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HomeMy WebLinkAbout331274 10/17/18 jc�\� .,1. CITY OF CARMEL, INDIANA VENDOR: 154252 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******149.13* 1i\ >i'- CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 331274 n,,�TON�. INDIANAPOLIS IN 46278 CHECK DATE: 10/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 9126488 149.13 BOTTLED GAS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 154252 INDIANA OXYGEN CO IN SUM OF$ CITY OF CARMEL PO BOX 78588 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46278 Payee $149.13 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 9126488 42-311.00 $149.13 1 hereby certify that the attached invoice(s),or 10/1/18 9126488 Cylinder Rental $149.13 2201 2201 2201 2201 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 Tuesday, October 16, 2018 Huffman, Dave Director I 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 ' 20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer q CYLINDER RENTAL INVOICE NT-J)L` �°kT,?��, INDIANA OXYGEN CO. CUSTOMER: 07851 PAGE: 1 P.O.Box 78588 INVOICE: 9126488 Indianapolis, IN 46278-0588 INV DATE: 10/1/2018 317-290-0003 SALESPERSON: BRANCH: Fishers _ P/O: TERMS: Net 30 B s CARMEL STREET DEPT i CARMEL STREET DEPT L 3400 W 131 ST ST P 3400 W 131 ST ST T CARMEL IN 46074 T CARMEL IN 46074 0 0 Notes: INVOICE AMQ,UNT: u $149.13 4 ----------------------------------PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------- NNING ' ENDING ��BEGI ,LEASED EXTENDED "-BEGI NTNG _IP,PED RETURNED 'EALANCE NTAL DAYS _ CYLINDER,RATE w Acetylene Large(ALY) 3 0 0 3 0 90 $0.529 $47.61 Argon(ARG) 2 0 0 2 0 60 $0.489 $29.34 Carbon Dioxide(CO2) 1 0 0 1 0 30 $0.489 $14.67 Mix Gases(MIX) 2 1 1 2 1 30 $0.489 $14.67 Oxygen(OXY) 2 0 0 2 0 60 $0.489 $29.34 Small Acetylene(SAL) 0 1 1 0 0 0 $0.489 $0.00 Small HP(SHP) 0 1 1 0 0 0 $0.489 $0.00 Asset Management Fee $13.50 $13.50 CARMEL STREET DEPT CUSTOMER: 07851 SUBTOTAL $149131 3400 W 131ST ST INVOICE: 9126488 ' TAX.(0%) $t100� CARMEL IN 46074 INVOICE DATE: 10/1/2018 TOTAL $149_1y3j TOTAL CYL VALUE: $3,000.00 P/O: INDIANA OXYGEN CO.•P.O.BOX 78588•INDIANAPOLIS,IN•46278-0588