HomeMy WebLinkAbout325206 05/15/18 4�ur_.Sagyt
�, ;• CITY OF CARMEL, INDIANA VENDOR: 154252
. d ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*k i•M Y k■16.17'
4 =� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 325206
v, _ ,,:'� INDIANAPOLIS IN 46278 CHECK DATE: 05/15/18
., Arora�°
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 8493295 16.17 EQUIPMENT REPAIRS & M
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 154252 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Indiana Oxygen Company Payee
P.O. Box 78588
Indianapolis, IN 46278-0588 In Sum of$ Purchase Order#
154252 Indiana Oxygen Company Terms
$ 16.17 P.O.Box 78588 Date Due
Indianapolis,IN 46278-0588
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#ornvoice Description
Dept# INVOICE ND. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 8493295 4350000 $ 16.17 Board Members 4/30/18 8493295 Oxygen Tank Rental xx6444 $ 16.17
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
$ 16.17 Total $ 16.17
May 8,2018
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 Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
- ;NV:--- -- "ITEM _MbiCEDAT�E `BEGINNING I•:.SHIPPEDIRETURNED I:"` ENDING. --i -LEASED..- '.:BAL/DAYS CYLINDER - "�EVENDEO . -
P - BALANCE BALANCE : CYLINDERS. RATE_ AMOUNT.
.-
R SHP SMALL HIGH PRESSURE 1 0 0 1 0 30 .489 14.67
CMF ASSET MkNAGEMENr FEE 1.50 1.50
CARMEL CLAY PARKS CUSTOMER 03390
1411 E. 116TH ST. INVOICE1491295
CARMEL IN 46032 INVOICEbATE: 0.4/3.0/1'8)
TOTAL CYL VALUE: 100.00 P/O:
INrD�IN1VA QXYGEN COlVIPA1�1Y • P.O.BX 7.858 � Ile1DIA. -POLISH 4.6278-05