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HomeMy WebLinkAbout323954 04/06/18 r Cqy ,;: CITY OF CARMEL, INDIANA VENDOR: 154252:°' •i ® ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $**.....166.90* ?q. CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 323954 vy,TON_`o'�' INDIANAPOLIS IN 46278 CHECK DATE: 04/06/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 01743465 166.90 BOTTLED GAS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 154252 INDIANA OXYGEN CO IN SUM OF$ CITY OF CARMEL PO BOX 78588 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,_number of units,price per unit,etc. INDIANAPOLIS, IN 46278 Payee $166.90 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 01743465 42-311.00 $166.90 1 hereby certify that the attached invoice(s),.or 3/27/18 01743465 $166.90 2201 2201 2201 2201 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 Tuesday,April 03,2018 Huffman, Dave Director -- 1 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 ` '20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer „ LINIS � ITEM, ” QTY QTY DESCRIPTION F1NIl7u�iV sHIP'D� ELM= PRIDE ** Location: D ** IWDWEMWM251C 2 0 ROUND SOAPSTONE 4 CARDED EA 2.50 5.00 TIL1328L 1 0 LG. IMP GOATSKN TIG GLOVE 4"CUFF PR 9.00 9.00 TIL30L 1 0 LG PIGSKIN TIG-CD PR 12.20 12.20 TIL9230L 1 0 LG 30"BLUE JKT WITH LTH SLVS EA 41.25 41.25 TIL9230XL 1 0 XL 30"BLUE JKT WITH LTH SLVS EA 41.25 41.25 NAS1/4X50GBBT 1 0 1/4"X50' - BB T GRADE BEST WELD EA 58.20 58.20 HOSE 1/4X50GBBT TWINHOSE PARKER Subto al 166.90 Visit us at fac book or oi the web at ww .indi naox gen, om Taxable amount: 10.00 CARMEL STREET DEPT CUSTOMER: 07851 166.90 3400 W 131ST ST INVOICE: 01743465 cam CARMEL IN 46074 INVOICEDATE: 03/27/18 ORDER: 02625848-00 P/O: SHOP JAMES INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN • 46278-0588 INDIANA INDIANA OXYGEN COMPANY, INC. P.O. BOX 78588 DELIVERY TICKET INDIANAPOLIS, INDIANA 46278-0588 Y Bloomington + Cincinnati + Elkhart ; + Fishers + Fort Wayne Indianapolis ■ (812)330-9210 (513)353-2448 (574)295-4433 (317)841-0002 (260)918-0241 (317)290-0003 Lafayette Marion Muncie Seymour 6 Vincennes ■ ■ (765)474-7095 (765)662-8700 (765)289-2373 (812)522-4421 (812)882-4323 America's Oldest GaslKelding Supply 4151(")5095;"--' _ CUSTOMER',i3 3 8 5 i ORDER ORDER DATE ,[^•i.:.i;--;I'%sFEL 11',,' `(=,i)f PAGE I-}f.}1. I_11=- "X);, NAME PPIRi'iE a'TKET DEPT TERR 001 SHIP VIA wi I t Ca?I ."i4IGNE— INITIALS Aij P.O.# clfap RIES SALES 000 SHIP CODE 00 UPS ORDER TYPE 0"R3 REL# BRANCHI)il=r COUPPD � :1-'(If?� TIME 7-HAR-18 PHONE# '�("p�3 20r,I. SEL ROUTE# USERNAME jefi!{L}y Ei '� UNIT HN - SLi?WFtI`r�LF�,_.___,__._..____ Li6a" ------TTC?> -_ _ iiia: f T ' QTY BIN iJEI t!T ll;'I'; EXTENIDED CHip & KAi?P4u ;.,�.1;:5 I la P CI?DE 1f,1)f;} L.t7 i�tFLl.1�Tj A: iPd'i ------------- I r,1 G. RI;P 0[W16IKN T16 CaCtFL 4avGUFr 2 TI(. 1328L D 1 u ,0 1 EA i.G 33"Li I.IE AT KITH LTH 16LUS 4 TIL 9230L'I D 1 0 ,30 t E f-) XL 3011-LE JKT KITH L.TH.Si_Vb' TIL S-230;(L it A. 0 H2 . ,0.' i!':C� r� ► i {}ud{{�� �'}7' `�gspu `lY�( [7r�wE[Jl I? :: i-�Fe�.l�.!��+�7 e�. � U .•-311 H S t!Fro��`'V4SLT SWINIRRESE 1�1'iFKR 9 iL S�q�jcA�;NkSTRKIONS +4r I`_It��Fia; t3C1i�`i37 �. PLACARDS: ACCEPTED REFUSED Distorter EUithoY%Zeri Sflhfri to debit Cu.itorler'SE Credit card or L'Ied;x-t friord MC TERMS BCONDITIONS „ THE q9PTOMER HEREIN CONSENTS T D ACCEPTS THE ABOVE PRODUCTS Lmstfi er`IE deposit any rautEtandinq I}{3I3nce renahiiiig 0n tho C'. toner's account SUBJECT TO ALL OF THE CONDITIONS AS S4 FORTH ON REVERSE SIDE HEREOF ` /I AND THEcE-X ISTING CONT CT IFTWEEN BOTH PARTIES. IMPORTANT PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR EIVED BY(SIGNATURE) DATE s" ON THE REVERSE SIDE OF THIS DOCUMENT.ALL SALES MADE ARE SUBJECT TO SUCH TERMS AND CONDITIONS. CUSTOMER SIGNATURE HEREON VERIFIES SHIPPED AND RETURNED RENTAL CYLINDER COUNT. \ S IPPED BY rl ICTnhAFR