HomeMy WebLinkAbout325433 05/23/18 +ur CAgy
CITY OF CARMEL, INDIANA VENDOR: 363613
® �1• ONE CIVIC SQUARE BOB'S CO2 CHECK AMOUNT: $********60.00*
CARMEL, INDIANA 46032 1750 W HUNTSVILLE ROAD CHECK NUMBER: 325433
PENDLETON IN 46064 CHECK DATE: 05/23/18
t rON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 20472 60.00 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 363613
BOB'S cot
IN SUM OF$ CITY OF CARMEL
1750 W H UNTSVI LLE ROAD 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.
PENDLETON, IN 46064
Payee
$60.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course 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
20472 42-390.40 $60.00 1 hereby certify that the attached invoice(s),or 5/14118 20472 CO2 $60.00
1207 101 1207 101
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
Wednesday, May 16,2018
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
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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DELIVERY TICKET 6 INVOICE 20472
"I've G®e Gas"
1750 W. Huntsville Road
Pendleton, IN 46064 {
317.969-9262 • 765-776-6463
®ate:
email: bobsc`o2@frontier.com
ID# Qty. Unit Description&Hazard Class Item# Cylinders Volume Unit. Extended Amount
Ship Ship Return Weight Amount
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2
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5
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IMPORTANT 'ul3 T�sAL {f
ro,
PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR ON THE FREIGIil'; �
REVERSE SIDE OF THIS DOCUMENT. ALL SALES ARE SUBJECT TO SUCH TERMS AND t,
SwLES TAx
CONDITIONS. CUSTOMER SIGNATURE HEREON VERIFIES SHIPPED AND RETURNED RENTAL
CYLINDER COUNT.
Please Pay From This Invoice / Delivery Ticket
' Your prompt payment is appreciated.
'. TERMS AND CONDITIONS: THE CUSTOMER HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS SUBJECT TO ALL OF THE CONDITIONS ASSET
FORTH ON REVERSESJDE HEREOF AND THE EXISTING CONTRACT BETWEEN BOTH PARTIES.
ecie ed By(Sjjignature)-? at
Shipped By
INVOICE WHITE COPY - OFFICE INVOICE YELLOW COPY - CUSTOMER