HomeMy WebLinkAbout328837 08/14/18 +W.C4Ab
�y \�� CITY OF CARMEL, INDIANA VENDOR: 154252
�' ONE CIVIC SQUARE INDIANA OXYGEN CO
CHECKAMOUNT: $********16.71*
s9` ,=a CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 328837
M?Soi�o• INDIANAPOLIS IN 46278 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 8507027 16.71 EQUIPMENT REPAIRS & M
ACCOUNTS.PAYABLE VOUCHER
CITY.OF CARMEL
VOUCHER NO.' WARRANT NO..
An invoice of bill to be properly itemized must show kind of service;where performed,dates service rendered,.by. .
Vendor# - 154252 Allowed. 20 whom;rates p'er day,number of hours,rate per hour;.number of units,pride per unit,etc.
Indiana Oxygen Company Payee
P.O:. Box 78588
Indianapolis,IN 46278-0.588 In Sum.of$ Purchase order#
154252 Indiana Oxygen Company. Terms:
. 11
6:71 : P.O.Box 78508 .: Date Due
. . . . .
Indianapolis,IN 46278-0588
ON ACCOUNT OF APPROPRIATION FOR
109-,Monon Center
PO#or "Invoice Description
INVOICE NO... ACCT WrITLE AMOUNT
cepf#- Invoice-Date Number. (or note attached.invoice(s)or.bill(sp PO# Amount'
1094 8507027 .4351)000 : $ 16.71 Board Mernbers 7/31/18 8507027 : Oxygen Tank Rental xx6444 $ 16.71'
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
$
'I 6.71" Total $ 16.71
August Z,2018: . .
I hereby certify that the attached invoice(s),of bill(s)is'(are)true and correct and l have audited same in accordance'
with IC 5-11-1,0-1.6
Cost distribution ledger classification If
claim paid motor vehicle highway fund Signature: .20_ '
Accounts Payable Coordinator. . Clerk-Treasurer. .
Title' . '
INv ITEM INVOICEDATE.. INVOICE-; '`�EGINNWG .�SHIPPED:'RETURNED "`ENDING - `LEASED:.. gAGDAYS ,".crLiNDER �''"EXTENDED,
P 'i: : ... ,. BALANCE ,. BALANCE:... CYLINDERS . .. .:.:RATE - .:AMOUNT'
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 03390
�1;6r7,P19i
,,.�.� IOTA
1411 E. 116TH ST. INVOICE 01850L70�27�
CARMEL IN 46032 INVOICE DATE 07%31�/18�
TOTAL CYL VALUE: 100.00 P%
I�P7iD�IA�NA► e XYGENCO:MPANY •�,.P_ O BOX,78588• INDIANAPOLIS 'IN •;,4627805"88