HomeMy WebLinkAbout322736 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 154252
( ? ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*****`*100.00*
CARMEL, INDIANA 46032 PO Box 78686 CHECK NUMBER: 322736
INDIANAPOLIS IN 46278 CHECK DATE: 03/12/18
4�tON F
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER '-" AMOUNT DESCRIPTION
651 5023990 01726535 100.00 OTHER EXPENSES
VOUCHER NO. 177498 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 154252 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
INDIANA OXYGEN CO CITY OF CARMEL
PO BOX 78588 An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46278 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
100.00 154252 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR INDIANA OXYGEN CO Terms
Carmel Wasterwater Utility PO BOX 78588 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice INDIANAPOLIS,IN 46278
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
01726535 01-7362-06 $100.00 and received except 2/28/2018 01726535 $100.00
"_,1/ x
I 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. 20
Clerk-Treasurer
RI -GESCIPTiuUG AMO NT'
SHIP�D SiD _._
PRICE
** Location: D **
REPEQ 1 0 REPAIR-EQUIPMENT EACH 100.00 100.00
IOC REPAIR PO# 22334
TAG# 51057
MILLER DYNASTY 200 SD
MODEL# 907099 ,
SERIAL# LG460366L
Subtotal 100.00
Visit us at fac book or oa the
we at indi naox gen. om
Taxable amount:1 10.00
CARMEL WASTEWATER CUSTOMER: 16052 AMOUNT 100.00
OICE
9609 HAZEL DALE PKWY INVOICE: 01726535 THIS INV
INCLUDING TAX
INDIANAPOLIS IN 46280 INVOICEDATE: 02/21/18
ORDER: 02600092-00 P/O: S18035
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588