HomeMy WebLinkAbout326441 06/15/18 .� � CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO
�. CHECK AMOUNT: $********74.83*
�,
,��; CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 326441
',;�roN INDIANAPOLIS IN 46278 CHECK DATE: 06/15/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 01773399 74.83 OTHER EXPENSES
VOUCHER NO. 185691 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 154252 IN SUM OF$ 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
74.83 154252 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR INDIANA OXYGEN CO Terms
Carmel Wasterwater Utility PO BOX 78588 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice INDIANAPOLIS,IN 46278
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
01773399 01-7202-06 $74,83 and received except 6/6/2018 01773399 $74.83
/ 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
_Y
ITEM 4n arY �� _ DESCRIPTION U. PRICE AMOUNT
SHIP'D BIO: ,
** Location: D **
NOR66252833951 2 0 4X16 STAINLESS STEEL HAND BRUSH EA 5.89 11.78
PLASTIC HANDLE
NOR66252833953 4 0 STAINLESS SCRATCH BRUSH PLASTIC EA 9.109 36.44
HANDLE
HOB4043035X1 3 0 4043 035X1# SPL. MAXAL S40430350 LB 8.87 26.61
4043035X1
Subtotal 74.83
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Visit us at fac book or on the
web at ww .indi naox gen. om
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Taxable amount: 0.00
CARMEL WASTEWATER CUSTOMER: 16052 • 74.83
9609 HAZEL DALE PKWY INVOICE: 01773399 ,
INDIANAPOLIS IN 46280 INVOICEDATE: 05/30/18
ORDER: 02656391-00 P/O: S18484
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588