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HomeMy WebLinkAbout329731 09/10/18 CITY OF CARMEL, INDIANA VENDOR: 154252 J4/ ��, ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******250.98* CARMEL, INDIANA 46032 �;r PO BOX 78588 CHECK NUMBER: 329731 9M INDIANAPOLIS IN 46278 CHECK DATE: 09/10/18 ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4239012 9108093 250.98 SAFETY SUPPLIES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 154252 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Indiana Oxygen Company Payee P.O. Box 78588 Indianapolis, IN 46278-0588 In Sum of$ Purchase Order# 154252 Indiana Oxygen Company Terms $ 250.98 P.O.Box 78588 Date Due Indianapolis,IN 46278-0588 ON ACCOUNT OF APPROPRIATION FOR 109-Monon Center PO#or Invoke Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1094 9108093 4239012 $ 250.98 Board Members 9/5/18 9108093 Oxygen Tank Refills xx7276 $ 250.98 1 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 $ 250.98 Total $ 250.98 September 6,2018 1 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 Cost distribution ledger classification if ����/r'�'�•�C J claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title QTY QTY CYLINDER - UNIT ITEM . DESCRIPTION' UOM AMOUNT'' SHP'D� BO. 'SHP'D-RET'D PRICE. OXAD 6 0 6. 6 OXYGEN,COMPRESSED(USP GRADE) CYL $34.662 $207,97 : FSCFUELSURCHRG 1 0 Diesel Surcharge-Our Truck $4.08 :$4.08'. HMCHAZ MAT CHG 1 0 Hazardous Material Charge. . $6.95 CylinderShipped Total: . 6. . . Cylinder Returned Total: 6' Subtotal $219.00 RECEIVED Ta x(0%) .. $0.00 Delivery. $31.98. . By pschlemmer of 12:15 pm, Sep 05, 2018 .. . Total .$250.98 9 CARMEL CLAY PARKS CUSTOMER 03390 . • 1411 E.116TH ST.. .. • . $250.98 CARMEL IN 46032 INVOICE:. . 9108 93 .: INVOICE DATE: 9!5!2018 _ ORDER:' '2928.18508 ' P/O:. . LNDIANA OXY'CEN CQ. • OX 7W' 88 ' IiNDIANAPQLIS, tN • 4627 -0588 Visit-us on facebo6k at facebook:comlindianaoxkgericompany or at vuww.indianaoxygen:com