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HomeMy WebLinkAbout329294 08/27/18 +°�"C�Ags �! CITY OF CARMEL, INDIANA VENDOR: 154252 .I ® ONE CIVIC SQUARE INDIANA OXYGEN CO CHECKAMOUNT: $********73.91* CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 329294 �.i;,�TON�:r INDIANAPOLIS IN 46278 CHECK DATE: 08/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 9100110 73.91 BOTTLED GAS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 154252 INDIANA OXYGEN CO IN SUM OF$ 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 $73.91 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Street Department Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 9100110 42-311.00 $73.91 1 hereby certify that the attached invoice(s),or 8/15/18 9100110 $73.91 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,August 22,2018 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 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer QTY QTYCYLINDER UNIT ITEM DESCRIPTION Om AMOUNT SHP DBO SHP D_RET D.t" T " _ _ _. ,PRICE OX220 1 0 1 1 OXYGEN,COMPRESSED CYL $63.565 $63.57 HMCHAZ MAT CHG 1 0 Hazardous Material Charge $6.95 $6.95 FSCFUEL SRCHGWC 1 0 Diesel Fuel Surcharge Walk-In $3.39 $3.39 Cylinder Shipped Total: 1 Cylinder Returned Total: 1 Subtotal $73.91 Tax(0%) $0.00 Delivery $0.00 Total CARMEL STREET DEPT CUSTOMER 07851 • $73.91 3400 W 131 ST ST • CARMEL IN 46074 INVOICE: 9100110 INVOICE DATE: 8/15/2018 ORDER: 292594632 P/O: shop INDIANA OXYGEN COMPANY INC. • P.O.BOX 78588 • INDIANAPOLIS, IN • 46278-0588 Visit us on facebook at facebook.com/indianaoxygencompanx or at www.indianaoxycien.com