HomeMy WebLinkAbout331322 10/17/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********16.17*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 331322
INDIANAPOLIS IN 46278 CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 9126226 16.17 EQUIPMENT REPAIRS & M
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 154252 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Indiana Oxygen Company Payee
P.O. Box 78588
Indianapolis, IN 46278-0588 In Sum of$ Purchase Order#
154252 Indiana Oxygen Company Terms
1 6.1 7 P.O.Box 78588 Date Due
Indianapolis,IN 46278-0588
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or Invoice Description
Dept# INVOICE NO. ACCT#lrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 9126226 4350000 $ 16.17 Board Members 10/1/18 9126226 Oxygen Tank Rental xx6444 $ 16.17
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
$ 16.17 Total $ 16.17
October 9,2018
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 IPACNA41�
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
BEGINNINGENDING-' LEASED -EXTENDED -
• ITEM SHIPPED 'RET,URNEO RENTAL DAYS. CYLINDER RATE '
BALANCE� .� � - .. . -BALANCE -'CYLINDERS, �� � � � ..AMOUNT
Small HP(SHIP).
. . 1 6 6 1. 0 30 . , .$0".489 $14.67
'
Asset Management Fee. $:1.:50 $1,50
RECEIVED
By pschlemmer at 8:58
am, Oct 09, 2018
CARMEL CLAY PARKS CUSTOMER`. 03390:. SUBTOTAL. . '.,$16.17;
14"1.1 E.116TH"ST., fNVOIGE: 9126226 TAX(0%) :$o a
CARMEL IN 46032 INVOICE DATE: 1'0!1/201'8 =- TOTAL
TOTAL CYL VALUE: $600.00 P(O:
INDIANA OXYGEN GO.•PWRBGX 78588•INDIANAPOLIS IN-46278-0688