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HomeMy WebLinkAbout333522 12/14/18 ''w e*p''f� CITY OF CARMEL, INDIANA VENDOR: 154252 ONE CIVIC SQUARE INDIANA OXYGEN CO CHECK AMOUNT: $*******149.13* CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 333522 +;��o/` INDIANAPOLIS IN 46278 CHECK DATE: 12/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231100 9158694 149.13 BOTTLED GAS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 154252 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANA OXYGEN CO IN SUM OF$ 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 $149.13 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 9158694 42-311.00 $149.13 I hereby certify that the attached invoice(s),or 11/30/18 9158694 Cylinder Rental $149.13 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 Tuesday, December 11,2018 � _ 1 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 INDIANA OXYGEN CO. CUSTOMER: 07851 PAGE: 1 P.O.Box 78588 INVOICE: 9158694 Indianapolis, IN 46278-0588 INV DATE: 11/3012018 317-290-0003 SALESPERSON: BRANCH: Fishers _ P/O: TERMS: Net 30 B S ICARMEL 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 $149:13ti ----------------------------------PLEASESENDTOPPORTIONWITHYOURPAYMENT----------------------------------- "BEGINNING r _ENDING r, .LEASED RENTAL DAYS CYLINDER RATE Cr EXTENDED ITEM eALANCE SHIPPED RETURNED 4LANCE- CYLINDERS AMOUNT k _....mow.. ma,..n......, _.....,.........wv»>u„ —...,�......-.,._.mer..a_biG .[,..__..: .._ ....,f.«.,. .,..,--..'.,_._u.;.. ,�,.».,..w..��...... ..,..r>ua..a..L......u.a:.�..e..�..�.....,. ...,_._..��m..r.....,..,...k+�.r.. Acetylene Large(ALY) 3 0 0 3 0 90 $0.529 $47.61 Argon(ARG) 2 0 0 2 0 60 $0.489 $29.34 Carbon Dioxide(CO2) 1 0 0 1 0 30 $0.489 $14.67 Mix Gases(MIX) 2 0 0 2 1 30 $0.489 $14.67 Oxygen(OXY) 2 0 0 2 0 60 $0.489 $29.34 Asset Management Fee $13.50 $13.50 CARMEL STREET DEPT CUSTOMER: 078513400 W 131 ST ST SUBTOTAL G $14913' CARMEL IN 46074 INVOICE: 9158694 INVOICE DATE: 11/30/2018 `x' TOTAL' x$14913: TOTAL CYL VALUE: $3,000.00 P/O: INDIANA OXYGEN CO.-P.O.BOX 78588-INDIANAPOLIS,IN-46278-0588