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HomeMy WebLinkAbout326512 06/20/18 +ur._4Qgy CITY OF CARMEL, INDIANA VENDOR: 154252 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********16.71* s. ?� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 326512 +.y,�roN ` INDIANAPOLIS IN 46278 CHECK DATE: 06/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4350000 8497895 16.71 EQUIPMENT REPAIRS & M ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 154252 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Indiana Oxygen Company Payee P.O. Box 78588 Indianapolis, IN 46278-0588 In Sum of$ Purchase Order# 154252 Indiana Oxygen Company Terms $ 16.71 P.O.Box 78588 Date Due Indianapolis,IN 46278-0588 ON ACCOUNT OF APPROPRIATION FOR 109-Monon Center Po#ornvolce Description Dept# INVOICE ND. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1094 8497895 4350000 $ 16.71 Board Members 5/31/18 8497895 Oxygen Tank Rental xx6444 $ 16.71 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 $ 16.71 Total $ 16.71 June 12,2018 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 ITY --.. ._:._._-,_...._ ..._---- OALANUt _. -_ .._._....-_..:'.OALANUt UTLINULKJ -.. KHIt..... 'AMUUN I' SHP SMALL HIGH PRESSURE 1 0 0 1 0 31 .489 15.16 CMF ASSET MANAGEMENr FEE 1.55 1.55 TAX: .00 CARMEL CLAY PARKS CUSTOMER. 0.3,3 r0 TdTA� 16.71 47 1411 E. 116TH ST. INVOICE. g 9t5` CARMEL IN 46032 INVOICE DATE: OM3 31./18 TOTAL CYL VALUE: 100.00 P/O: IN,zDI�A�NA OX4YGE�N C07MrP�ANEY • POO? BOX 78588• '1 4D+� .APQ'IS;IN�W?148�`05.88