HomeMy WebLinkAbout331009 10/09/18 i u,_C�gy
aY 4` CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******208.16*
=a; CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 331009
y,�TON�. INDIANAPOLIS IN 46278 CHECK DATE: 10/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9121991 208.16 OTHER EXPENSES
VOUCHER NO. 182942 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 154252 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
INDIANA OXYGEN CO CITY OF CARMEL
PO BOX 78588 An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46278 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
208.16 154252 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR INDIANA OXYGEN CO Terms
Carmel Water Utility PO BOX 78588 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46278
PO# ACCT# or bill(s)is(are)true and correct and that
the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
9121991 01-6360-03 $208.16 and received except 10/3/2018 9121991
$208.16
z
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. 20_
Clerk-Treasurer
D -
IN=_MONTRS ESCRIPTION �� ,- QTY RATE' AMOUNT
s.
12 One Year Lease-Large Acetylene 1 $108.46 $108.46
Start Date: 9/9/2018 End Date: 9/8/2019
12 One Year Lease-Oxygen 1 $99.70 $99.70
Start Date: 9/9/2018 End Date: 9/8/2019
W
CARMEL WATER CUST;OMER:'1'2598 CARMEL WATER � SUBTOTAL' $208.16
3450 W 131ST ST = INVOICE 9121991
CARMEL IN 46074 8267 INVOICE DATE?9/28/2018 TAX(0%) $0.00
` r
r', _ -
_ _._ . _. _ .. v= ._ _ .. TOTAL _ $208'16
INDIANA OXYGEN COMPANY•P.O.BOX 78588•INDIANAPOLIS,IN•46278-0588