HomeMy WebLinkAbout330391 09/25/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECKAMOUNT: 5 16.71CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 330391
INDIANAPOLIS IN 46278 CHECK DATE: 09/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 9109567 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 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
16.71 P.O.Box 78588 Date Due
Indianapolis,IN 46278-0588
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
Po#ornvolce Description
Dept# INVOICE ND. ACCT#frITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 9109567 4350000 $ 16.71 Board Members 9/12/18 9109567 Oxygen Tank Rental xx6444 $ 16.71
I 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
$ 16.71 Total $ 16.71
September 20,2018
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
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
ITEM BEGINNING SHIPPED RETURNED ENDING LEASED.
BALANCE BALANCE CYLINDERS RENTAL DAYS CYLINDERRATE EXTENDED
AMOUNT
Small HP(SHP) 1 0 0 1 0 31 $0.489
$15.16
Asset Management Fee $1.55
$1.55
RECE1'VED-
By pschlemmer at 2:33pm, SO!0, 2078
CARMEL CLAY PARKS CUSTOMER- 03390
1411 E.116TH ST. `�"� SUBTOTAL $16.71
CARMEL IN 46032 INVOICE:'-91.09567/ TAX(9!/. $0.00
INVOICE DATE`. 9/1/2018 TOTAL
TOTAL CYL VALUE:$600.00 P70 $16:7.1
lND1ANA�OXYGEN'CO.:--"BOX78388 v INDIANAPOLIS,1N�46278=0588