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