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HomeMy WebLinkAbout327871 07/20/18 4j/f,q\ CITY OF CARMEL, INDIANA VENDOR: 154252 ® Oil ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********93.87* x. ° CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 327871 +.`y,�To*��` INDIANAPOLIS IN 46278 CHECK DATE: 07/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 01789247 93.87 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 154252 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANA OXYGEN CO IN SUM OF$ CITY OF CARMEL PO BOX 78588 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. INDIANAPOLIS, IN 46278 Payee $93.87 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department 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 01789247 42-370.00 $93.87 1 hereby certify that the attached invoice(s),or 7/3/18 01789247 $93.87 2201 2201 2201 2201 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,July 18,2018 Huffman, Dave Director 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer QTr ITEM SHIP�D a/o DESCRIPTION UOM PRICE AMOUNT ** Location: D ** REPGAS 1 0 REPAIR-GAS APPARATUS REP 65.00 65.00 PO NUMBER 23102 TAG NUMBER 51076 VICTOR A270-V CUTTING HEAD PO BE REPAIRED AS NEEDED **** PLEASE CALL JID Q 317-691-6725 WHEN FINISHED **** VIC0331-0013 1 0 0-3-101 3/8" CUTTING TIP EA 28.87 28.87 GENERAL PURPOSE Subto al 93.87 Visit us at fac book or on the web at wvn .indiinaoxrgen. mm i Taxable amount: 0.00 CARMEL STREET DEPT CUSTOMER: 07851 • 93.87 • 3400 W 131ST ST INVOICE: 01789247 CARMEL IN 46074 INVOICEDATE: 07/03/18 ORDER: 02648434-00 P/O: SHOP JIM INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS,IN 9 46278-0588 INDIANA INDIANA OXYGEN COMPANY, INC. �6F P.O. sox 78588 DELIVERY TICKET INDIANAPOLIS, INDIANA 46278-0588 Bloomington + Cincinnati + Elkhart Fishers + Fort Wayne + Indianapolis ■ (812)330-9210 (513)353-2448 (574)295-4433 (317)841-0002 (260)918-0241 (317)290-0003 Lafayette + Marion + Muncie + Seymour + Vincennes (765)474-7095 (765)662-8700 (765)289-2373 (812)522-4421 (812)882-4323 AmeNiea's Oldest Gas/Welding Supply 4224407744 CUSTOMER 07651 ORDER _ 648434-00 CARMEL STREET DEPIT 3400 W 131ST ST ORDER DATE j)5/ I. 1 1 S C AMYIE•L.. IN 46n.074 PAGE ()(-)1 OF 001 3117-733-2001 NAME CARMEL STREET DEPT TERR 007 • SHIP VIA Nil! Call -NOS- INITIALS imp P.O.# SKIP JIM SALES wo SHIP CODE v} UPS () ORDER TYPE FH REL# BRANCH004 COUPPD PREPAID TIME 05-JUL-16 i 1i3 11:04AH PHONE# 317-733_2001 SEL _ ROUTE# USERNAME jjenkins QTY UNIT HM ----------DESCRIPTION------------- LIME ------ITEM--•---- LDC QTY QTY DIN 14EIMT U?i%T ; EXTENDED SHIP s3• HA7ARI) CLASS NO I°ltNBER ORDER BKORD LDC MOUNT! PM01JNT 1 REP' REPAIR--GAS APPARATUS 1 REP GAS D 1 0 .00 PC! WMFER 23102 TAG LUMBER 51076 VICTOR (4270-V CUTTING READ TO RE RUAIREEU A3 NEEDED £ PLEASE CALL JIM @ 317-691-6725 WEN FINISHED i EA G-33-1101 31$n C1lTTStFi TIP 2 VIC 0331-0013 D 1 0 G 0.11 GEWRAL PIJR.POSE Total Weight: .1100 (SPECIAL INSTRUCTIONS: PLACARDS: ACCEPTED REFUSED EMERGENCY RESPGNSE TELEPHONE NUMBER: 8005355053 Elastomer aufhorizes Seller to debit Customer's credit card or deduct tr`01 the TERMS&CONDITIONS THE CUSTO-M HEREIN CONSENTS TO AND ACCEPTS THE ABOVE PRODUCTS Customer's deposit any outstanding balance remaining on the Customer's aI: ount SUBJECT,TO O1'.�HE TIQNSASSETFORTHONREVERSESIDEHEREOF � N �f EPXTRACT BBEET/WfEs}EN Bio PARTIES. IMPORTANT - PLEASE READ CAREFULLY THE TERMS AND CONDITIONS OF SALE WHICH APPEAR RECEIVED BY(SIGNATURP DATE ON THE REVERSE SIDE OF THIS DOCUMENT.ALL SALES MADE,ARE SUBJECT TO ` ✓Jr�" f SUCH TERMS AND CONDITIONS. CUSTOMER SIGNATURE HEREON VERIFIES X / �7 / SHIPPED AND RETURNED RENTAL CYLINDER COUNT.• sylrP B CUSTOMER