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HomeMy WebLinkAbout332852 11/30/18 i ur"��Ay CITY OF CARMEL, INDIANA VENDOR: 154252 j ® 4 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******154.1 1 r ,=Q' CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 332852 Y��TON�` INDIANAPOLIS IN 46278 CHECK DATE: 11/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 9142227 154.11 BOTTLED GAS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 154252 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANA OXYGEN CO IN SUM OF$ 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 $154.11 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 9142227 42-311.00 $154.11 1 hereby certify that the attached invoice(s),or 10/31/18 9142227 Bottled Gas $154.11 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 Thursday, November 29, 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 CYLINDER RENTAL INVOICE NQ `14 E INDIANA OXYGEN CO, CUSTOMER: 07851 PAGE: 1 P.O.Box 78588 INVOICE: 9142227 MI Indianapolis, IN 46278-0588 INV DATE: 10/31/2018 317-290-0003 SALESPERSON: BRANCH: Fishers %E sew P/O: TERMS: Net 30 g 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 $15411.; ----------------------------------PLEASE SEND TOP PORTION WITH YOUR PAYMENT----------------------------------- BEGINNING ' '-ENDING LEASED - EXTENDED:. '- ITEM SHIPPER- RETURNED ; RENTAL DAYS CYLINDER'RATE n BALANCE 'BALANCE;,,. CYLINDERS - AMOUNT . a Acetylene Large(ALY) 3 0 0 3 0 93 $0.529 $49.20 Argon(ARG) 2 0 0 2 0 62 $0.489 $30.32 Carbon Dioxide(CO2) 1 0 0 1 0 31 $0.489 $15.16 Mix Gases(MIX) 2 0 0 2 1 31 $0.489 $15.16 Oxygen (OXY) 2 0 0 2 0 62 $0.489 $30.32 Asset Management Fee $13.95 $13.95 CARMEL STREET DEPT CUSTOMER: 07851 SUBTOTAL $154 11 3400 W 131 ST ST CARMEL IN 46074 INVOICE: 9142227 TAX,_(0a) $d 00 INVOICE DATE: 10/31/2018 TOTAL $15411'F TOTAL CYL VALUE: $3,000.00 P/O: INDIANA OXYGEN CO.•P.O.BOX 78588•INDIANAPOLIS,IN•46278-0588