HomeMy WebLinkAbout327535 07/18/18 0♦or c�Ab
�� CITY OF CARMEL, INDIANA VENDOR: 154252
® ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********16.17*
9 j=� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 327535
�,�TON�` INDIANAPOLIS IN 46278 CHECK DATE: 07/18/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 8502473 16.17 EQUIPMENT REPAIRS & M
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 154252 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Indiana Oxygen Company Payee
P.O. Box 78588
Indianapolis, IN 46278-0588 In Sum of$ 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#ornvolce Description
Dept# INVOICE NO. ACCT#lrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 8502473 4350000 $ 16.17 Board Members 6/30/18 8502473 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
July 9,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
l,� 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
INR __ _ITEM., '- -INVGICE DATE' �`-,.�CICC ;! -.,BEOwNC G -. SHIPPED`RETURNED.-,:ENOING._. _CEASED.-- .OAUDAYS,-- CYLINDER _ _EXTENDED - _
N - BALANCE. BALANCE CYLINDERS .RATE ANIOUNT-
SHP SMALL HIGH PRESSURE 1 0 0 1 0 30 .489 14.67
CMF ASSET MkNAGEMENr FEE 1.50 1.50
TAX: .00
CARMEL CLAY PARKS CUSTOMER: 03390 room
1411 E. 116TH ST. 'INVOICE:� 0850247
CARMEL IN 46032INVOIC 06/30/3:8, -y
TOTAL CYL VALUE: 100.00 P/O:
I DI=prNAOGE'1C.OlCiIPANY P.O B:OX'78588� NDIYANAP'OLISwI1�7462a78�0588, -: