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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