HomeMy WebLinkAbout324136 04/18/18 Cqq.
CITY OF CARMEL, INDIANA VENDOR: 154252
''• ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********16.71
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 324136
INDIANAPOLIS IN 46278 CHECK DATE: 04/18/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT DESCRIPTION
1094 4350000 8488803 16.71 EQUIPMENT REPAIRS & M
i ;.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show,kind of service,where performed,dates service rendered,by
Vendor# 154252 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Indiana Oxygen Company Payee
P.O. Box 78588
Indianapolis, IN 46278-0588 In Sum of$ Purchase Order#
154252 Indiana Oxygen Company Terms
$ 16.71 P.O.Box 78588 Date Due
Indianapolis, IN 46278-0588
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 8488803 4350000 $ 16.71 Board Members 3/31/18 8488803 Oxygen Tank Rental xx6444 $ 16.71
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
$ 16.71 Total $ 16.71
April 10,2018
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 Payable Coordinator Clerk-Treasurer
Title
INV —ITEM-_ INVOICE DATE _._INVOICE'' ,,aECWNWG SHIPPED._RETURNED-. ENDING LEASED –BAUDAYS-___CYLINDER, EXTENDED,
PBALANCE :BALANCE- - CYLINDERS . -RATE- _ .AMOUNT' -
SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .489 15.16
CMF ASSET MkNAGEMENr FEE 1.55 1.55
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4
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CARMEL CLAY PARKS CUSTOMER--'0-3.390, X16 91 �
1411 E. 116TH ST. INVOICE: 08488803.J�7� ap AL S•,.. �,
CARMEL IN 46032 INVOICEDATE: 03/31/18
TOTAL CYL VALUE: TO"0-0'0 P/O:
IaNIDI%ANA OXYGEN COMPANY`�--P.O BBOX-78588-•�—I-NDIANAPOLIS,IN 46278=0588