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
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