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
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