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 -. .