HomeMy WebLinkAbout324632 04/25/18 CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $r r■*■r r*45.92'
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 324632
INDIANAPOLIS IN 46278 CHECK DATE: 04/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 01752771 45.92 OTHER EXPENSES
VOUCHER NO. 181353 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 154252 IN SUM OF$ 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
45.92 154252 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR INDIANA OXYGEN CO Terms
Carmel Water Utilitv PO BOX 78588 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46278
PO# ACCT# or bill(s)is(are)true and correct and that
the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
01752771 01-6200-06 $45,92 and received except 4/19/2018 01752771 $45.92
.l
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
ITEM QTY oTY DESCRIPTION UOM Uhlll AMOUNT
SHIRR ego PRICE
� ** Location: A ** I
CD SORB 1 0 1 1 CARBON DIOXIDE, 2.2 CYL 35.785 35.79
UN1013 (LIQUID WITHDRAW)
50CF Q 71.5700/1000F
FSCFUEL SRCHGWC 1 0 DIESEL SURCHARGE W/C EA 3.18 3.18
HMCHAZ MAT CHG 1 0 HAZARDOUS MATERIAL CHARGE EA 6.95 6.95
Subto al 45.92
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TOTAL cYLIN ERS iSHIPPED: 1 RETURNED: 1
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LTaxable amount: 0.00 I _I
CARMEL WATER CUSTOMER: 12598 • 45.92
•
3450 W 131ST ST INVOICE: 01752771 ,
CARMEL IN 46074-8267 INVOICE DATE: 04/16/18
ORDER: 02634891-00 P/0:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588