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HomeMy WebLinkAbout331527 10/25/18 CITY OF CARMEL, INDIANA VENDOR: 154252 ® ��• ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********33.55* CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 331527 3152 crux INDIANAPOLIS IN 46278 CHECKDATE: 8 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 9133718 33.55 BOTTLED GAS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 154252 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANA OXYGEN CO IN SUM OF$ 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 $33.55 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# E91133718 ACCT# DATE INVOICE# DESCRIPTION DEPT# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 42-311.00 $33.55 1 hereby certify that the attached invoice(s),or 10/17/18 9133718 Bottled Gas $33.55 22012201 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 Monday, October 22,2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer ORIGINAL INVOICE ,? INDIANA OXYGEN CO. CUSTOMER: 07851 PAGE: 1 _ INVOICE: 9133718 ORDER: 292838658 6099 West Corporate Way INVOICE DATE: 10/17/2018 ORDER DATE: 10/15/2018 P.O.Box 78588 SALESPERSON: Indianapolis IN 46278-0588 BRANCH: Fishers 317-290-0003 P/O: SHOPCREATED BY: Iii -'' TERMS: I Net 30 IDUE DATE: 11/16/2018 SHIP VIA: Will Call RELEASE#: B S CARMEL STREET DEPT H 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 AMOUNT: $33:55 ----------------------------------PLEASESENDTOPPORTIONWITHYOURPAYMENT----------------------------------- QTY, QTY�� CYLINDERUNIT ITEM - DESCRIPTIONu UOM AMOUNT F �o ,SHP'D BO "..SHP'D"RET Dr-. _ PRICE MIP263340 1 0 MILLER HEAVY DUTY MIG/STICK GLOVE XL Pair $33.55 $33.55 Subtotal $33.55 Tax(0%) $0.00 Delivery $0.00 Total r $33:55' CARMEL STREET DEPT CUSTOMER 07851 • $33.55 3400 W 131 ST ST CARMEL IN 46074 INVOICE: 9133718 , � ., 1 , 11111111 INVOICE DATE: 10/17/2018 ORDER: 292838658 P/O: SHOP INDIANA OXYGEN CO. • P•O.BOX 78588 • INDIANAPOLIS, IN • 46278-0588 Visit us on facebook at facebook.com/indianaoxxpencompanX or at www.indianaoxycclen.com