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HomeMy WebLinkAbout333312 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 154252 e,• ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT:' $********l 6.17* r =�; CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 333312 ;ETON INDIANAPOLIS IN 46278 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4350000 9158418 16.17 EQUIPMENT REPAIRS & M ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 154252 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Indiana Oxygen Company Payee P.O. Box 78588 Indianapolis, IN 46278-0588 In Sum of$ Purchase Order# 154252 Indiana Oxygen Company Terms $ 16.17 P.O.Box 78588 Date Due Indianapolis,IN 46278-0588 ON ACCOUNT OF APPROPRIATION FOR 109-Monon Center PO#or INVOICE NO. ACCT#lrrrLE AMOUNT nvolce Description Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1094 9158418 4350000 $ 16.17 Board Members 11/30/18 9158418 Oxygen Tank Rental xx6444 $ 16.17 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 $ 16.17 Total $ 16.17 December 6,2018 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 Payable Coordinator Clerk-Treasurer Title ITEM SHIPPED 'RETURNED RENTAL DAYS. CYLINDER RATE BEGINNING- ENDING- LEASED -EXTENDED BALANCE' - -BALANCE CYLINDERS.. - .. _AMOUNT Small HP(SHP). 1. .... 0. 0: 1 0 30 $0.489 . $.14.67. Asset Management Fee $1:50 $1.50' RECEIVED BY Pschlemmer at 8:37 am,Dec 06, 2018 CARMEL CLAY PARKS CUSTOMER:.03390; SUBTOTAL. $16.17: ' 1411 E.116TH ST._ INVOICE: 9158418 . . TAX.(o%) CARMEL IN 46032 - INVOICE DATE: 11/30/2018" OTA $16.17 - TOTAL"CYLVALUE:_$600.00 P/O: . .: - INDIANA OXYGEN CO.•P:O.BOX 78588 INDIANAPOLIS IN•46278-0588 -. .