANCE _ - .� SA�3HCE CYLINDERS.,-� -.. -RATE - -.AMOUNT',
P -... _. ...,-..�- -
SHP SMALL HIGH PRES URE 1 0 0 1 0 30 .459 13.77
R CMF ASSET MANAGEMENr FEE 1.20 1.20
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390
1411 E. 116TH ST. INVOICE: 08471204 -
CARMEL IN 46032 INVOICEDATE: 11/30/17
TOTAL CYL VALUE: 100.00 P/O:
SPI roe �GNCOANY P:O BO;X78588 T'1QDTAPOLIS INh4627x80588y