HomeMy WebLinkAbout332053 11/13/18 ('�,q,,*� CITY OF CARMEL, INDIANA VENDOR: 154252
.s ® �I• ONE CIVIC SQUARE INDIANA OXYGEN CO
CHECK AMOUNT: $********16.71*
�, ,_� CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 332053
+,;; INDIANAPOLIS IN 46278 CHECK DATE: 11/1 3/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350000 9141951 16.71 EQUIPMENT REPAIRS & M
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 154252 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Indiana Oxygen Company Payee
P.O. Box 78588
Indianapolis, IN 46278-0588 In Sum of$ 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