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HomeMy WebLinkAbout332053 11/13/18 ('�,q,,*� CITY OF CARMEL, INDIANA VENDOR: 154252 .s ® �I• ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $********16.71* �, ,_� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 332053 +,;; INDIANAPOLIS IN 46278 CHECK DATE: 11/1 3/18 Iron c� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4350000 9141951 16.71 EQUIPMENT REPAIRS & M ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 154252 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Indiana Oxygen Company Payee P.O. Box 78588 Indianapolis, IN 46278-0588 In Sum of$ Purchase order# 154252 Indiana Oxygen Company Terms $ 16.71 P.O.Box 78588 Date Due Indianapolis,IN 46278-0588 ON ACCOUNT OF APPROPRIATION FOR 109-Monon Center PO#or INVOICE NO. ACCT#IrITLE AMOUNT Invoice Description Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1094 9141951 4350000 $ 16.71 Board Members 10/31/18 9141951 Oxygen Tank Rental xx6444 $ 16.71 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 $ 16.71 Total $ 16.71 November 7,2018 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 claim paid motor vehicle highway fund Signature -,20— Accounts 20_Accounts Payable Coordinator Clerk-Treasurer . ITEM - .BE - SHIPPED. RETURNED. - _ RENTAL DAYS, CYLINDER RATE' GINNING -ENDING LEASED •EXTENDED BALANCE' .. BALANCE CYLINDERS.. - AMOUNT Small HP(SHP) .'. . 1 0 0 1 .0 31 .'$0.489 -$.15.16 Asset Management Fee $1:55 . $1.55 RECEIVED By pschlemmer at 9:10 am, Nov 06, 2018 CARMEL CLAY PARKS CUSTOMER:. 03390: SUBTOTAL. $16,71: 1411 E.116TH S, .197 TAX(0%) $0,00 CARMEL IN 46032 INVOICE DATE: 10/31/2018 TOTAL $16.71 TOTAL CYL VALUE: $600.00 - P/O: INDIANA OXYGEN CO.•P.O.BOX 78588•INDIANAPOLIS,IN•46278-0588