HomeMy WebLinkAbout320839 01/17/18 CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $******'*15.47*
s, ,? CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 320839
v INDIANAPOGS IN 48278 CHECK DATE: 01/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 8475552 15.47 EQUIPMENT REPAIRS & M
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 154252 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Indiana Oxygen Company Payee
P.O. Box 78588
Indianapolis, IN 46278-0588 In Sum of$ Purchase Order#
154252 Indiana Oxygen Company Terms
$ 155.47 P.O.Box 78588 Date Due
Indianapolis,IN 46278-0588
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#ornvolce Description
Dept# INVOICE N0. ACCT#lrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 8475552 4350000 $ 15.47 Board Members 12/31/17 8475552 Oxygen Tank Rental xx4888 $ 15.47
I 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
$ 15.47 Total $ 15.47
January 9,2018
1 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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature —,20—
Accounts
20_Accounts Payable Coordinator Clerk-Treasurer
Title
INV - — VO GE
ITEM INVOICE DATE INVOICE eE�MNiNG SHIPPED RETURNED L� "�"4 BAUDAYS RAiE UNT
„.,,,..,•.. ..., • . . .,, ..,....�..-,. BALANCE., ., .: .<. -... ,,BALANCE`�•CYLINDERS`. ...__.•
SHP SMALL HIGH.PRES URE 1 0 0 1 0 31 .459 14.23
CMF ASSET MANAGEMENr FEE 1.24 1.24
TAX: .00
CARMEL CLAY PARKS CUSTOMER.-0.33.9.55 2`0 47�'
1411 E. 116TH ST. LuyV_OJCE:�0847
CARMEL IN 46032 INVOtCEDATE 12/31'/17
TOTAL CYL VALUE: 100.0-0, PIO:
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